INTESTINE Vol.15 No.2(3-2)

Theme Recent advances in the diagnosis and management of small intestinal tumor
Title Small-bowel tumors in familial adenomatous polyposis
Publish Date 2011/02
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.
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