title: Total proctocolectomy, pancreaticoduodenectomy and total gastrectomy for multiple carcinomas in a patient with familial adenomatous polyposis.
abstract: A unique case of familial adenomatous polyposis presenting with simultaneous adenocarcinoma of the periampullary region, gallbladder and several gastric lesions, 10 years after a total proctocolectomy, is reported. Multiple gastrointestinal carcinomas associated with familial polyposis have been reported sporadically. However, this is the only known patient who successfully underwent a pancreaticoduodenectomy (Whipple procedure) and a total gastrectomy in addition to a previous total proctocolectomy.
authors.affiliation: Department of Surgery, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
authors.forename: P P
authors.initials: PP
authors.lastname: Schachter
authors.forename: M
authors.initials: M
authors.lastname: Alfie
authors.forename: P
authors.initials: P
authors.lastname: Leukemovich
authors.forename: A
authors.initials: A
authors.lastname: Horowitz
authors.forename: A
authors.initials: A
authors.lastname: Ayalon
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology / Q000601:surgery*; D011125:Adenomatous Polyposis Coli / Q000150:complications / Q000601:surgery*; D004067:Digestive System Neoplasms / Q000209:etiology / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D016609:Neoplasms, Second Primary / Q000209:etiology / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D016737:Proctocolectomy, Restorative