Outcome based on management for duodenal adenomas: sporadic versus familial disease.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Michael David JohnsonR Matthew Walsh

Abstract

Management and outcomes for duodenal adenomas may vary based on etiology, familial versus sporadic. We reviewed the records of patients managed at our institution for duodenal adenomatous polyps for the 20-year period ending July 2006. Methods of polyp resection (endoscopic, local surgical resection, or definitive surgical resection) within both sporadic and familial patient groups were compared. Patients with known cancer were excluded. Two hundred seventy-eight patients with duodenal polyps were followed during this time period: 110 patients (39.6%) with sporadic polyps and 168 (60.4%) with familial adenomatous polyposis (FAP). Sporadic patients presented at a mean age of 66.5 years. Endoscopic resection was attempted in 44 patients (40%) with morbidity in 9% and local recurrence rate of 52% with a mean follow-up of 43 months. Surgical resection was performed in 46 patients (42%): 27 by definitive resection and local resection in 19. At a mean follow-up of 41 months, there were no local recurrences in the patients treated by definitive resection and six recurrences (32%) after local resection. Morbidity was 39%. There was a significant difference in local recurrence when comparing definitive resection to both endoscopic and l...Continue Reading

References

Jan 13, 2000·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·M B FarnellD M Nagorney
Oct 26, 2002·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Paul H JordanBeatriz M Kinner
Jan 31, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jean-Christophe SaurinJean-Alain Chayvialle
Feb 13, 2004·Gut·S BülowUNKNOWN DAF Study Group
Jul 9, 2004·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Emilio MorpurgoHiram C Polk
Sep 28, 2004·The British Journal of Surgery·M C GallagherR K S Phillips
Nov 5, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Richard MackeyCarol Burke
Dec 8, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Adam T MeneghettiLawrence W Way
Feb 4, 2006·The American Journal of Gastroenterology·Polymnia Galiatsatos, William D Foulkes

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Citations

May 9, 2014·Abdominal Imaging·Michael F McNeeleySrinivasa R Prasad
Feb 13, 2014·Epigenetics : Official Journal of the DNA Methylation Society·Lifeng SunNita Ahuja
Mar 21, 2017·Gastrointestinal Endoscopy·Priyanka KanthJames DiSario
Feb 28, 2019·Journal of Gastroenterology and Hepatology·Katsunori MatsuedaHiroyuki Okada
Apr 21, 2016·Nature Reviews. Gastroenterology & Hepatology·Luigi RicciardielloPatrick M Lynch
Oct 1, 2011·Digestive Diseases and Sciences·Sathya JaganmohanJeffrey H Lee
Jun 19, 2019·Clinical and Translational Gastroenterology·Sushrut S ThiruvengadamCarol A Burke
Oct 11, 2017·Diseases of the Colon and Rectum·Isabelle SourrouilleYann Parc
Jul 1, 2014·Journal of Surgical Oncology·Carole MacaronCarol A Burke
Apr 23, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Nobutsugu AbeMasanori Sugiyama
May 14, 2019·United European Gastroenterology Journal·Juntaro MatsuzakiTakanori Kanai
May 16, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Robert NaplesR Matthew Walsh
Feb 26, 2016·World Journal of Surgical Oncology·Shuji KomoriKatsuyuki Kunieda
Jan 27, 2016·World Journal of Gastroenterology : WJG·Chul-Hyun Lim, Young-Seok Cho
Apr 6, 2021·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Riccardo CarboneAntonio Di Sabatino
Sep 19, 2012·Gastrointestinal Endoscopy·Tamir Ben-MenachemBrooks D Cash
Oct 2, 2012·Gastrointestinal Endoscopy·Massimo ConioPeter D Siersema

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