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

doi:10.1016/S0016-5107(04)02457-5

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

Gastroenterology

Research output: Contribution to journal › Article › peer-review

162 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 language	English
Pages (from-to)	140-147
Number of pages	8
Journal	Gastrointestinal endoscopy
Volume	61
Issue number	1
DOIs	https://doi.org/10.1016/S0016-5107(04)02457-5
Publication status	Published - 01-2005

All Science Journal Classification (ASJC) codes

Radiology Nuclear Medicine and imaging
Gastroenterology

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Ohmiya, N., Taguchi, A., Shirai, K., Mabuchi, N., Arakawa, D., Kanazawa, H., Ozeki, M., Yamada, M., Nakamura, M., Itoh, A., Hirooka, Y., Niwa, Y., Nagasaka, T., Ito, M., Ohashi, S., Okamura, S., & Goto, H. (2005). Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy. Gastrointestinal endoscopy, 61(1), 140-147. https://doi.org/10.1016/S0016-5107(04)02457-5

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

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.",

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

year = "2005",

month = jan,

doi = "10.1016/S0016-5107(04)02457-5",

language = "English",

volume = "61",

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journal = "Gastrointestinal endoscopy",

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Ohmiya, N, Taguchi, A, Shirai, K, Mabuchi, N, Arakawa, D, Kanazawa, H, Ozeki, M, Yamada, M, Nakamura, M, Itoh, A, Hirooka, Y, Niwa, Y, Nagasaka, T, Ito, M, Ohashi, S, Okamura, S & Goto, H 2005, 'Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy', Gastrointestinal endoscopy, vol. 61, no. 1, pp. 140-147. https://doi.org/10.1016/S0016-5107(04)02457-5

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T1 - Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy

AU - Ohmiya, Naoki

AU - Taguchi, Ayumu

AU - Shirai, Kennosuke

AU - Mabuchi, Nobuyuki

AU - Arakawa, Daigo

AU - Kanazawa, Hironobu

AU - Ozeki, Masayasu

AU - Yamada, Masahiro

AU - Nakamura, Masanao

AU - Itoh, Akihiro

AU - Hirooka, Yoshiki

AU - Niwa, Yasumasa

AU - Nagasaka, Tetsuro

AU - Ito, Masafumi

AU - Ohashi, Shinji

AU - Okamura, Shozo

AU - Goto, Hidemi

PY - 2005/1

Y1 - 2005/1

N2 - 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.

AB - 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.

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

Abstract

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