This manual treats both conceptual and practical aspects of gastrointestinal polyposis syndrome, which is characterized by dermatologic manifestations. The book offers both detailed and comprehensive analysis of the endoscopic findings achieved from 88 cases, which led to novel concepts and classification of the dermatologic manifestations according to distribution pattern, the thickness of mucosa, and intervening inflamed mucosa between polyps. The book also offers comparisons of the endoscopic features to pathological features. Abundant illustrations show the observations of the malignant lesions using special lights, such as NBI and BLI, to provide a comprehensive view of the Cronkhite-Canada syndrome (CCS) polyp.
Atlas of Cronkhite-Canada Syndrome is essential guidance for gastroenterologists and pathologists who pursue the new diagnostic approach and treatment for CCS. It also attracts clinicians interested in the latest updates on this field and those who encountered the CCS patients with refractory to corticosteroid treatment.
The risk of colorectal cancer in patients with CCS may increase because multiple inflammatory pseudopolyps make it more difficult to detect premalignant adenomas. Additionally, as endoscopy for GI disease becomes widespread in developing countries, the number of diagnosed patients will likely increase. Thus, it is crucial to have a broader understanding of the disease and the treatment strategy, and this book aims to simplify a complicated picture of the rare disease.
Author(s): Ryota Hokari, Tadakazu Hisamatsu
Publisher: Springer
Year: 2022
Language: English
Pages: 182
City: Singapore
Preface
Project Members
Contents
Cronkhite–Canada Syndrome
1 Overview of Cronkhite–Canada Syndrome
1.1 Overview
1.2 Epidemiology
1.3 Etiology
1.4 Clinical Features
1.5 Treatment
1.6 Differential Diagnosis
2 Diagnostic Criteria for Cronkhite–Canada Syndrome
3 Type, Stage, and Severity of Cronkhite–Canada Syndrome
3.1 Classification of Disease Stage
3.2 Classification by Clinical Severity
3.3 Classification of Polyps by Endoscopic Findings
3.4 Classification by Clinical Course
3.5 Classification by Responsiveness to Corticosteroids
3.6 Definition of Refractory Cronkhite–Canada Syndrome Based on Treatment Responsiveness
3.7 Special Complication Cases
References
Endoscopic Images per Organ
1 Gastric Polyps
1.1 Confluent type (A-2) (Fig. 1)
1.2 Confluent subtype: Semi-confluent type (A-2-1) (Fig. 2)
1.3 Confluent subtype: thickening (A-2-2) (Fig. 3)
1.4 Sparse type (A-1) (Fig. 4)
2 Colorectal Polyp
2.1 Sparse type (A-1) (Fig. 5)
2.2 Confluent type (A-2) (Fig. 6)
2.3 Confluent subtype: Semi-confluent type (A-2-1) (Fig. 7)
2.4 Confluent subtype: Thickening type (A-2-2) (Fig. 8)
3 Other Polyps
Endoscopic Images of Small Bowel Capsule Endoscopy, Balloon-Assisted Enteroscopy, and Image-Enhanced Endoscopy
1 Balloon-Assisted Enteroscopy (BAE) and Small Bowel Capsule Endoscopy (SBCE)
2 Chromoendoscope
3 Image-Enhanced Endoscopy, Magnifying Endoscopy
Endoscopic Images of Coincident Carcinoma and Adenoma to Differentiate from Non-neoplastic Polyps
Comparison of Pathological and Endoscopic Images (per Organ)
1 Stomach
2 Colon
3 Duodenum
4 Jejunum and Ileum
Case-Based Images: First Attack Case
1 Selection Criteria for Cases and Key Points of Image Description
2 Case-Based Images: First Attack Case
2.1 Endoscopic Remission Cases
2.2 Clinical Remission Cases
2.3 Endoscopic Non-remission Cases
Case-Based Images: Relapse-Remitting Cases/Chronic Continuous Cases
1 Relapse-Remitting Cases
2 Chronic Continuous Cases
Case-Based Images: Steroid-Resistant/Refractory/Intolerant Cases
Case-Based Images: Cases Treated with Other Than Corticosteroids
Case-Based Images: Cases with Atypical Clinical Symptoms/Possible Cases
Case-Based Images: Cases with Coincident Esophageal Lesions/Coincident Tumor
1 Cases with Coincident Esophageal Lesions
2 Cases with Coincident Tumor