Endoscopic treatment of severe duodenal polyposis as an alternative to surgery for patients with familial adenomatous polyposis

Moussata, Driffa; Napoléon, Bertrand; Lépilliez, Vincent; Klich, Amna; Écochard, René; Lapalus, M. G.; Nancey, Stéphane; Cenni, Jean-Claude; Ponchon, Thierry; Chayvialle, Jean‐Alain; Saurin, Jean‐Christophe

doi:10.1016/j.gie.2014.03.012

Cited by 51 publications

(56 citation statements)

References 47 publications

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“…With the rapid development and continuous maturity of endoscopic therapy, the incidence of complications have received widespread attention during the perioperative period. The complications of ESD include bleeding, perforation (about 30%), and pancreatitis [10][11]. Shi et al [12] reported a novel "endoscopic interrupted suture--purse-string suture", which combined the traditional nylon rope and titanium clips for closure of operative wound, and was widely used to repair iatrogenic perforation or active perforation during ESD.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic submucosal dissection for treatment of stromal tumor of descending duodenum in association with postoperative perforation and retroperitoneal abscess: a case report

Wei¹,

Gong²,

Huang³

et al. 2020

Preprint

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Background: With the development of endoscopic technology, the clinical detection rates of duodenal lesions have been significantly increased. Endoscopic submucosal dissection (ESD) has been increasingly applied to the minimally invasive treatment of duodenal space-occupying lesions and has similar therapeutic effects as surgery. However, postoperative complications such as perforation and bleeding easily occur after ESD, but there were few reports about it. We report a case, which we designed to evaluate the efficacy and safety of ESD treatment for stromal tumor in descending duodenum. Case presentation: A 64-year-old woman suffered from duodenal fistula and retroperitoneal abscess after ESD for stromal tumor in descending duodenum. The purse-string suture therapy of the wound was not very effective for the patient during the operation. Thus, the patient underwent a series of treatment measures successfully, such as endoscopic jejunum feeding tube placement, anti-infection, endoscopic closure of duodenal fistula, etc, and without evidence of perforation of duodenum. Follow-up was done for 6 months without recurrence. Conclusions: ESD is a efficient and promising strategy for treating of stromal tumor in descending duodenum, while the ESD of security needs to be further evaluated.

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Section: Discussionmentioning

confidence: 99%

Endoscopic submucosal dissection for treatment of stromal tumor of descending duodenum in association with postoperative perforation and retroperitoneal abscess: a case report

Wei¹,

Gong²,

Huang³

et al. 2020

Preprint

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“…In China, laparoscopic IPAA surgery is considered the standard treatment for patients diagnosed with CFAP and advanced AFAP (66,67). Due to rapid progress in colonoscopy, doctors in China are able to remove the numerous adenomas using endoscopic polyp electrocision and endoanal mucosal stripping (69,70). Celecoxib is the recommended FAP chemotherapeutic used to delay the development of adenomas into adenocarcinoma and prevent the recurrence of adenomas.…”

Section: Discussionmentioning

confidence: 99%

“…Patients with early stage AFAP and MAP have increased available treatment options compared with patients with CFAP and advanced AFAP (69,70). Due to rapid progress in colonoscopy, doctors in China are able to remove numerous adenomas using endoscopic polyp electrocision and endoanal mucosal stripping (69).…”

Section: Surgical Strategiesmentioning

confidence: 99%

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Familial adenomatous polyposis in China

Yang

Liu

et al. 2016

Oncology Letters

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Abstract. Familial adenomatous polyposis (FAP) is an autosomal dominant disease with a poor prognosis, and has been studied by clinicians and geneticists in China for the past three decades. It is estimated that FAP has an incidence of between 1 in 8,000 and 1 in 10,000 individuals, and accounts for 0.94% of colorectal cancer cases in China. Recent advances in the understanding of FAP suggest that the genotype of the patient may allow for early diagnosis and surveillance, and guide surgical and chemopreventive management. However, the genetic mechanisms of FAP vary between different countries. FAP in China has its own characteristics, and this may be due to ethnic and geographical genetic variation. In the present review the clinical manifestations and genetics of FAP in China are discussed, as well as the surgical strategies, chemotherapeutics and traditional Chinese medicines used in its treatment. Increased insight into the genetic and clinical features of FAP in the Chinese population may aid in the prevention and management of the disorder.

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“…Such a strategy was shown to be safe and efficient for downstaging the Spigelman score. 8,9 Only in case of doubt, eg, on advanced histologic features of an adenoma, targeted biopsies might support decision making. However, the long-term results of such a prophylactic endoscopic removal strategy on the risk for duodenal cancer are still to be awaited.…”

mentioning

confidence: 99%

Challenges and pitfalls of investigating duodenal cancer in patients with familial adenomatous polyposis

Roos

Bastiaansen²,

Dekker³

2019

Gastrointestinal Endoscopy

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Endoscopic treatment of severe duodenal polyposis as an alternative to surgery for patients with familial adenomatous polyposis

Cited by 51 publications

References 47 publications

Endoscopic submucosal dissection for treatment of stromal tumor of descending duodenum in association with postoperative perforation and retroperitoneal abscess: a case report

Endoscopic submucosal dissection for treatment of stromal tumor of descending duodenum in association with postoperative perforation and retroperitoneal abscess: a case report

Familial adenomatous polyposis in China

Challenges and pitfalls of investigating duodenal cancer in patients with familial adenomatous polyposis

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