Skip to main content

Familial Adenomatous Polyposis

  • Chapter
  • First Online:
Video Capsule Endoscopy
  • 1577 Accesses

Abstract

The incidence of small-bowel polyps is very low in the general population, but it is significantly increased in hereditary polyposis syndromes such as familial adenomatous polyposis (FAP). FAP is caused by an autosomal dominant inherited defect in the APC gene, a classical tumor suppressor gene (Figs. 35.1 and 35.2). Colon polyposis is the most striking clinical manifestation, with more than 100 polyps (Fig. 35.3), leading in almost all patients to colorectal carcinoma. Prophylactic colectomy is recommended after adolescence.

The work was first published in 2006 by Springer Medizin Verlag Heidelberg with the following title: Atlas of Video Capsule Endoscopy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Turina M, Pavlik CM, Heinimann K, et al. Recurrent desmoids determine outcome in patients with Gardner syndrome: a cohort study of three generations of an APC mutation-positive family across 30 years. Int J Colorectal Dis. 2013;28:865–72.

    Article  PubMed  Google Scholar 

  2. Giardiello FM, Brensinger JD, Petersen GM. AGA technical review on hereditary colorectal cancer and genetic testing. Gastroenterology. 2001;121:198–213.

    Article  CAS  PubMed  Google Scholar 

  3. Jarrar AM, Milas M, Mitchell J, et al. Screening for thyroid cancer in patients with familial adenomatous polyposis. Ann Surg. 2011;253:515–21.

    Article  PubMed  Google Scholar 

  4. Bianchi LK, Burke CA, Bennett AE, et al. Fundic gland polyp dysplasia is common in familial adenomatous polyposis. Clin Gastroenterol Hepatol. 2008;6:180–5.

    Article  PubMed  Google Scholar 

  5. Burke CA, Beck GJ, Church JM, van Stolk RU. The natural history of untreated duodenal and ampullary adenomas in patients with familial adenomatous polyposis followed in an endoscopic surveillance program. Gastrointest Endosc. 1999;49:358–64.

    Article  CAS  PubMed  Google Scholar 

  6. Pox C, Aretz S, Bischoff SC, et al. S3-guideline colorectal cancer version 1.0. Z Gastroenterol. 2013;51:753–854.

    Article  CAS  PubMed  Google Scholar 

  7. Spigelman AD, Williams CB, Talbot IC, et al. Upper gastrointestinal cancer in patients with familial adenomatous polyposis. Lancet. 1989;2(8666):783–5.

    Article  CAS  PubMed  Google Scholar 

  8. Galle TS, Juel K, Bulow S. Causes of death in familial adenomatous polyposis. Scand J Gastroenterol. 1999;34:808–12.

    Article  CAS  PubMed  Google Scholar 

  9. Saurin JC, Chayvialle JA, Ponchon T. Management of duodenal adenomas in familial adenomatous polyposis. Endoscopy. 1999;31:472–8.

    Article  CAS  PubMed  Google Scholar 

  10. Johnson MD, Mackey R, Brown N, et al. Outcome based on management for duodenal adenomas: sporadic versus familial disease. J Gastrointest Surg. 2010;14:229–35.

    Article  PubMed  Google Scholar 

  11. Schulmann K, Schmiegel W. Capsule endoscopy for small bowel surveillance in hereditary intestinal polyposis and non-polyposis syndromes. Gastrointest Endosc Clin N Am. 2004;14:149–58.

    Article  PubMed  Google Scholar 

  12. Schulmann K, Hollerbach S, Kraus K, et al. Feasibility and diagnostic utility of video capsule endoscopy for the detection of small bowel polyps in patients with hereditary polyposis syndromes. Am J Gastroenterol. 2005;100:27–37.

    Article  PubMed  Google Scholar 

  13. Burke CA, Santisi J, Church J, Levinthal G. The utility of capsule endoscopy small bowel surveillance in patients with polyposis. Am J Gastroenterol. 2005;100:1498–502.

    Article  PubMed  Google Scholar 

  14. Dunlop MG. Guidance on gastrointestinal surveillance for hereditary non-polyposis colorectal cancer, familial adenomatous polyposis, juvenile polyposis and Peutz-Jeghers syndrome. Gut. 2002;51:21–7.

