Combined endoscopic and surgical treatment for the polyposis of Peutz-Jeghers syndrome

B. C. Lin, J. M. Lien, R. J. Chen, J. F. Fang, Y. C. Wong

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Repeated laparotomy with extensive small bowel resectioning and eventual short-bowel syndrome is a major problem in Peutz-Jeghers syndrome (PJS) patients. This problem is caused by gastrointestinal polyposis with intussusception. A combined surgical and endoscopic approach can assess the extent of the polyposis, and small polyps can be removed by snare polypectomy. This can avert multiple enterotomies and decrease bowel resection segments. We applied an intraoperative colonscope via the enterotomy route in an 20-year-old PJS woman, and successfully removed the other 10 polyps distributed in the whole small bowel. As part of an aggressive approach to the management of polyposis in PJS, complete polypectomy can provide a longer symptom-free interval and remove potentially premaligment polyps.

Original languageEnglish
Pages (from-to)1185-1187
Number of pages3
JournalSurgical Endoscopy and Other Interventional Techniques
Volume14
Issue number12
DOIs
Publication statusPublished - 2000
Externally publishedYes

Keywords

  • Endoscopic polypectomy
  • Intussusception
  • Peutz-Jeghers syndrome

ASJC Scopus subject areas

  • Surgery

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