ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
Slow progression of periampullary neoplasia in familial adenomatous polyposis.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Japanese society for cancer of the colon and rectum (JSCCR) guidelines 2024 for the clinical practice of hereditary colorectal cancer.International journal of clinical oncology · 2026Guideline
- Review of the investigation and surgical management of resectable ampullary adenocarcinoma.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2013Pooled it
- Progression of duodenal neoplasia to advanced adenoma in patients with familial adenomatous polyposis.Hereditary cancer in clinical practice · 2023Article
- Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2020 for the Clinical Practice of Hereditary Colorectal Cancer.International journal of clinical oncology · 2021Article
- Feasibility of endoscopic resection using bipolar snare for nonampullary duodenal tumours in familial adenomatous polyposis patients.Familial cancer · 2018Article
- Japanese Society for Cancer of the Colon and Rectum (JSCCR) Guidelines 2016 for the Clinical Practice of Hereditary Colorectal Cancer (Translated Version).Journal of the anus, rectum and colon · 2018Review
- Progression of duodenal adenomatosis in familial adenomatous polyposis: due to ageing of subjects and advances in technology.Familial cancer · 2011Article
- Cost-effectiveness of prophylactic surgery for duodenal cancer in familial adenomatous polyposis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2009Article
- Extracolonic manifestations of hereditary colorectal cancer syndromes.Clinics in colon and rectal surgery · 2008Article
- Ampullary adenoma.Current treatment options in gastroenterology · 2008Article
- Management of Duodenal Adenomas Involving the Ampulla of Vater - A Warning against Limited Resection.Case reports in gastroenterology · 2008Article
- Colonic polyps in children and adolescents.Canadian journal of gastroenterology = Journal canadien de gastroenterologie · 2007Review
- Surveillance and management of upper gastrointestinal disease in Familial Adenomatous Polyposis.Familial cancer · 2006Review
- Review
- Evaluation and management of periampullary tumors.Current gastroenterology reports · 2004Review
- Surveillance and Treatment of Periampullary and Duodenal Adenomas in Familial Adenomatous Polyposis.Current treatment options in gastroenterology · 2004Article
- Article
- Laparoscopic colectomy for cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary TractArticle
- Clinical characteristics of familial adenomatous polyposis and management of duodenal adenomas.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary TractArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Variable endoscopic surveillance protocols and treatment strategies have been proposed for periampullary neoplasia in familial adenomatous polyposis (FAP), primarily because of the lack of long-term, prospective natural history data. A total of 115 patients with FAP were followed prospectively for 10 years with periodic side-viewing upper gastrointestinal endoscopy by a single surgeon. The appearance of the duodenum was classified as stages 1 to 5. Statistical analysis included one-way analysis of variance for age comparisons between stage groupings and Kaplan-Meier analysis for the lifetime risks of having a particular stage of duodenal polyposis. Eighty-seven patients had multiple endoscopies over an average of 6.6 years. Thirty-three subjects had a change in stage, within an average time of 3.9 years at an average age of 41 years. The risk of having stage 3 or 4 duodenal neoplasia increased exponentially after the age of 40. The degree of dysplasia did not correlate with stage at initial classification. Progression of neoplasia in the duodenum of patients with FAP is slow. The severity of duodenal polyposis increases with age and is not influenced by the initial stage. The average time for progression of adenoma to carcinoma is likely long.
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