Surveillance endoscopy for PJS

When should surveillance endoscopy begin for patients with PJS? 

PJS places patients at 5% to 10% increased risk of gastric malignancy. The lifetime risk of developing small bowel cancer in PJS is 13%. Endoscopic surveillance of the stomach and duodenum with upper endoscopy should be performed every 2 years beginning at age 10. All visible polyps should be removed during the endoscopic examinations.

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