Endoscopic Surveillance of Duodenal Polyposis After Total Gastrectomy in Familial Adenomatous Polyposis

被引：0

作者：

Shah, Ravi S. ^{[1
]}

Mehta, Neal ^{[2
]}

Mankaney, Gautam ^{[2
]}

Walsh, Matthew R. ^{[3
]}

Burke, Carol A. ^{[2
]}

Bhatt, Amit ^{[2
]}

机构：

[1] Cleveland Clin, Med Inst, Dept Internal Med, Cleveland, OH 44106 USA

[2] Cleveland Clin, Dept Gastroenterol Hepatol & Nutr, Digest Dis & Surg Inst, Cleveland, OH 44106 USA

[3] Cleveland Clin, Digest Dis & Surg Inst, Dept Gen Surg, Cleveland, OH 44106 USA

来源：

ACG CASE REPORTS JOURNAL | 2020年 / 7卷 / 08期

关键词：

CANCER;

D O I：

10.14309/crj.0000000000000445

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The lifetime incidence of duodenal polyposis in familial adenomatous polyposis (FAP) approaches 100%, and duodenal cancer is the most common malignancy once colectomy is performed. The incidence of gastric cancer is increasing in patients with FAP, and when gastric polyps with high-grade dysplasia or cancer are present, a total gastrectomy with Roux-en-Y esophagojejunostomy is indicated. The altered anatomy after surgery and presence of adhesions from a previous colectomy make endoscopic surveillance of the duodenum with standard equipment difficult. This case report highlights an approach to duodenal polyposis surveillance in FAP after total gastrectomy with Roux-en-Y esophagojejunostomy.

引用

页数：3

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