Cold Snare Polypectomy for Duodenal Adenomas in Familial Adenomatous Polyposis

This trial is testing a procedure called cold snare polypectomy — where small growths in the duodenum (the first part of the small intestine) are removed using a wire loop without heat — in patients with Familial Adenomatous Polyposis (FAP), a genetic condition that causes many polyps to form throughout the digestive tract. **You may be eligible if...** - You have a confirmed genetic diagnosis of FAP - You are already undergoing regular endoscopy (scope procedures) to monitor your FAP - You are able to give informed consent (interpreters available for non-English speakers) **You may NOT be eligible if...** - You have known narrowings or blockages in your digestive tract - You are pregnant - You did not consent to the study - You have a bleeding disorder that makes the procedure too risky Talk to your doctor to see if this trial is right for you.