Transumbilical approach to intraoperative enteroscopy in a child with intussusception and Peutz-Jeghers syndrome.
Intraoperative enteroscopy has been known to reduce reoperation rates in complicated Peutz- Jeghers polyposis. It is usually performed during a laparotomy. This case report illustrates the feasibility of performing intraoperative transenterotomy enteroscopy together with extracorporeal ileal resection using the transumbilical approach after successfully reducing an intussusception laparoscopically in a 10-year-old child with Peutz-Jeghers syndrome. This technique obviates the need for a laparotomy.
Chui
Chan Hon
CH
Department of Pediatric Surgery, KK Women's and Children's Hospital, Singapore. chanhon@kkh.com.sg
Jacobsen
Anette Sundfor
AS
D002648:Child; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000209:etiology / Q000601:surgery*; D007430:Intraoperative Care; D007443:Intussusception / Q000209:etiology / Q000601:surgery*; D010580:Peutz-Jeghers Syndrome / Q000150:complications / Q000601:surgery*; D014472:Umbilicus