welcome to oneFAPvoice- a positively charged Familial Adenomatous Polyposis community.
- join today!
Wireless Capsule Endoscopy in Detecting Small-Intestinal Polyps in Familial Adenomatous Polyposis
source: World journal of gastroenterology
authors: Panagiotis Katsinelos, Jannis Kountouras, Grigoris Chatzimavroudis, Christos Zavos, Kostas Fasoulas, George Paroutoglou, Ioannis Pilpilidissummary/abstract:
AIM : To detect the prevalence of small bowel polyps by wireless capsule endoscopy (WCE) in patients with familial adenomatous polyposis (FAP).
METHODS : We examined prospectively 14 patients with FAP to assess the location, size and number of small-intestinal polyps. Patients’ age, sex, years of observation after surgery, type of surgery, duodenal polyps and colorectal cancer at surgery were analyzed.
RESULTS : During WCE, polyps were detected in 9/14 (64.3%) patients. Duodenal adenomatous polyps were found in nine (64.3%) patients, and jejunal and ileal polyps in seven (50%) and eight (57.1%), respectively. The Spigelman stage of duodenal polyposis was associated with the presence of jejunal and ileal polyps. Identification of the ampulla of Vater was not achieved with WCE. Importantly, the findings of WCE had no immediate impact on the further clinical management of FAP patients. No procedure-related complications were observed in the patients.
CONCLUSION : WCE is a promising noninvasive new method for the detection of small-intestinal polyps. Further investigation is required to determine which phenotype of FAP is needed for surveillance with WCE.organization: Thessaloniki Central Hospital
read more full text source
expertly curated content related to this topic
Familial Risk-Colorectal Cancer: ESMO Clinical Practice GuidelinesLynch syndrome is the most common heredi...
F.A.P. Surveillance Exams: What’s involved?https://www.youtube.com/watch?v=NPIsTBJf...
Prevalence of Small Bowel Polyps in Patients With Sporadic Duodenal AdenomasLittle is known about the prevalence of ...
Colorectal Cancer ScreeningThe book provides an overview of colore...
Clinical Practice Guidelines for the Prevention, Early Detection and Management of Colorectal CancerExecutive Summary Colorectal Cancer con...
Small-Bowel Capsule Endoscopy and Device-Assisted Enteroscopy for Diagnosis and Treatment of Small Bowel Disorders: ...This Guideline is an official statement ...
How to Manage a Patient with Multiple Adenomatous Polyps: History and Clinical Features, Genetic Testing, Surveillan...Adenomatous polyps are found on screenin...