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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

Typical mucocutaneous pigmentation of Peutz-Jeghers syndrome. (A) Typical pigmentation on the vermilion border of the lips. (B) Pigmentation on the volar aspect of the hand. (C) A close-up of the hand pigmentation. (D) Classic pigmentation in the buccal mucosa.
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Figure 2: Typical mucocutaneous pigmentation of Peutz-Jeghers syndrome. (A) Typical pigmentation on the vermilion border of the lips. (B) Pigmentation on the volar aspect of the hand. (C) A close-up of the hand pigmentation. (D) Classic pigmentation in the buccal mucosa.

Mentions: After the patient's admission to the hospital, no abnormalities were identified in a physical exam and blood test. The patient showed characteristic mucocutaneous pigmentation (Fig. 2). A small bowel radiology series showed large fungating hamartomatous polyps, prominent bowel dilatation, and intussusception in the proximal jejunal loop and the ileal loop (Fig. 3). 2 days after admission an abdominopelvic CT was performed; the findings were similar to those of the small bowel series and included large fungating polyps, as well as intussusceptions in the jejunal and ileal loops (Fig. 4). During the tests, intestinal intussusceptions were observed, but the patient did not complain of any symptoms.


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)

Typical mucocutaneous pigmentation of Peutz-Jeghers syndrome. (A) Typical pigmentation on the vermilion border of the lips. (B) Pigmentation on the volar aspect of the hand. (C) A close-up of the hand pigmentation. (D) Classic pigmentation in the buccal mucosa.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Typical mucocutaneous pigmentation of Peutz-Jeghers syndrome. (A) Typical pigmentation on the vermilion border of the lips. (B) Pigmentation on the volar aspect of the hand. (C) A close-up of the hand pigmentation. (D) Classic pigmentation in the buccal mucosa.
Mentions: After the patient's admission to the hospital, no abnormalities were identified in a physical exam and blood test. The patient showed characteristic mucocutaneous pigmentation (Fig. 2). A small bowel radiology series showed large fungating hamartomatous polyps, prominent bowel dilatation, and intussusception in the proximal jejunal loop and the ileal loop (Fig. 3). 2 days after admission an abdominopelvic CT was performed; the findings were similar to those of the small bowel series and included large fungating polyps, as well as intussusceptions in the jejunal and ileal loops (Fig. 4). During the tests, intestinal intussusceptions were observed, but the patient did not complain of any symptoms.

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