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KMID : 0356720040200060405
Journal of the Korean Society of Coloproctology
2004 Volume.20 No. 6 p.405 ~ p.410
Intraoperative Enteroscopic Total Polypectomy for the Patients with Peutz-Jeghers Syndrome
Yoo Sang-Bum

Kim Ik-Yong
Seong Seung-Hoon
Kim Dae-Sung
Rhoe Byung-Sun
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. J Korean Soc Coloproctol 2004;20:405-410
KEYWORD
Peutz-Jeghers syndrome, Intraoperative care, Endoscopy, Intestinal polyps
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