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Polyp Clearance via Operative and Endoscopic Polypectomy in Patients With Peutz-Jeghers Syndrome After Multiple Small Bowel Resections.

Lee do H, Shin HD, Cho WH, Shin KH, Lee S, Shin JE, Namgung H, Gwon JE - Intest Res (2014)

Bottom Line: We report the case of a 40-year-old male patient who was diagnosed 20 years ago and had previously undergone 3 intestinal resection surgeries.This time, with the use of combined operative and endoscopic polypectomy, more than 100 polyps were removed.This technique is useful for providing a "clean" small intestine that allows the patient a long interval between laparotomies and reduces the complications associated with multiple laparotomies and resections.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea.

ABSTRACT
Peutz-Jeghers syndrome is an autosomal dominant inherited disease that manifests as a combination of mucocutaneous pigmentation and gastrointestinal hamartomatous polyps that usually cause intussusception and intestinal hemorrhage. We report the case of a 40-year-old male patient who was diagnosed 20 years ago and had previously undergone 3 intestinal resection surgeries. This time, with the use of combined operative and endoscopic polypectomy, more than 100 polyps were removed. This technique is useful for providing a "clean" small intestine that allows the patient a long interval between laparotomies and reduces the complications associated with multiple laparotomies and resections.

No MeSH data available.


Related in: MedlinePlus

Endoscopic findings. (A) Transient ileal telescoping to the ascending colon and tiny small polyps in ileum. (B) Large ileal polyp almost blocking the lumen. (C) Typical pedunculated hamartoma in ascending colon. (D) Classic hamartoma with multilobulated surface has few distinctive features compared to other polyps. This polyp showed high-grade dysplasia on histologic exam. (E) Multiple tiny gastric polyps on Narrow Band ImagingI view. (F) Severe luminal dilatation of the colon and large pedunculated polyps with thick stalks and large vessels in the proximal jejunum.
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Figure 1: Endoscopic findings. (A) Transient ileal telescoping to the ascending colon and tiny small polyps in ileum. (B) Large ileal polyp almost blocking the lumen. (C) Typical pedunculated hamartoma in ascending colon. (D) Classic hamartoma with multilobulated surface has few distinctive features compared to other polyps. This polyp showed high-grade dysplasia on histologic exam. (E) Multiple tiny gastric polyps on Narrow Band ImagingI view. (F) Severe luminal dilatation of the colon and large pedunculated polyps with thick stalks and large vessels in the proximal jejunum.

Mentions: In outpatient care, upper (GIF-H260; Olympus, Tokyo, Japan) and lower endoscopic (CF-H260AI; Olympus, Tokyo, Japan) exams were performed on the same day, and polyps of the GI tract were observed. The endoscopic exam showed transient ileal telescoping to the ascending colon, an ileal mass almost blocking the lumen, multiple pedunculated colonic polyps, tiny gastric polyps, and pedunculated proximal jejunal polyps (Fig. 1). Sequential polypectomies were planned.


Polyp Clearance via Operative and Endoscopic Polypectomy in Patients With Peutz-Jeghers Syndrome After Multiple Small Bowel Resections.

Lee do H, Shin HD, Cho WH, Shin KH, Lee S, Shin JE, Namgung H, Gwon JE - Intest Res (2014)

Endoscopic findings. (A) Transient ileal telescoping to the ascending colon and tiny small polyps in ileum. (B) Large ileal polyp almost blocking the lumen. (C) Typical pedunculated hamartoma in ascending colon. (D) Classic hamartoma with multilobulated surface has few distinctive features compared to other polyps. This polyp showed high-grade dysplasia on histologic exam. (E) Multiple tiny gastric polyps on Narrow Band ImagingI view. (F) Severe luminal dilatation of the colon and large pedunculated polyps with thick stalks and large vessels in the proximal jejunum.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4214960&req=5

Figure 1: Endoscopic findings. (A) Transient ileal telescoping to the ascending colon and tiny small polyps in ileum. (B) Large ileal polyp almost blocking the lumen. (C) Typical pedunculated hamartoma in ascending colon. (D) Classic hamartoma with multilobulated surface has few distinctive features compared to other polyps. This polyp showed high-grade dysplasia on histologic exam. (E) Multiple tiny gastric polyps on Narrow Band ImagingI view. (F) Severe luminal dilatation of the colon and large pedunculated polyps with thick stalks and large vessels in the proximal jejunum.
Mentions: In outpatient care, upper (GIF-H260; Olympus, Tokyo, Japan) and lower endoscopic (CF-H260AI; Olympus, Tokyo, Japan) exams were performed on the same day, and polyps of the GI tract were observed. The endoscopic exam showed transient ileal telescoping to the ascending colon, an ileal mass almost blocking the lumen, multiple pedunculated colonic polyps, tiny gastric polyps, and pedunculated proximal jejunal polyps (Fig. 1). Sequential polypectomies were planned.

Bottom Line: We report the case of a 40-year-old male patient who was diagnosed 20 years ago and had previously undergone 3 intestinal resection surgeries.This time, with the use of combined operative and endoscopic polypectomy, more than 100 polyps were removed.This technique is useful for providing a "clean" small intestine that allows the patient a long interval between laparotomies and reduces the complications associated with multiple laparotomies and resections.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea.

ABSTRACT
Peutz-Jeghers syndrome is an autosomal dominant inherited disease that manifests as a combination of mucocutaneous pigmentation and gastrointestinal hamartomatous polyps that usually cause intussusception and intestinal hemorrhage. We report the case of a 40-year-old male patient who was diagnosed 20 years ago and had previously undergone 3 intestinal resection surgeries. This time, with the use of combined operative and endoscopic polypectomy, more than 100 polyps were removed. This technique is useful for providing a "clean" small intestine that allows the patient a long interval between laparotomies and reduces the complications associated with multiple laparotomies and resections.

No MeSH data available.


Related in: MedlinePlus