Familial adenomatous polyposis screening: Difference between revisions
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Screening for familial adenomatous polyposis by [[genetic testing]] and/or [[colonoscopy]] is recommended among patients with history of multiple colonic adenomas and family history of familial adenomatous polyposis. | Screening for familial adenomatous polyposis by [[genetic testing]] and/or [[colonoscopy]] is recommended among patients with history of multiple colonic adenomas and family history of familial adenomatous polyposis. | ||
==Screening== | ==Screening== | ||
Screening for familial adenomatous polyposis is recommended in the following patients:<ref name="KingDozois2000">{{cite journal|last1=King|first1=John E.|last2=Dozois|first2=Roger R.|last3=Lindor|first3=Noralane M.|last4=Ahlquist|first4=David A.|title=Care of Patients and Their Families With Familial Adenomatous Polyposis|journal=Mayo Clinic Proceedings|volume=75|issue=1|year=2000|pages=57–67|issn=00256196|doi=10.4065/75.1.57}}</ref><ref name="KennedyPotter2014">{{cite journal|last1=Kennedy|first1=Raelene D.|last2=Potter|first2=D. Dean|last3=Moir|first3=Christopher R.|last4=El-Youssef|first4=Mounif|title=The natural history of familial adenomatous polyposis syndrome: A 24year review of a single center experience in screening, diagnosis, and outcomes|journal=Journal of Pediatric Surgery|volume=49|issue=1|year=2014|pages=82–86|issn=00223468|doi=10.1016/j.jpedsurg.2013.09.033}}</ref> | |||
*Positive family history of FAP in the first degree relative | |||
*It must be started at the age of the youngest family member's [[Polyp|polyps]] or symptoms | |||
[[Screening (medicine)|Screening]] for familial adenomatous polyposis for individuals at high risk may be done by: | |||
*[[Sigmoidoscopy]] every 2 years beginning at age of 10 years | |||
*[[Colonoscopy]] every year following finding an [[adenoma]] | |||
*[[Endoscopy]] concomitant with [[colonoscopy]] | |||
*Side viewing [[endoscopy]] beginning at age 15 years to evaluate [[ampulla]] | |||
*[[Genetic testing]]<ref name="RoyKhandekar2012">{{cite journal|last1=Roy|first1=Hemant K.|last2=Khandekar|first2=Janardan D.|title=APC Gene Testing for Familial Adenomatosis Polyposis|journal=JAMA|volume=308|issue=5|year=2012|pages=514|issn=0098-7484|doi=10.1001/jama.2012.9516}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Medicine]] | | ||
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[[Category:Medicine]] | |||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Oncology]] | [[Category:Oncology]] | ||
[[Category:Up-To-Date | [[Category:Up-To-Date]] | ||
Latest revision as of 21:43, 29 July 2020
Familial adenomatous polyposis Microchapters |
Differentiating Familial adenomatous polyposis from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2], Mohamad Alkateb, MBBCh [3]
Overview
Screening for familial adenomatous polyposis by genetic testing and/or colonoscopy is recommended among patients with history of multiple colonic adenomas and family history of familial adenomatous polyposis.
Screening
Screening for familial adenomatous polyposis is recommended in the following patients:[1][2]
- Positive family history of FAP in the first degree relative
- It must be started at the age of the youngest family member's polyps or symptoms
Screening for familial adenomatous polyposis for individuals at high risk may be done by:
- Sigmoidoscopy every 2 years beginning at age of 10 years
- Colonoscopy every year following finding an adenoma
- Endoscopy concomitant with colonoscopy
- Side viewing endoscopy beginning at age 15 years to evaluate ampulla
- Genetic testing[3]
References
- ↑ King, John E.; Dozois, Roger R.; Lindor, Noralane M.; Ahlquist, David A. (2000). "Care of Patients and Their Families With Familial Adenomatous Polyposis". Mayo Clinic Proceedings. 75 (1): 57–67. doi:10.4065/75.1.57. ISSN 0025-6196.
- ↑ Kennedy, Raelene D.; Potter, D. Dean; Moir, Christopher R.; El-Youssef, Mounif (2014). "The natural history of familial adenomatous polyposis syndrome: A 24year review of a single center experience in screening, diagnosis, and outcomes". Journal of Pediatric Surgery. 49 (1): 82–86. doi:10.1016/j.jpedsurg.2013.09.033. ISSN 0022-3468.
- ↑ Roy, Hemant K.; Khandekar, Janardan D. (2012). "APC Gene Testing for Familial Adenomatosis Polyposis". JAMA. 308 (5): 514. doi:10.1001/jama.2012.9516. ISSN 0098-7484.