علاج داء السلائل الغدي العائلي مع الأورام الغدية المعدية أو الاثني عشرية أو الأمبولية (الحليمية)

References

DOI: 10.1093/bjs/znae263

• All gastric adenomas larger >5 mm should undergo endoscopic resection.
• All non-papillary duodenal lesions >10 mm should undergo endoscopic resection.
• All papillary adenomas should be candidates for endoscopic resection, but especially if harbouring HGD, villous histology, or if >10 mm in size.
• Endoscopic downstaging should be personalized according to endoscopic findings. Ideally, Spigelman stage IV should be downstaged as much as possible. An attempt to downstage Spigelman stage III can be performed.
• Spigelman stages III and IV duodenal polyposis without evidence of invasive tumour should undergo endoscopic treatment, if feasible, rather than surgical resection.