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Diagnosis and Treatment of Upper Gastrointestinal Polyps in Polyposis

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Intestinal Polyps and Polyposis

Abstract

Familial adenomatous polyposis is a hereditary autosomal dominant disease; the APC gene is responsible. The multifactorial regulation of this gene expresses many different clinical features and almost all patients present with polyps in the foregut, so gastroenterologists and surgeons should carefully check patient’ upper gastrointestinal tract as well. The diagnosis of polyps in the stomach and, mostly, in the duodenum is of crucial relevance due the high risk of developing a cancer. A better understanding of the natural history of the disease, together with recent developments in operative endoscopy and surgery, make it possible to offer these patients better interdisciplinary management.

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References

  1. Dekker W (1990) Clinical relevance of gastric and duodenal polyps. Scand J Gastroentrol 178:7–12.

    Article  CAS  Google Scholar 

  2. Hauser G (1895) über Polyposis intestinalis adenomatosa und deren Beziehungen zur Krebsentwicklung. Deutsche Arch Klin Med 55:429–438.

    Google Scholar 

  3. Funkestein O (1904) über Polyposis intestinalis. Z Klin Med Berl 55: 236–248.

    Google Scholar 

  4. Cabot J (1935) Case records of the Massachusetts General Hospital N 21061. N Engl J Med 212:263–267.

    Article  Google Scholar 

  5. Spigelman AD, Williams CB, Talbot IC, et al (1989) Upper gastrointestinal cancer in patients with familial adenomatous polyposis. Lancet 2:783–785.

    Article  PubMed  CAS  Google Scholar 

  6. Vasen HF, Bulow S, Myrhoj T, et al (1997) Decision analysis in the management of duodenal adenomatosis in familial adenomatous polyposis. Gut 40:716–719.

    Article  PubMed  CAS  Google Scholar 

  7. Vasen HF, Bulow S and the Leeds Castle Polyposis Group (1999) Guidelines for the surveillance and management of familial adenomatous polyposis (FAP): a world wide survey among 41 registries. Colorectal Dis 1:214–221.

    Article  Google Scholar 

  8. Iida M, Aoyagi K, Fujimura Y, et al (1996) Non polypoid adenomas of the duodenum in patients with familial adenomatous polyposis. Gastrointest Endosc 44:305–308.

    Article  PubMed  CAS  Google Scholar 

  9. Bruno MJ (2003) Magnification endoscopy, high resolution endoscopy and chromoendoscopy: towards a better optical diagnosis. Gut 52(S4):7–11.

    Google Scholar 

  10. Sarre RG, Frost AG, Jagelman DG, et al (1987) Gastric and duodenal polyps in familial adenomatous polyposis; a prospective study of the nature and prevalence of upper gastrointestinal polyps. Gut 28:306–314.

    Article  PubMed  CAS  Google Scholar 

  11. Domizio P, Talbot IC, Spigelman AD, et al (1990) Upper gastrointestinal pathology in familial adenomatous polyposis: results from a prospective study of 102 patients. J Clin Pathol 43:738–743.

    Article  PubMed  CAS  Google Scholar 

  12. Hofgartner WT, Thorp M, Ramus MW, et al (1999) Gastric adenocarcinoma associated with fundic gland polyps in a patient with attenuated familial adenomatous polyposis. Am J Gastroenterol 94:2275–2281.

    PubMed  CAS  Google Scholar 

  13. Jagelman DG, DeCosse JJ, Bussey HJ (1988) Upper gastrointestinal cancer in familial adenomatous polyposis. Lancet 1:1149–1151

    Article  PubMed  CAS  Google Scholar 

  14. Debinski HS, Spigelman AD, Hatfield A, et al (1995) Upper intestinal surveillance in familial adenomatous polyposis. Eur J Cancer 31A:1149–1153.

    Article  PubMed  CAS  Google Scholar 

  15. Bulow S, Alm T, Fausa O, et al (1995) Duodenal adenomatosis in familial adenomatous polyposis. DAF Project Group. Int J Colorectal Dis 10:43–46.

    Article  PubMed  CAS  Google Scholar 

  16. Trimbath Jd, Giardiello FM (2002) Review article: genetic testing and counselling for hereditary colorectal cancer. Aliment Pharmacol Ther 16:1843–1857.

    Article  PubMed  CAS  Google Scholar 

  17. Bjork J, Akerbrant H, Iselius L, et al (2001) Periampullary adenomas and adenocarcinomas in familial adenomatous polyposis: cumulative risk and APC gene mutations. Gastroenterology 121:1127–1135.

    Article  PubMed  CAS  Google Scholar 

  18. Bulow S, Bjork J, Christensen IJ, et al (2004) Duodenal adenomatosis in familial adenomatous polyposis. Gut 53:381–386.

