Patients with familial adenomatous polyposis (FAP) have a 5 % – 10 % lifetime risk
of developing duodenal cancer. In severe duodenal polyposis, pancreaticoduodenectomy
according to Whipple has been considered the only way to cure duodenal polyposis.
However, polyps recur even after surgery. We describe a patient with severe adenomatosis
of the small bowel in the afferent loop of a Roux-en-Y anastomosis after a Whipple
procedure, detected by double balloon endoscopy (DBE). This is the first description
of the use of DBE for this indication, and emphasizes the need for surveillance of
the small bowel after surgery, especially in the area of the biliary anastomosis.
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A. M. J. Langers, MD
Department of Gastroenterology
Leiden University Medical Center
Postbus 9600
2300 RC Leiden
The Netherlands
Fax: + 31-71-5248115
Email: a.m.j.langers@lumc.nl
