Ohsato K, Yao T, Watanabe H, Iida M, Itoh H
Dis Colon Rectum. 1977 Jul-Aug;20(5):414-20. doi: 10.1007/BF02587374.
Operative intestinal fiberscopy, in which the duodenal fiberscope was introduced during laparotomy for colectomy in familial polyposis via the enterotomy opening, permitted the demonstration of small intestinal polyps in six of seven consecutive cases. Four of the six patients had adenomatous polyps in the proximal jejunum, including one patient with the concomitant presence of ileal adenomas. Polyposis due to lymphoid hyperplasia in the terminal ileum was found in three patients. Preoperative upper gastrointestinal surveys revealed adenomas in the duodenums of all seven patients, adenomas in the gastric antrum in three, and multiple hamartomas in the gastric corpus in two. Thus, in familial polyposis or Gardner's syndrome, more or less the entire gastrointestinal tract seems to be involved and the term "gastrointestinal polyposis" seems to describe these conditions.
手术性肠道纤维内镜检查是在家族性息肉病患者行结肠切除术的剖腹手术过程中，经肠切开开口插入十二指肠纤维内镜，在连续7例患者中有6例借此发现了小肠息肉。6例患者中有4例在空肠近端有腺瘤性息肉，其中1例同时伴有回肠腺瘤。3例患者发现末端回肠淋巴组织增生所致的息肉病。术前上消化道检查显示，所有7例患者的十二指肠均有腺瘤，3例胃窦有腺瘤，2例胃体有多发错构瘤。因此，在家族性息肉病或加德纳综合征中，几乎整个胃肠道似乎都受到累及，“胃肠道息肉病”这一术语似乎能描述这些情况。
