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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