Tubular adenoma at the hepatico-jejunal anastomosis in familial adenomatous polyposis (FAP) following pancreaticoduodenectomy: challenges in adenoma surveillance and management.

Autor: Butt MA; Department of Transplantation, Beth Israel Lahey Hospital and Medical Center, Woburn, MA, USA. alibutt95@live.com.; Division of Gastroenterology and Hepatology, Minneapolis Veteran Affairs Medical Center, Minneapolis, MN, USA. alibutt95@live.com., Tiegs L; Department of Internal Medicine, University of Minnesota, Minneapolis, MN, USA., Karna R; Division of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, MN, USA., Peltola J; Departments of Pathology, Minneapolis Veteran Affairs Medical Center, Minneapolis, MN, USA., Bilal M; Division of Gastroenterology and Hepatology, Minneapolis Veteran Affairs Medical Center, Minneapolis, MN, USA.
Jazyk: angličtina
Zdroj: Clinical journal of gastroenterology [Clin J Gastroenterol] 2024 Dec; Vol. 17 (6), pp. 1015-1018. Date of Electronic Publication: 2024 Oct 05.
DOI: 10.1007/s12328-024-02048-0
Abstrakt: Upper gastrointestinal tumors, including ampullary adenomas, occur frequently in patients with familial adenomatous polyposis (FAP). Guidelines recommend upper gastrointestinal endoscopy in FAP for surveillance of gastric and duodenal adenomas. However, adenomas can rarely arise from biliary epithelium in patients with FAP. Here, we describe a case of tubular adenoma at the hepatico-jejunal anastomosis with intraductal extension in a patient with FAP and previous pancreaticoduodenectomy. This report illustrates a unique case and emphasizes the need for data on postoperative surveillance in patients with FAP, particularly following pancreaticoduodenectomy.
(© 2024. Japanese Society of Gastroenterology.)
Databáze: MEDLINE
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