Balloon-Assisted Enteroscopy with Prophylactic Polypectomy for Peutz-Jeghers Syndrome: Experience in Taiwan
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Tsung-Hsing Chen Wei-Pin Lin Ming-Yao Su Chen-Ming Hsu Cheng-Tang Chiu Pang-Chi Chen Man-Shan Kong Ming-Wei Lai Ta-Sen Yeh
- چاپ و سال / کشور: 2010
Description
Background Peutz-Jeghers syndrome (PJS) is a very rare disease that often causes severe complications such as bowel obstruction or gastrointestinal tract bleeding. In the past, it was usually treated by using surgical intervention despite the associated complications. Balloonassisted enteroscopy (BAE) has been documented as an effective and safe method for the diagnosis and treatment of small bowel lesions. Hence, we conducted this study to verify whether BAE is useful for patients with PJS. Aim To evaluate the safety and efficacy of BAE with prophylactic polypectomy in patients with PJS. Methods and Patients From August 2005 to February 2010, 6 consecutive patients were diagnosed with PJS after pathological and clinical examination, and underwent BAE examination and polypectomy at Chang Gung Memorial Hospital, an academic tertiary referral center. Results Six consecutive patients (4 men and 2 women) diagnosed with PJS underwent BAE with polypectomy. BAE was performed 17 times for complete examination of the entire small bowel. The range of the diameter of the removed polyps was 1–6 cm. No immediate complications such as hemorrhage or hollow organ perforation were noted during the procedure, and no patient developed intussusception during the follow-up period (32 ± 17.5 months). Conclusion BAE with polypectomy is useful for patients with PJS in order to reduce the complications of the condition.
Dig Dis Sci (2011) 56:1472–1475 DOI 10.1007/s10620-010-1464-2 Received: 19 August 2010 / Accepted: 12 October 2010 / Published online: 18 November 2010
