CT Enteroclysis and Intraoperative Endoscopic Polypectomy for Peutz-Jeghers Syndrome with Advanced Rectal Carcinoma: A Case Report.
10.3393/jksc.2007.23.5.381
- Author:
Sang Ah HAN
1
;
Chi Min PARK
;
Seong Hyeon YUN
;
Woo Yong LEE
;
Ho Kyung CHUN
Author Information
1. Department of Surgery, Samsung Medical Center, Sungkyunkawan University School of Medicine, Seoul, Korea. hkchun@skku.edu
- Publication Type:Case Report
- Keywords:
Peutz-Jeghers syndrome;
CT enteroclysis,
- MeSH:
Adenocarcinoma;
Endoscopy;
Hemorrhage;
Humans;
Intestinal Diseases;
Intestinal Polyps;
Intestine, Small;
Intussusception;
Peutz-Jeghers Syndrome*;
Polyps
- From:Journal of the Korean Society of Coloproctology
2007;23(5):381-385
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Patients with Peutz-Jeghers syndrome often suffer from complications of polyps, such as intussusception, bowel obstruction, and bleeding. Another major problem of these patients is malignancy through the hamartoma-adenoma-carcinoma sequence. If the complications and the cancer risk of small intestinal polyps are to be reduced, early detection of these polyps and a polypectomy are important. Traditionally, a small bowel series, small bowel enteroclysis, and conventional endoscopy have been used for the proper evaluation, and management of polyps. Recently, several reports showed the advantages of enteroscopy and intraoperative endoscopy for achieving a more complete polypectomy of the small intestine. However, CT enteroclysis, which has been introduced as a reliable, less invasive, and tolerable diagnostic tool for small intestinal disease, may be useful for the evaluation of patients with gastrointestinal polyposis. We report the case of a patient with Peutz-Jeghers syndrome who had small-bowel polyposis and a rectal adenocarcinoma and who underwent preoperative CT enteroclysis and intraoperative endoscopy.
