title: Intra-operative total enteroscopy for the management of Peutz-Jegher's syndrome.
abstract: We present a case of Peutz-Jegher's syndrome in an 18 year old female who was followed for gastrointestinal polyps for 13 years from the age of 5 years. The patient was treated four times with surgical or endoscopic polypectomy for gastrointestinal polyps. At the age of 14 years, a combined surgical and endoscopic approach for the management of Peutz-Jegher's syndrome was carried out. A large polyp of the ileum required enterotomy for its removal, and another smaller polyp of the upper jejunum was identified and removed by intra-operative total enteroscopy via the anus. Intra-operative enteroscopy allows one to identify polyps that would previously have been missed. A more complete polypectomy can be performed using this technique, allowing the patient with Peutz-Jegher's syndrome a longer interval between laparotomies and a reduction in symptoms attributed to polyps.
authors.affiliation: First Department of Surgery, School of Medicine, University of Tokushima, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Takehara
authors.forename: A
authors.initials: A
authors.lastname: Okada
authors.forename: M
authors.initials: M
authors.lastname: Nishi
authors.forename: K
authors.initials: K
authors.lastname: Masamune
authors.forename: N
authors.initials: N
authors.lastname: Komi
mesh_terms: D000293:Adolescent; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D006801:Humans; D007417:Intestinal Polyps / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D016343:Monitoring, Intraoperative / Q000379:methods*; D010580:Peutz-Jeghers Syndrome / Q000150:complications*