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Towards decreasing the relaparotomy rate in the Peutz-Jeghers syndrome: the role of peroperative small bowel endoscopy.

Abstract
Relaparotomy occurs commonly in patients with the Peutz-Jeghers syndrome, and at quite short intervals. Between 1943 and 1987 laparotomies were performed on 54 occasions in 23 patients with the Peutz-Jeghers syndrome who at some time came under the care of St. Mark's Hospital. In four patients repeat laparotomy was performed within a single year. Between 1987 and 1989 a further five patients have undergone laparotomy with on-table small bowel endoscopy. External palpation and small bowel transillumination failed to demonstrate 17 out of a total of 45 hamartomas (38 per cent). Of these 17 polyps identified endoscopically, 11 (65 per cent) were sufficiently large that a snare was used to remove them. We recommend peroperative enteroscopy as an adjunct to surgery in the Peutz-Jeghers syndrome.
AuthorsA D Spigelman, J P Thomson, R K Phillips
JournalThe British journal of surgery (Br J Surg) Vol. 77 Issue 3 Pg. 301-2 (Mar 1990) ISSN: 0007-1323 [Print] England
PMID2322793 (Publication Type: Journal Article)
Topics
  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Endoscopy
  • Female
  • Humans
  • Intestinal Polyps (diagnosis, surgery)
  • Intestine, Small (surgery)
  • Intraoperative Care
  • Laparotomy
  • Male
  • Middle Aged
  • Peutz-Jeghers Syndrome (surgery)
  • Prospective Studies
  • Reoperation
  • Time Factors

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