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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | - |
dc.contributor.author | CAMPOS, Fabio Guilherme | - |
dc.contributor.author | MARTINEZ, Augusto Real | - |
dc.contributor.author | SULBARAN, Marianny | - |
dc.contributor.author | BUSTAMANTE-LOPEZ, Leonardo Alfonso | - |
dc.contributor.author | SAFADE-RIBEIRO, Adriana Vaz | - |
dc.date.accessioned | 2019-08-20T14:53:06Z | - |
dc.date.available | 2019-08-20T14:53:06Z | - |
dc.date.issued | 2019 | - |
dc.identifier.citation | JOURNAL OF GASTROINTESTINAL ONCOLOGY, v.10, n.4, p.734-744, 2019 | - |
dc.identifier.issn | 2078-6891 | - |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/33252 | - |
dc.description.abstract | Background: To evaluate the prevalence of upper gastrointestinal (GI) polyps in familial adenomatous polyposis (FAP), and to discuss current therapeutic recommendations. Methods: Clinical, endoscopic, histological and treatment data were retrieved from charts of 102 patients [1958-2016]. Duodenal adenomatosis was classified according to Spigelman stages. Results: this series comprised 59 women (57.8%) and 43 men (42.1%) with a median age of 32.3 years. Patients underwent 184 endoscopic procedures, the first at a median age of 35.9 years (range, 13-75 years). Fundic gastric polyps (n=31; 30.4%) prevailed in the stomach. While only 5 adenomas were found in the stomach, 33 patients (32.4%) presented duodenal ones. Advanced lesions (n=13; 12.7%) were detected in the stomach (n=2) and duodenum (n=11). During follow-up, Spigelman stages improved in 6 (12.2%) patients, remained unchanged in 25 (51.0%) and worsened in 18 (36.7%). Carcinomas were diagnosed in the stomach and duodenum (4 lesions each, 3.9%), at median ages of 50.2 and 55.0 years, respectively. Advanced lesions and carcinomas were managed through local or surgical resections. Severe complications occurred in only 2 patients (one death). Enteroscopy in 21 patients revealed jejunal adenomas in 12, 11 of whom also presented duodenal adenomas. Conclusions: There is a high prevalence of upper GI adenomas and cancer in FAP. There were diagnosed fundic gastric polyps (30.4%), duodenal (32.4%) and jejunal adenomas (11.8%), respectively. One third of duodenal polyps progressed slowly throughout the study. The rates of advanced gastroduodenal lesions (12.7%) and cancer (7.8%) raise the need for continuous surveillance during follow-up. | eng |
dc.language.iso | eng | - |
dc.publisher | PIONEER BIOSCIENCE PUBL CO | eng |
dc.relation.ispartof | Journal of Gastrointestinal Oncology | - |
dc.rights | restrictedAccess | eng |
dc.subject | Familial adenomatous polyposis (FAP) | eng |
dc.subject | adenomas | eng |
dc.subject | duodenum | eng |
dc.subject | small bowel | eng |
dc.subject | surveillance | eng |
dc.subject.other | fundic gland polyps | eng |
dc.subject.other | duodenal adenomatosis | eng |
dc.subject.other | ampullary adenomas | eng |
dc.subject.other | natural-history | eng |
dc.subject.other | clinical characteristics | eng |
dc.subject.other | gastroduodenal polyps | eng |
dc.subject.other | surgical-management | eng |
dc.subject.other | surveillance | eng |
dc.subject.other | cancer | eng |
dc.subject.other | risk | eng |
dc.title | Upper gastrointestinal neoplasia in familial adenomatous polyposis: prevalence, endoscopic features and management | eng |
dc.type | article | eng |
dc.rights.holder | Copyright PIONEER BIOSCIENCE PUBL CO | eng |
dc.identifier.doi | 10.21037/jgo.2019.03.06 | - |
dc.subject.wos | Oncology | eng |
dc.subject.wos | Gastroenterology & Hepatology | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.description.beginpage | 734 | - |
hcfmusp.description.endpage | 744 | - |
hcfmusp.description.issue | 4 | - |
hcfmusp.description.volume | 10 | - |
hcfmusp.origem | WOS | - |
hcfmusp.origem.id | WOS:000474645400016 | - |
hcfmusp.origem.id | 2-s2.0-85072595733 | - |
hcfmusp.publisher.city | HONG KONG | eng |
hcfmusp.publisher.country | PEOPLES R CHINA | eng |
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dc.description.index | PubMed | eng |
dc.identifier.eissn | 2219-679X | - |
hcfmusp.citation.scopus | 14 | - |
hcfmusp.scopus.lastupdate | 2024-04-12 | - |
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