Theme |
Recent advances in the diagnosis and management of small intestinal tumor |
Title |
Small-bowel tumors in familial adenomatous polyposis |
Author |
Yuji Maehata |
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyusyu University |
Author |
Takayuki Matsumoto |
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyusyu University |
Author |
Tomohiko Moriyama |
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyusyu University |
Author |
Ritsuko Fujisawa |
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyusyu University |
Author |
Motohiro Esaki |
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyusyu University |
Author |
Mitsuo Iida |
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyusyu University / Kyushu Central Hospital of the Mutual Aid Associationof Public School Teachers |
[ Summary ] |
Small-intestinal adenomas frequently develop in familial adenomatous polyposis (FAP). 53 of our 87 (61 %) patients with FAP were confirmed to have small-intestinal adenomas. Although the natural history of small-intestinal adenomas in FAP is obscure, malignant transformation seems to be rare. Most small intestinal polyps are whitish and small, and are located in the jejunum. Since small-intestinal adenomas in FAP are sparse and small, oral double-balloon endoscopy seems to be useful for detection of these polyps. |