    Article  Google Scholar 

  15. Iaquinto G, Fornasarig M, Quaia M, et al. Capsule endoscopy is useful and safe for small-bowel surveillance in familial adenomatous polyposis. Gastrointest Endosc. 2008;67:61–7.

    Article  PubMed  Google Scholar 

  16. Katsinelos P, Kountouras J, Chatzimavroudis G, et al. Wireless capsule endoscopy in detecting small-intestinal polyps in familial adenomatous polyposis. World J Gastroenterol. 2009;15:6075–9.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Gunther U, Bojarski C, Buhr HJ, et al. Capsule endoscopy in small-bowel surveillance of patients with hereditary polyposis syndromes. Int J Colorectal Dis. 2010;25:1377–82.

    Article  PubMed  Google Scholar 

  18. Mata A, Llach J, Castells A, et al. A prospective trial comparing wireless capsule endoscopy and barium contrast series for small-bowel surveillance in hereditary GI polyposis syndromes. Gastrointest Endosc. 2005;61:721–5.

    Article  PubMed  Google Scholar 

  19. Caspari R, von Falkenhausen M, Krautmacher C, et al. Comparison of capsule endoscopy and magnetic resonance imaging for the detection of polyps of the small intestine in patients with familial adenomatous polyposis or with Peutz-Jeghers’ syndrome. Endoscopy. 2004;36:1054–9.

    Article  CAS  PubMed  Google Scholar 

  20. Akin E, Demirezer BA, Buyukasik S, et al. Comparison between capsule endoscopy and magnetic resonance enterography for the detection of polyps of the small intestine in patients with familial adenomatous polyposis. Gastroenterol Res Pract. 2012:215028.

    Google Scholar 

  21. Tescher P, Macrae FA, Speer T, et al. Surveillance of FAP: a prospective blinded comparison of capsule endoscopy and other GI imaging to detect small bowel polyps. Hered Cancer Clin Pract. 2010;8:3.

    Article  PubMed Central  PubMed  Google Scholar 

  22. Wong RF, Tuteja AK, Haslem DS, et al. Video capsule endoscopy compared with standard endoscopy for the evaluation of small-bowel polyps in persons with familial adenomatous polyposis (with video). Gastrointest Endosc. 2006;64:530–7.

    Article  PubMed  Google Scholar 

  23. Plum N, May A, Manner H, Ell C. Small-bowel diagnosis in patients with familial adenomatous polyposis: comparison of push enteroscopy, capsule endoscopy, ileoscopy, and enteroclysis. Z Gastroenterol. 2009;47:339–46.

    Article  CAS  PubMed  Google Scholar 

  24. Kobayashi Y, Watabe H, Yamada A, et al. Efficacy of flexible spectral imaging color enhancement on the detection of small intestinal diseases by capsule endoscopy. J Dig Dis. 2012;13:614–20.

    Article  PubMed  Google Scholar 

  25. Hatogai K, Hosoe N, Imaeda H, et al. Role of enhanced visibility in evaluating polyposis syndromes using a newly developed contrast image capsule endoscope. Gut Liver. 2012;6:218–22.

    Article  PubMed Central  PubMed  Google Scholar 

  26. Yamada A, Watabe H, Iwama T, et al. The prevalence of small intestinal polyps in patients with familial adenomatous polyposis: a prospective capsule endoscopy study. Fam Cancer. 2013 Jun 7 (Epub ahead of print).

    Google Scholar 

  27. Perez-Segura P, Siso I, Luque R, et al. Iatrogenic intestinal obstruction: a rare complication of capsule endoscopy in a patient with familial adenomatous polyposis. Endoscopy. 2007;39 Suppl 1:E298–9.

    Article  PubMed  Google Scholar 

  28. Koornstra JJ. Small bowel endoscopy in familial adenomatous polyposis and Lynch syndrome. Best Pract Res Clin Gastroenterol. 2012;26:359–68.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Carol Burke .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Burke, C., Pox, C.P., Schmiegel, W., Keuchel, M. (2014). Familial Adenomatous Polyposis. In: Keuchel, M., Hagenmüller, F., Tajiri, H. (eds) Video Capsule Endoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44062-9_35

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-44062-9_35

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-44061-2

  • Online ISBN: 978-3-662-44062-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics