Intestinal intussusception and occlusion caused by small bowel polyps in the Peutz-Jeghers syndrome. Management by combined intraoperative enteroscopy and resection through minimal enterostomy: case report.
The Peutz-Jeghers syndrome is a hereditary disease that requires frequent endoscopic and surgical intervention, leading to secondary complications such as short bowel syndrome.


METHODS
This paper reports on a 15-year-old male patient with a family history of the disease, who underwent surgery for treatment of an intestinal occlusion due to a small intestine intussusception.


CONCLUSIONS
An intra-operative fiberscopic procedure was included for the detection and treatment of numerous polyps distributed along the small intestine. Enterotomy was performed to treat only the larger polyps, therefore limiting the intestinal resection to smaller segments. The postoperative follow-up was uneventful.


CONCLUSIONS
We point out the importance of conservative treatment for patients with this syndrome, especially those who will undergo repeated surgical interventions because of clinical manifestation while they are still young.
Gama-Rodrigues
J J
JJ
Department of Gastroenterology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo.
Silva
J H
JH
Aisaka
A A
AA
Jureidini
R
R
Falci
R
R
Maluf Filho
F
F
Chong
A K
AK
Tsai
A W
AW
Bresciani
C
C
D000293:Adolescent; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004766:Enterostomy / Q000379:methods*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D007443:Intussusception / Q000209:etiology / Q000601:surgery; D008297:Male; D010580:Peutz-Jeghers Syndrome / Q000150:complications / Q000601:surgery*; D012778:Short Bowel Syndrome / Q000150:complications / Q000209:etiology / Q000601:surgery