Although lipomas are the third most common benign colonic tumours after adenomatous and hyperplastic polyps, they are uncommon neoplasms'. Usually submucosal in position and single, they are sometimes multiple but still few in number'. Diffuse lipomatous polyposis of the colon is a very rare conditi
Sulindac for polyposis of the colon
โ Scribed by William R. Waddell; Richard W. Loughry
- Book ID
- 102438640
- Publisher
- John Wiley and Sons
- Year
- 1983
- Tongue
- English
- Weight
- 490 KB
- Volume
- 24
- Category
- Article
- ISSN
- 0022-4790
No coin nor oath required. For personal study only.
โฆ Synopsis
Four members of a Gardner's syndrome family had rectal and colon polyposis treated with nonsteroid anti-inflammatory drugs. Three of these patients had had subtotal colectomy and ileoproctostomy and the residual polyps arose in the rectal mucosa. The polyps almost completely disappeared when sulindac was administered. Indomethacin therapy over the course of a preceding year was ineffective in one of these patients. One patient (case 4) had diffuse polyposis in an intact colon. After sulindac therapy for a year, only three small mucosal polyps could be identified by air contrast barium enema and colonoscopic examination. These observations confirm those of Pollard and Luckert [ I , 21 on rats with chemically induced polyposis of the intestinal tract.
๐ SIMILAR VOLUMES
A putative explanation of the effect of sulindac on adenomatous colon and duodenal polyps from clinical observations and related in vitro experiments is presented. In cells with mutant APC genes, persistent high prostaglandin content of polyps leads to desensitization, downregulation of adenylate cy