Intraoperative Enteroscopic Total Polypectomy for the Patients with Peutz-Jeghers Syndrome.
- Author:
Sang Bum YOO
1
;
Ik Yong KIM
;
Seong Hoon SUNG
;
Dae Sung KIM
;
Byoung Seon RHOE
Author Information
1. Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea. iykim@wonju.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Peutz-Jeghers syndrome;
Intraoperative care;
Endoscopy;
Intestinal polyps
- MeSH:
Endoscopy;
Hemorrhage;
Humans;
Ileum;
Intestinal Polyps;
Intraoperative Care;
Intussusception;
Jejunum;
Laparotomy;
Peutz-Jeghers Syndrome*;
Polyps
- From:Journal of the Korean Society of Coloproctology
2004;20(6):405-410
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Patients with Peutz-Jeghers syndrome often suffer complications of the polyps, such as intussusception, bowel obstruction, and bleeding. Furthermore, repeated operations may be required in some patients, which may result in short-bowel syndrome. Intraoperative enteroscopy during a laparotomy for this syndrome was introduced. This can avert multiple enterotomies and decrease bowel resection segments. We report the cases of three consecutive patients with Peutz-Jeghers syndrome who recently underwent intraoperative enteroscopy via enterotomy with successful removal of most small-bowel polyps. The large polyps of the jejunum required an enterotomy for their removal, but smaller polyps at the lower ileum were identified and removed by using intra-operative total enteroscopy. A more complete polypectomy can be performed using this technique, thus allowing patients with Peutz- Jeghers syndrome a longer interval between laparotomies and a reduction in the symptoms attributed to polyps.
