Table 2b Suggested surveillance/treatment for Duodenal Polyposis based on Spigelman Staging [38]
From: In the Beginning There Was Colectomy: Current Surgical Options in Familial Adenomatous Polyposis
Spigelman stage | Endoscopic surveillance | Treatment |
|---|---|---|
Stage 0 | 5 yearly | - |
Stage I | 5 yearly | - |
Stage II | 3 yearly | No surgery Chemoprevention equivocal |
Stage III | 1-2 yearly | Surgery equivocal Chemoprevention offered |
Stage IV | 6 monthly | Surgery offered Chemoprevention offered |