    Article  PubMed  CAS  Google Scholar 

  19. Groves CJ, Saunders BP, Spigelman AD, et al (2002) Duodenal cancer in patients with familial adenomatous polyposis (FAP): results of a 10 years prospective study. Gut 50:636–641.

    Article  PubMed  CAS  Google Scholar 

  20. Saurin JC, Gutknecht C, Napoleon B, et al (2004) Surveillance of duodenal adenomas in familial adenomatous polyposis reveals high cumulative risk of advanced disease. J Clin Oncol 22:493–498.

    Article  PubMed  Google Scholar 

  21. Vasen HFA, Moeslein G, Alonso A, et al (2008) Guidelines for the clinical management of familial adenomatous polyposis (FAP). Gut 57:704–713.

    Article  PubMed  CAS  Google Scholar 

  22. Waddel WR, Loughry RW (1983) Sulindac for polyposis of the colon. J Surg Oncol 24:83–87.

    Article  Google Scholar 

  23. Cruz-Correa M, Hylind LM, Romans KE, et al (2002) Long term treatment with sulindac in familial adenomatous polyposis: a prospective cohort study. Gastroenterology 122:641–645.

    Article  PubMed  CAS  Google Scholar 

  24. Giardiello FM, Yang VW, Hylind LM, et al (2002) Primary chemoprevention of familial adenomatous polyposis with sulindac. N Engl J Med 346:1054–1059.

    Article  PubMed  CAS  Google Scholar 

  25. Phillips RK, Wallace MH, Lynch PM, et al (2002) A randomized double blind, placebo controlled study of celecoxib, a selective cyclooxygenase-2 inhibitor, on duodenal polyposis in familial adenomatous polyposis. Gut 50:857–860.

    Article  PubMed  CAS  Google Scholar 

  26. McGettigan P, Henri D (2006) Cardiovascular risk and inhibition of cyclooxygenase: a systematic review of the observational studies of selective and non selective inhibitors of cyclooxygenase-2. JAMA 296:1633–1644.

    Article  PubMed  CAS  Google Scholar 

  27. Brosens LA, Keller JJ, Offerhaus GJ, et al (2005) Prevention and management of duodenal polyps in familial adenomatous polyposis. Gut 54:1034–1043.

    Article  PubMed  CAS  Google Scholar 

  28. Ahmadi A, Draganov P (2008) Endoscopic mucosal resection in the upper gastrointestinal tract. World J Gastroenterol 14:1984–1989.

    Article  PubMed  Google Scholar 

  29. Bleau BL, Gostout CJ (1996) Endoscopic treatment of ampullary adenomas in familial adenomatous polyposis. J Clin Gastroenterol 22:237–241.

    Article  PubMed  CAS  Google Scholar 

  30. Norton ID, Gostout CJ, Baron TH, et al (2002) Safety and outcome of endoscopic snare excision of the major duodenal papilla. Gastrointest Endosc 56:239–243.

    Article  PubMed  Google Scholar 

  31. Harewod GC, Pochron NL, Gostout CJ (2005) Prospective randomized controlled trial of prophylactic pancreatic stent placement for endoscopic snare excision of the duodenal ampulla. Gastrointest Endosc 62:367–370.

    Article  Google Scholar 

  32. Iaquinto G, Fornasarig M, Quaia M (2008) Capsule endoscopy is useful and safe for small-bowel surveillance in familial adenomatous polyposis. Gastrointest Endosc 67:61–67.

    Article  PubMed  Google Scholar 

  33. Moenkemueller K, Weigt J, Treiber G, et al (2006) Diagnostic and therapeutic impact of double-balloon enteroscopy. Endoscopy 38:67–72.

    Article  Google Scholar 

  34. Offerhaus GJ, Giardiello FM, Krush AJ, et al (1992) The risk of upper gastrointestinal cancer in familial adenomatous polyposis. Gastroenterology 102:1980–1982.

    PubMed  CAS  Google Scholar 

  35. Bulow S, Bjork J, Christensen IJ, et al (2004) Duodenal adenomatosis in familial adenomatous polyposis. Gut 53:381–386.

    Article  PubMed  CAS  Google Scholar 

  36. de Vos tot Nederveen Cappel WH, Järvinen HJ, Björk J, et al (2003) Worlwide survey among polyposis registries of surgical management of severe duodenal adenomatosis in familial adenomatous polyposis. Br J Surg 90:705–710.

    Article  Google Scholar 

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Comberlato, M., Martin, F. (2009). Diagnosis and Treatment of Upper Gastrointestinal Polyps in Polyposis. In: Delaini, G.G., Skřička, T., Colucci, G. (eds) Intestinal Polyps and Polyposis. Springer, Milano. https://doi.org/10.1007/978-88-470-1124-3_11

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  • DOI: https://doi.org/10.1007/978-88-470-1124-3_11

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1123-6

  • Online ISBN: 978-88-470-1124-3

  • eBook Packages: MedicineMedicine (R0)

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