胰十二指肠切除术后家族性腺瘤性息肉病（FAP）肝空肠吻合处的管状腺瘤：腺瘤监测和管理的挑战。

IF 0.8 Q4 GASTROENTEROLOGY & HEPATOLOGY

Clinical Journal of Gastroenterology Pub Date : 2024-12-01 Epub Date: 2024-10-05 DOI:10.1007/s12328-024-02048-0

Muhammad Ali Butt, Lyubov Tiegs, Rahul Karna, Justin Peltola, Mohammad Bilal

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引用次数: 0

摘要

家族性腺瘤性息肉病（FAP）患者经常会出现上消化道肿瘤，包括胰腺腺瘤。指南建议对 FAP 患者进行上消化道内窥镜检查，以监测胃和十二指肠腺瘤。然而，FAP 患者的胆道上皮很少会出现腺瘤。在此，我们描述了一例肝空肠吻合处的管状腺瘤病例，该患者曾接受过胰十二指肠切除术。该报告说明了一个独特的病例，并强调了对 FAP 患者术后监测数据的需求，尤其是在胰十二指肠切除术后。

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

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.

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来源期刊

Clinical Journal of Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

2.00

自引率

0.00%

发文量

182

期刊介绍： The journal publishes Case Reports and Clinical Reviews on all aspects of the digestive tract, liver, biliary tract, and pancreas. Critical Case Reports that show originality or have educational implications for diagnosis and treatment are especially encouraged for submission. Personal reviews of clinical gastroenterology are also welcomed. The journal aims for quick publication of such critical Case Reports and Clinical Reviews.