Year 2019 / Volume 111 / Number 7
Letter
Surgical management of familial adenomatous polyposis: pancreas-sparing duodenectomy or pancreaticoduodenectomy (Whipple procedure)

572-573

DOI: 10.17235/reed.2019.6096/2018

Juan Ocaña Jiménez, Adolfo López Buenadicha, Javier Nuño Vázquez-Garza,

Abstract
Duodenal cancer is the main cause of death for patients with FAP syndrome (familial adenomatous polyposis) treated with a colectomy. The disease follows the adenoma to carcinoma sequence and is diagnosed during follow-up in 7-36% of patients. Endoscopic treatment is used during the first treatment stage of the disease and surgery is an adequate therapeutic option when endoscopic control is insufficient.
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References
1. Alarcon, FJ. Burke, CA. Church, JM. et al. Familial adenomatous polyposis: efficacy of endoscopic and surgical treatment for advanced duodenal adenomas. Dis Colon Rectum. 1999;42(12):1533–6.
2. Groves CJ, Saunders BP, Spigelman AD, et. al. Duodenal cancer in patients with familial adenomatous polyposis (FAP): Results of a 10 year prospective study. Gut. 2002;50(5):636–41.
3. Van Heumen BWH, Nieuwenhuis MH, Van Goor H, , et al. Surgical management for advanced duodenal adenomatosis and duodenal cancer in Dutch patients with familial adenomatous polyposis: A nationwide retrospective cohort study. Surgery [Internet]. 2012;151(5):681–90. Available from: http://dx.doi.org/10.1016/j.surg.2011.12.008
4. De Castro SMM, Van Eijck CHJ, Rutten JP, et al. Pancreas-preserving total duodenectomy versus standard pancreatoduodenectomy for patients with familial adenomatous polyposis and polyps in the duodenum. Br J Surg. 2008;95(11):1380–6.
5. Nakayama Y, Konishi M, Gotohda N, et al. Comparison of postoperative early and late complications between pancreas-sparing duodenectomy and pancreatoduodenectomy. Surg Today. 2017;47(6):705–11.
Citation tools
Ocaña Jiménez J, López Buenadicha A, Nuño Vázquez-Garza J. Surgical management of familial adenomatous polyposis: pancreas-sparing duodenectomy or pancreaticoduodenectomy (Whipple procedure). 6096/2018


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Publication history

Received: 05/12/2018

Accepted: 26/12/2018

Online First: 01/07/2019

Published: 04/07/2019

Article Online First time: 208 days

Article editing time: 211 days


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