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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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Published in: | Gastrointestinal endoscopy 2005, Vol.61 (1), p.140-147 |
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creator | 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 |
description | 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. |
doi_str_mv | 10.1016/S0016-5107(04)02457-5 |
format | article |
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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.</description><identifier>ISSN: 0016-5107</identifier><identifier>EISSN: 1097-6779</identifier><identifier>DOI: 10.1016/S0016-5107(04)02457-5</identifier><identifier>PMID: 15672077</identifier><identifier>CODEN: GAENBQ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>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</subject><ispartof>Gastrointestinal endoscopy, 2005, Vol.61 (1), p.140-147</ispartof><rights>2005 American Society for Gastrointestinal Endoscopy</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-2d50dd8cd6ec0b2805a679d4252cafc3f9265948c336fbf4122433bf20e3c4b43</citedby><cites>FETCH-LOGICAL-c459t-2d50dd8cd6ec0b2805a679d4252cafc3f9265948c336fbf4122433bf20e3c4b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,4043,27956,27957,27958</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16724734$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15672077$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ohmiya, Naoki</creatorcontrib><creatorcontrib>Taguchi, Ayumu</creatorcontrib><creatorcontrib>Shirai, Kennosuke</creatorcontrib><creatorcontrib>Mabuchi, Nobuyuki</creatorcontrib><creatorcontrib>Arakawa, Daigo</creatorcontrib><creatorcontrib>Kanazawa, Hironobu</creatorcontrib><creatorcontrib>Ozeki, Masayasu</creatorcontrib><creatorcontrib>Yamada, Masahiro</creatorcontrib><creatorcontrib>Nakamura, Masanao</creatorcontrib><creatorcontrib>Itoh, Akihiro</creatorcontrib><creatorcontrib>Hirooka, Yoshiki</creatorcontrib><creatorcontrib>Niwa, Yasumasa</creatorcontrib><creatorcontrib>Nagasaka, Tetsuro</creatorcontrib><creatorcontrib>Ito, Masafumi</creatorcontrib><creatorcontrib>Ohashi, Shinji</creatorcontrib><creatorcontrib>Okamura, Shozo</creatorcontrib><creatorcontrib>Goto, Hidemi</creatorcontrib><title>Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy</title><title>Gastrointestinal endoscopy</title><addtitle>Gastrointest Endosc</addtitle><description>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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Catheterization</subject><subject>Dermatology</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Endoscopy, Gastrointestinal - methods</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Intestinal Polyps - diagnosis</subject><subject>Intestinal Polyps - etiology</subject><subject>Intestinal Polyps - therapy</subject><subject>Intestine, Small</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Peutz-Jeghers Syndrome - complications</subject><subject>Pigmentary diseases of the skin</subject><issn>0016-5107</issn><issn>1097-6779</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNqFkUuLFTEUhIMozp3Rn6Bko-iiNZ1n90pkmPHBgIK6Dunk9NxIutMmaeWKP97cB87STRI4X9UpKgg9acmrlrTy9RdSz0a0RL0g_CWhXKhG3EOblvSqkUr199HmH3KGznP-TgjpKGsforNWSEWJUhv052p2Mdu4eIsTZLDFxxnHEX-GtfxuPsLtFlLGSwy7JeOyTXG93ca11CfgPJkQsJ8L5OJnwKZgF9chQDPUQaxGUGfp4L_Dv3w5KINZTIolTrtH6MFoQobHp_sCfbu--nr5vrn59O7D5dubxnLRl4Y6QZzrrJNgyUA7IoxUveNUUGtGy8aeStHzzjImx2HkLaWcsWGkBJjlA2cX6PnRd0nxx1rD6slnCyGYGeKatVSso5LJCoojaGvonGDUS_KTSTvdEr2vXR9q1_tONeH6ULsWVff0tGAdJnB3qlPPFXh2Aky2JozJzNbnO65iXLF90jdHDmodPz0kna2H2YLzqf6