Kelm C, Zimmermann T, Padberg W, Muhrer K H
Klinik für Allgemein- und Thoraxchirurgie Justus-Liebig-Universität Giessen.
Leber Magen Darm. 1991 Dec;21(6):281-3.
In the last years the number of patients with familial adenomatosis coli and metachrone carcinoma of the upper gastrointestinal tract is increasing. We describe two patients who, 9 and 15 years after colectomy for adenomatosis coli, developed a duodenal carcinoma. Each patient was treated with a partial duodeno-pancreatectomy. Another patient was resected prophylactically because of a diffuse adenomatosis of the duodenum three years after colectomy. We suggest that each patient with a history of colectomy for adenomatosis coli should have regular follow-ups including endoscopy of the upper gastrointestinal tract.
近年来，患有家族性腺瘤性息肉病和上消化道异时癌的患者数量在增加。我们描述了两名患者，他们在因家族性腺瘤性息肉病行结肠切除术后9年和15年，发生了十二指肠癌。每名患者均接受了十二指肠部分切除术。另一名患者在结肠切除术后三年，因十二指肠弥漫性腺瘤病而接受了预防性切除。我们建议，每例有家族性腺瘤性息肉病结肠切除史的患者都应定期随访，包括上消化道内镜检查。
