INTESTINE Vol.20 No.3(9)

Theme Gastrointestinal polyposis -- progress in the diagnosis and treatment
Title Differences between small and large intestinal lesions in polyposis syndrome
Publish Date 2016/05
Author Masashi Kameda Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Koichi Kurahara Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Tomohiro Nagasue Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Hiroki Yaita Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Yumi Oshiro Department of Pathology, Matsuyama Red Cross Hospital
Author Nobuaki Kuno Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Akira Harada Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Takahide Tanaka Division of Gastroenterology, Matsuyama Red Cross Hospital
Author Kazuhide Iwasaki Division of Gastroenterology, Matsuyama Red Cross Hospital
[ Summary ] Polyposis syndrome is a disease group in which raised polyps with the same structural appearance frequently project into the digestive tract. It is classified by its structural appearance and hereditary presence.
Recently, capsule endoscopy (CE) and doubleballoon endoscopy (DBE) have been used to integrate knowledge about large and small intestinal lesions. In particular, the morbidity of Peutz-Jeghers syndrome involves about 75 % of the small intestine, and Cowden disease lesions have been found in 84.5 % of the small intestine, with a high frequency in the duodenum. For early diagnosis and treatment of digestive tract polyposis, accumulation and analysis of additional cases are needed, based on surveillance of the entire gastrointestinal tract.
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