Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy

Naoki Ohmiya, Ayumu Taguchi, Kennosuke Shirai, Nobuyuki Mabuchi, Daigo Arakawa, Hironobu Kanazawa, Masayasu Ozeki, Masahiro Yamada, Masanao Nakamura, Akihiro Itoh, Yoshiki Hirooka, Yasumasa Niwa, Tetsuro Nagasaka, Masafumi Ito, Shinji Ohashi, Shozo Okamura, Hidemi Goto

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148 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)140-147
Number of pages8
JournalGastrointestinal endoscopy
Volume61
Issue number1
DOIs
Publication statusPublished - 01-2005

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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