Preliminary study on double-balloon enteroscopy in the treatment of Peutz-Jeghers syndrome polyp with intussusception in children
10.3760/cma.j.issn.1673-4912.2023.11.007
- VernacularTitle:双气囊小肠镜治疗儿童Peutz-Jeghers综合征小肠息肉肠套叠的初步探讨
- Author:
Feihong YU
1
;
Jing ZHANG
;
Tianlu MEI
;
Xiumin QIN
;
Guoli WANG
;
Jin ZHOU
;
Yongli FANG
;
Jie WU
Author Information
1. 国家儿童医学中心 首都医科大学附属北京儿童医院消化科 100045
- Keywords:
Children;
Peutz-Jeghers syndrome;
Intestinal polyps;
Intussusception;
Double-balloon entroscopy
- From:
Chinese Pediatric Emergency Medicine
2023;30(11):840-844
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the value of double-balloon enteroscopy(DBE)in the treatment of Peutz-Jeghers syndrome(PJS)polyp with intussusception in children.Methods:A total of 14 cases with PJS polyp with intussusception were collected in Gastroenterology Department of Beijing Children′s Hospital Affiliated to Capital Medical University from July 2019 to January 2023.The general information, clinical manifestations, history of surgeries, abdominal ultrasound, enteroscopy and postoperative outcomes were retrospectively analyzed.Results:Fourteen cases with intussusception of PJS(including nine boys and five girls) were enrolled, and the average age was(10.25±2.52)years.There were 21 small intestinal intussusceptions in 14 cases, including eight cases of single intussusception and six cases of multiple intussusceptions.All the patients underwent DBE examination and treatment.A total of 215 small intestinal polyps were removed, no direct complications such as bleeding or perforation were found during the operation.Twelve cases were confirmed intussusception relieved by DBE, and the average maximum diameter of polyps causing intussusception was(4.38±1.43)cm.In addition, DBE did not reach the site of intussusception polyp in one case, and another case developed intestinal obstruction after DBE operation, which were treated by surgery.Conclusion:DBE provides a relatively effective method for the treatment of PJS polyps with intussusception without complete ileus in children.
