Intraoperative Enteroscopic Total Polypectomy for the Patients with Peutz-Jeghers Syndrome
Journal of the Korean Society of Coloproctology
;
: 405-410, 2004.
Article
in Korean
| WPRIM
| ID: wpr-179196
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polyps
/
Peutz-Jeghers Syndrome
/
Intestinal Polyps
/
Endoscopy
/
Hemorrhage
/
Ileum
/
Intraoperative Care
/
Intussusception
/
Jejunum
/
Laparotomy
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Society of Coloproctology
Year:
2004
Type:
Article
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