title: Gastroduodenal and ileal polyps in patients treated surgically for familial polyposis coli with proctocolectomy and continent ileostomy.
abstract: Eighteen patients, who previously had been treated surgically for familial polyposis coli with proctocolectomy and a continent ileostomy were re-investigated with endoscopy and X-ray for gastric, duodenal and ileal polyps. Gastric and/or duodenal polyps were found in 6 patients and ileal polyps in 2. Altogether upper GI-polyps were found in 7 patients (39%). Most polyps were true adenomas. In one patient with large gastric adenomas, the severe dysplasia called for a gastric resection. It is obvious that familial polyposis may affect the whole gastro-intestinal tract, therefore necessitating regular surveillance of the upper GI-canal as well as the colon and rectum in patients with this hereditary affliction.
authors.affiliation: Department of Surgery II, Sahlgrenska Sjukhuset, University of Göteborg, Sweden.
authors.forename: B
authors.initials: B
authors.lastname: Ojerskog
authors.forename: H E
authors.initials: HE
authors.lastname: Myrvold
authors.forename: L O
authors.initials: LO
authors.lastname: Nilsson
authors.forename: B M
authors.initials: BM
authors.lastname: Philipson
authors.forename: C
authors.initials: C
authors.lastname: Ahrén
mesh_terms: D011125:Adenomatous Polyposis Coli / Q000150:complications / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D003082:Colectomy / Q000379:methods; D004379:Duodenal Neoplasms / Q000209:etiology* / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007078:Ileal Neoplasms / Q000209:etiology* / Q000473:pathology; D007081:Ileostomy / Q000379:methods; D007417:Intestinal Polyps / Q000209:etiology* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011127:Polyps / Q000209:etiology*; D013274:Stomach Neoplasms / Q000209:etiology* / Q000473:pathology