| Intraoperative Enteroscopic Total Polypectomy for the Patients with Peutz-Jeghers Syndrome. |
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Yoo, Sang Bum , Kim, Ik Yong , Sung, Seong Hoon , Kim, Dae Sung , Rhoe, Byoung Seon |
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Department of Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea. iykim@wonju.yonsei.ac.kr |
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| Abstract |
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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. |
| Key Words:
Peutz-Jeghers syndrome; Intraoperative care; Endoscopy; Intestinal polyps |
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