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.
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Authors | A D Spigelman, J P Thomson, R K Phillips |
Journal | The British journal of surgery
(Br J Surg)
Vol. 77
Issue 3
Pg. 301-2
(Mar 1990)
ISSN: 0007-1323 [Print] England |
PMID | 2322793
(Publication Type: Journal Article)
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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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