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Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo ; 55(6): 219-224, Nov.-Dec. 2000. ilus
Article in English | LILACS | ID: lil-283236

ABSTRACT

The Peutz-Jeghers syndrome is a hereditary disease that requires frequent endoscopic and surgical intervention, leading to secondary complications such as short bowel syndrome. CASE REPORT: This paper reports on a 15-year-old male patient with a family history of the disease, who underwent surgery for treatment of an intestinal occlusion due to a small intestine intussusception. DISCUSSION: An intra-operative fiberscopic procedure was included for the detection and treatment of numerous polyps distributed along the small intestine. Enterotomy was performed to treat only the larger polyps, therefore limiting the intestinal resection to smaller segments. The postoperative follow-up was uneventful. CONCLUSION: We point out the importance of conservative treatment for patients with this syndrome, especially those who will undergo repeated surgical interventions because of clinical manifestation while they are still young


Subject(s)
Humans , Male , Adolescent , Endoscopy, Gastrointestinal/methods , Enterostomy/methods , Intestinal Obstruction/surgery , Intestine, Small/surgery , Peutz-Jeghers Syndrome/surgery , Intestinal Obstruction/etiology , Intussusception/etiology , Intussusception/surgery , Peutz-Jeghers Syndrome/complications , Short Bowel Syndrome/complications , Short Bowel Syndrome/etiology , Short Bowel Syndrome/surgery
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