Gastroduodenal polyposis in patients with familiar adenomatous polyposis after rectocolectomy

The extra colonic manifestations, like upper gastrointestinal tract polyps and duodenal cancer are disorders that affect long-term morbidity and mortality of patients with familial adenomatous polyposis, after rectocolectomy. To describe the frequency of those disorders in patients with familial ade...

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Bibliographic Details
Published in:Arquivos de gastroenterologia 2007-04, Vol.44 (2), p.133-136
Main Authors: Leal, Raquel Franco, Ayrizono, Maria de Lourdes Setsuko, Coy, Cláudio Saddy Rodrigues, Callejas-Neto, Francisco, Fagundes, João José, Góes, Juvenal Ricardo Navarro
Format: Article
Language:Portuguese
Subjects:
Adenomatous Polyposis Coli - complications
Adenomatous Polyposis Coli - surgery
Adolescent
Adult
Aged
Duodenal Neoplasms - complications
Duodenal Neoplasms - diagnosis
Endoscopy, Digestive System
Female
Follow-Up Studies
Humans
Male
Middle Aged
Polyps - complications
Polyps - diagnosis
Proctocolectomy, Restorative
Retrospective Studies
Severity of Illness Index
Stomach Neoplasms - complications
Stomach Neoplasms - diagnosis
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Summary:The extra colonic manifestations, like upper gastrointestinal tract polyps and duodenal cancer are disorders that affect long-term morbidity and mortality of patients with familial adenomatous polyposis, after rectocolectomy. To describe the frequency of those disorders in patients with familial adenomatous polyposis and to review efficacy of upper gastrointestinal endoscopic surveillance. Between 1984 and 2005, 62 patients with familial adenomatous polyposis after rectocolectomy, were studied retrospectively, by Coloproctology Group, Medical Sciences Faculty, State University of Campinas, SP, Brazil. It was possible to analyze 53 patients (85,5%) in this study. Twenty seven (50,9%) of 53 patients in follow-up had upper gastrointestinal polyps. Eight (15,4%) had gastric adenomatous polyps, 14 (27%), duodenal polyps and 5 (9,6%) duodenal and gastric polyps. Two patients (3,8%) had adenomatous duodenal polyps with severe dysplasia, and one (1,9%) had adenocarcinoma of the duodenal papilla. The upper gastrointestinal endoscopic surveillance has importance and the aim is to detect as early as possible the occurrence of duodenal adenocarcinoma and upper gastrointestinal polyps with severe dysplasia.
ISSN:0004-2803