[Treatment of tumors of the small intestine in Peutz-Jeghers' syndrome. Value of a combined endoscopic and surgical approach. Apropos of 2 familial cases, one of which with a 15-year follow-up].
We report two cases of Peutz-Jeghers syndrome who underwent intraoperative enteroscopy. In the first case, the fiberscope was sterilized with ethylene oxide, while in the second, an electronic colonoscope was decontaminated with glutaraldehyde plus phenate. The endoscope was introduced through an enterotomy. This led to the discovery of several hamartoma greater than 10 mm which had gone undetected by the surgeon and guided the surgical procedure. In a case with approximately 30 hamartoma, associated endoscopic polypectomy and surgical removal of polyps by eversing the mucosa through enterotomies allowed the medicosurgical team to obtain a "clean small bowel" without resection.
Eugène
C
C
Unité de Gastroentérologie, Centre Hospitalier Intercommunal, Poissy.
Tennenbaum
R
R
Fingerhut
A
A
Etienne
J C
JC
D000328:Adult; D001466:Barium Sulfate; D003113:Colonoscopy / Q000379:methods*; D004203:Disinfection / Q000379:methods; D004733:Enema; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007430:Intraoperative Care; D010580:Peutz-Jeghers Syndrome / Q000000981:diagnostic imaging / Q000235:genetics / Q000601:surgery*; D011859:Radiography
D001466:Barium Sulfate
Traitement des tumeurs du grêle du syndrome de Peutz-Jeghers. Intérêt d'une approche combinée, endoscopique et chirurgicale. A propos de 2 cas familiaux, dont l'un suivi 15 ans.