Yoji Takeuchi et al. Efficacy and safety of intensive downstaging
polypectomy (IDP) for multiple duodenal adenomas in patients with familial adenomatous polyposis: a prospective cohort study
Intensive downstaging polypectomy, including cold snare/forceps polypectomy and underwater mucosal resection, was shown to: significantly downstage Spigelman stages of duodenal adenomas in patients with familial adenomatous polyposis, with acceptable adverse events, in this prospective study. Ultimately, this may reduce the overall duodenal polyp burden and the number of surgical interventions for advanced stages.