title: 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.
abstract: 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.
authors: Department of Gastroenterology, Hospital das Clínicas, Faculty of Medicine, University of São Paulo.
authors: J J
authors: JJ
authors: Gama-Rodrigues
authors: J H
authors: JH
authors: Silva
authors: A A
authors: AA
authors: Aisaka
authors: R
authors: R
authors: Jureidini
authors: R
authors: R
authors: Falci
authors: F
authors: F
authors: Maluf Filho
authors: A K
authors: AK
authors: Chong
authors: A W
authors: AW
authors: Tsai
authors: C
authors: C
authors: Bresciani
mesh_terms: 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