Preliminary treatment experience of double-balloon enteroscopy in children with intussusception caused by Peutz-Jeghers syndrome
10.3760/cma.j.cn321463-20210329-00890
- VernacularTitle:双气囊小肠镜在儿童Peutz-Jeghers综合征引起肠套叠中的初步治疗经验
- Author:
Zhenni ZHU
1
;
Mingfang WANG
;
Fengge WANG
;
Qin LIU
;
Meng SHU
;
Daiqin WU
;
Chijun HU
Author Information
1. 湖北省妇幼保健院 湖北省妇女儿童医院儿童消化内科，武汉 430070
- Keywords:
Peutz-Jeghers Syndrome;
Intussusception;
Intestinal polyps;
Child;
Double-balloon enteroscopy
- From:
Chinese Journal of Digestive Endoscopy
2022;39(4):322-325
- CountryChina
- Language:Chinese
-
Abstract:
Peutz-Jeghers syndrome (PJS) presents in early childhood, and children have a higher risk of intussusception due to a smaller abdominal space than adults. Double-balloon enteroscopy (DBE) has been proven to be a safe and effective method for the diagnosis and treatment of small bowel lesions, but the efficacy and safety of its prophylactic polypectomy in children with PJS need to be determined. Data of 6 children (median age 10.6 years) diagnosed as having PJS from 2018 to 2020 were reviewed. DBE was performed 14 times, and 3 children were successfully relieved of intussusception after DBE treatment. The sizes of the resected intussusception polyps were 50 mm×60 mm, 40 mm×35 mm, and 50 mm×40 mm. Symptoms associated with polyps (abdominal pain, intussusception and obstruction) relieved after DBE in all children. No direct complications such as bleeding or perforation were found during the operation, and no recurrence of intussusception was found during follow-up. It can be seen that DBE polypectomy is safe and effective in the treatment of intussusception caused by PJS.
