Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy

Small-bowel enteroscopy with the double-balloon method was developed to improve access to the small intestine. This study evaluated the usefulness of this method for the resection of small-intestinal Peutz-Jeghers polyps. Two patients with Peutz-Jeghers syndrome underwent nonsurgical double-balloon...

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Bibliographic Details
Published in:Gastrointestinal endoscopy 2005, Vol.61 (1), p.140-147
Main Authors: Ohmiya, Naoki, Taguchi, Ayumu, Shirai, Kennosuke, Mabuchi, Nobuyuki, Arakawa, Daigo, Kanazawa, Hironobu, Ozeki, Masayasu, Yamada, Masahiro, Nakamura, Masanao, Itoh, Akihiro, Hirooka, Yoshiki, Niwa, Yasumasa, Nagasaka, Tetsuro, Ito, Masafumi, Ohashi, Shinji, Okamura, Shozo, Goto, Hidemi
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Catheterization
Dermatology
Digestive system. Abdomen
Endoscopy
Endoscopy, Gastrointestinal - methods
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Intestinal Polyps - diagnosis
Intestinal Polyps - etiology
Intestinal Polyps - therapy
Intestine, Small
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Peutz-Jeghers Syndrome - complications
Pigmentary diseases of the skin
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Summary:Small-bowel enteroscopy with the double-balloon method was developed to improve access to the small intestine. This study evaluated the usefulness of this method for the resection of small-intestinal Peutz-Jeghers polyps. Two patients with Peutz-Jeghers syndrome underwent nonsurgical double-balloon enteroscopic resection of polyps throughout the small intestine. Multiple polyps in the jejunum were successfully resected via the oral route, as were the polyps in the ileum via the anal route. All 18 polyps (10-60 mm in size) were resected without subsequent bleeding or perforation. Histopathologically, 3 large polyps (>30 mm diameter) were hamartomas with adenomatous components. Double-balloon enteroscopy was safe and useful for the diagnosis and the treatment of Peutz-Jeghers polyps throughout the small intestine. Double-balloon enteroscopic polypectomy might preclude complications of Peutz-Jeghers syndrome, including intussusception, bleeding, and tumorogenesis, thereby obviating the need for multiple laparotomies.
ISSN:0016-5107
1097-6779
DOI:10.1016/S0016-5107(04)02457-5