title: [Chronic polyps in the stomach and jejunum in a patient with familial adenomatous polyposis].
abstract: The management of extracolonic gastrointestinal polyps is controversial in patients with familial adenomatous polyposis (FAP). The treatment of adenomatous polyps with severe dysplasia in the stomach through wide gastric resections can hamper subsequent surveillance of the development of new polyps in the duodenal-jejunal area. We report the exceptional case of a 45-year-old man with FAP who developed two synchronic adenomatous polyps, with severe dysplasia. The first was located in the gastric antrum and the second in the proximal jejunum. Given the preoperative diagnosis of gastric neoplasm with invasion of the gastric wall (T(2)N(0)), subtotal Roux-en-Y gastrectomy and resection of the proximal jejunal segment were performed.
authors.affiliation: Servicio de Cirugía General II, Hospital Gregorio Marañón, Madrid, España. jdetomaspal@hotmail.com
authors.forename: Jorge
authors.initials: J
authors.lastname: de Tomás
authors.forename: Yusef
authors.initials: Y
authors.lastname: Al Lal
authors.forename: M Dolores
authors.initials: MD
authors.lastname: Pérez Díaz
authors.forename: Mercedes
authors.initials: M
authors.lastname: Sanz
mesh_terms: D011125:Adenomatous Polyposis Coli / Q000175:diagnosis*; D002908:Chronic Disease; D006801:Humans; D007580:Jejunal Neoplasms / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis*; D011127:Polyps / Q000175:diagnosis*; D013274:Stomach Neoplasms / Q000175:diagnosis*