Open AccessSurgical management of familial adenomatous polyposis: pancreas-sparing duodenectomy or pancreaticoduodenectomy (Whipple procedure)
Author(s) -
Juan Ocaña Jiménez,
A. López Buenadicha,
Javier Nuño Vázquez-Garza
Publication year - 2019
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.331
H-Index - 38
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2019.6096/2018
Subject(s) - medicine , pancreaticoduodenectomy , familial adenomatous polyposis , colorectal cancer , colectomy , stage (stratigraphy) , surgery , general surgery , gastroenterology , cancer , pancreas , paleontology , biology
Duodenal cancer is the main cause of death for patients with FAP syndrome (familial adenomatous polyposis) treated with a colectomy. The disease follows the adenoma to carcinoma sequence and is diagnosed during follow-up in 7-36% of patients. Endoscopic treatment is used during the first treatment stage of the disease and surgery is an adequate therapeutic option when endoscopic control is insufficient.