NdtH_J8pfuC6iJw</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>Ohmiya, Naoki</creator><creator>Taguchi, Ayumu</creator><creator>Shirai, Kennosuke</creator><creator>Mabuchi, Nobuyuki</creator><creator>Arakawa, Daigo</creator><creator>Kanazawa, Hironobu</creator><creator>Ozeki, Masayasu</creator><creator>Yamada, Masahiro</creator><creator>Nakamura, Masanao</creator><creator>Itoh, Akihiro</creator><creator>Hirooka, Yoshiki</creator><creator>Niwa, Yasumasa</creator><creator>Nagasaka, Tetsuro</creator><creator>Ito, Masafumi</creator><creator>Ohashi, Shinji</creator><creator>Okamura, Shozo</creator><creator>Goto, Hidemi</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2005</creationdate><title>Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-2d50dd8cd6ec0b2805a679d4252cafc3f9265948c336fbf4122433bf20e3c4b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Catheterization</topic><topic>Dermatology</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Endoscopy, Gastrointestinal - methods</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Intestinal Polyps - diagnosis</topic><topic>Intestinal Polyps - etiology</topic><topic>Intestinal Polyps - therapy</topic><topic>Intestine, Small</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Peutz-Jeghers Syndrome - complications</topic><topic>Pigmentary diseases of the skin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ohmiya, Naoki</creatorcontrib><creatorcontrib>Taguchi, Ayumu</creatorcontrib><creatorcontrib>Shirai, Kennosuke</creatorcontrib><creatorcontrib>Mabuchi, Nobuyuki</creatorcontrib><creatorcontrib>Arakawa, Daigo</creatorcontrib><creatorcontrib>Kanazawa, Hironobu</creatorcontrib><creatorcontrib>Ozeki, Masayasu</creatorcontrib><creatorcontrib>Yamada, Masahiro</creatorcontrib><creatorcontrib>Nakamura, Masanao</creatorcontrib><creatorcontrib>Itoh, Akihiro</creatorcontrib><creatorcontrib>Hirooka, Yoshiki</creatorcontrib><creatorcontrib>Niwa, Yasumasa</creatorcontrib><creatorcontrib>Nagasaka, Tetsuro</creatorcontrib><creatorcontrib>Ito, Masafumi</creatorcontrib><creatorcontrib>Ohashi, Shinji</creatorcontrib><creatorcontrib>Okamura, Shozo</creatorcontrib><creatorcontrib>Goto, Hidemi</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gastrointestinal endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ohmiya, Naoki</au><au>Taguchi, Ayumu</au><au>Shirai, Kennosuke</au><au>Mabuchi, Nobuyuki</au><au>Arakawa, Daigo</au><au>Kanazawa, Hironobu</au><au>Ozeki, Masayasu</au><au>Yamada, Masahiro</au><au>Nakamura, Masanao</au><au>Itoh, Akihiro</au><au>Hirooka, Yoshiki</au><au>Niwa, Yasumasa</au><au>Nagasaka, Tetsuro</au><au>Ito, Masafumi</au><au>Ohashi, Shinji</au><au>Okamura, Shozo</au><au>Goto, Hidemi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy</atitle><jtitle>Gastrointestinal endoscopy</jtitle><addtitle>Gastrointest Endosc</addtitle><date>2005</date><risdate>2005</risdate><volume>61</volume><issue>1</issue><spage>140</spage><epage>147</epage><pages>140-147</pages><issn>0016-5107</issn><eissn>1097-6779</eissn><coden>GAENBQ</coden><notes>ObjectType-Case Study-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-4</notes><notes>content type line 23</notes><notes>ObjectType-Report-1</notes><notes>ObjectType-Article-3</notes><abstract>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.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>15672077</pmid><doi>10.1016/S0016-5107(04)02457-5</doi><tpages>8</tpages></addata></record> |
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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 |
title | Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy |
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