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{{Familial adenomatous polyposis}}
{{Familial adenomatous polyposis}}
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==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 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 for individuals at high risk is done by:
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>
*Genetic testing
*Positive family history of FAP in the first degree relative
*Colonoscopy every 1 to 2 years beginning at age 10 to 12
*It must be started at the age of the youngest family member's [[Polyp|polyps]] or symptoms
*[[Sigmoidoscopy]]
[[Screening (medicine)|Screening]] for familial adenomatous polyposis for individuals at high risk may be done by:
*[[Esophagogastroduodenoscopy]] (EGD) by age 25 years or prior to colectomy and repeated every 1–3 years
*[[Sigmoidoscopy]] every 2 years beginning at age of 10 years
*[[Endoscopic retrograde cholangiopancreatography]] (ERCP) to evaluate [[adenomas]] of the common bile duct
*[[Colonoscopy]] every year following finding an [[adenoma]]
*Small-bowel imaging when [[duodenal]] adenomas are detected
*[[Endoscopy]] concomitant with [[colonoscopy]]
*Annual physical examination for extraintestinal manifestations and thyroid abnormalities
*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}}
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[[Category:Medicine]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Genetic disorders]]
[[Category:Oncology]]
[[Category:Genetic Disease]]
[[Category:Up-To-Date]]
[[Category:Disease]]
 
 
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Latest revision as of 21:43, 29 July 2020

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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:

References

  1. 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.
  2. 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.
  3. 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.

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