Intestinal intussusception and occlusion caused by small bowel polyps in the Peutz-Jeghers syndrome. Management by combined intraoperative enteroscopy and resection through minimal enterostomy: case report
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
; 55(6): 219-224, Nov.-Dec. 2000. ilus
Article
in English
| LILACS
| ID: lil-283236
Responsible library:
BR1.1
RESUMO
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
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Peutz-Jeghers Syndrome
/
Enterostomy
/
Endoscopy, Gastrointestinal
/
Intestinal Obstruction
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Intestine, Small
Type of study:
Etiology study
Limits:
Adolescent
/
Humans
/
Male
Language:
English
Journal:
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
Journal subject:
Medicine
Year:
2000
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
University of São Paulo/BR