Abstract | PURPOSE: METHODS: All patients with Peutz-Jeghers syndrome who had undergone intraoperative enteroscopy since its introduction into our unit in 1987 were identified. The numbers of polyps identified by palpation and transillumination and by enteroscopy were recorded. The timing of, indications for, and findings of all subsequent laparotomies were analyzed and compared with data from our unit before the introduction of intraoperative enteroscopy. RESULTS: Twenty-five patients (14 females) were studied. Enteroscopy identified 350 (median 12, range 0-35) polyps not detected by palpation and transillumination. All impalpable polyps were removed endoscopically by snare or biopsy. The median follow-up was 53 (interquartile range, 13-133) months. Six patients have had an additional laparotomy (1 urgent relaparotomy for small-bowel perforation after endoscopic polypectomy, 4 polypectomies, and 1 adhesion obstruction). No patient has required operative polypectomy within 4 years of polyp clearance by intraoperative enteroscopy, compared with registry data of 4 (17 percent) of 23 patients who had more than 1 laparotomy within 1 year. CONCLUSION:
|
Authors | D P Edwards, K Khosraviani, R Stafferton, R K S Phillips |
Journal | Diseases of the colon and rectum
(Dis Colon Rectum)
Vol. 46
Issue 1
Pg. 48-50
(Jan 2003)
ISSN: 0012-3706 [Print] United States |
PMID | 12544521
(Publication Type: Journal Article)
|
Topics |
- Child
- Child, Preschool
- Endoscopy, Gastrointestinal
- Female
- Humans
- Intestinal Polyps
(surgery)
- Male
- Middle Aged
- Peutz-Jeghers Syndrome
(surgery)
- Treatment Outcome
|