[内镜辅助下十二指肠部分切除术治疗家族性腺瘤性息肉病患者的十二指肠腺瘤]

[Endoscopy-Assisted Partial Duodenal Resection for Duodenal Adenoma in a Patient with Familial Adenomatous Polyposis].

作者信息

Hirashima Tomoaki, Ohnuma Shinobu, Karasawa Hideaki, Watanabe Kazuhiro, Imoto Hirofumi, Aoki Takeshi, Kudoh Katsuyoshi, Tanaka Naoki, Nagao Munenori, Musha Hiroaki, Motoi Fuyuhiko, Kamei Takashi, Naitoh Takeshi, Unno Michiaki

机构信息

Dept. of Surgery, Tohoku University Graduate School of Medicine.

出版信息

Gan To Kagaku Ryoho. 2018 Mar;45(3):518-520.

PMID:29650924

Abstract

We here report a case of endoscopy-assisted partial duodenal resection for duodenal adenoma in a patient with familial adenomatous polyposis(FAP). A male underwent total proctocolectomy with ileal pouch anal anastomosis in 1997. Since 2004, duodenal adenomas occurred and the atypical grade of adenoma was gradually aggravated. Therefore, he underwent endoscopy-assisted partial duodenal resection in 2013. The pathological finding of the specimen showed well-differentiated tubular adenocarcinoma(pM, ly0, v0). No recurrence has been observed at 4 years after the operation. Endoscopy-assisted partial duodenal resection was minimum invasive surgery and considered to be useful for the patients with duodenal adenoma.

摘要

我们在此报告一例在家族性腺瘤性息肉病（FAP）患者中，采用内镜辅助十二指肠部分切除术治疗十二指肠腺瘤的病例。一名男性于1997年接受了全直肠结肠切除术及回肠储袋肛管吻合术。自2004年起，出现十二指肠腺瘤，且腺瘤的不典型分级逐渐加重。因此，他于2013年接受了内镜辅助十二指肠部分切除术。标本的病理检查结果显示为高分化管状腺癌（pM，ly0，v0）。术后4年未观察到复发。内镜辅助十二指肠部分切除术是一种微创手术，被认为对十二指肠腺瘤患者有用。