title: [A case of Peutz-Jeghers syndrome with repeated small intestinal intussusception successfully treated by intraoperative endoscopic polypectomy].
abstract: Intestinal polyps are a distinctive feature of Peutz-Jeghers syndrome (PJS). These hamartomas can lead to significant complications such as intussusception or gastrointestinal bleeding which necessitate multiple laparotomies and bowel resections. In an operation for intestinal intussusception, it is preferable to simultaneously resect as many polyps as possible to prevent recurrence of complications caused by intestinal polyps. We report a case of a woman in her twenties with PJS, diagnosed as small intestinal intussusception caused by an intestinal polyp. We performed not only repair of the intussusception but also endoscopic polypectomy without resection of the small intestine. We successfully resected all polyps larger than 10mm from the duodenum to the ascending colon during the operation.
authors.affiliation: Division of Biological Regulation and Oncology, Tohoku University Graduate School of Medicine, Japan. to_miyachi@surg1.med.tohoku.ac.jp
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Miyachi
authors.forename: Naoki
authors.initials: N
authors.lastname: Tanaka
authors.forename: Katsuya
authors.initials: K
authors.lastname: Endo
authors.forename: Fumiyoshi
authors.initials: F
authors.lastname: Fujishima
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sasaki
authors.forename: Munenori
authors.initials: M
authors.lastname: Nagao
authors.forename: Takanori
authors.initials: T
authors.lastname: Morikawa
authors.forename: Takeshi
authors.initials: T
authors.lastname: Naitoh
authors.forename: Koh
authors.initials: K
authors.lastname: Miura
authors.forename: Chikashi
authors.initials: C
authors.lastname: Shibata
authors.forename: Tooru
authors.initials: T
authors.lastname: Shimosegawa
authors.forename: Michiaki
authors.initials: M
authors.lastname: Unno
mesh_terms: D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D007421:Intestine, Small; D007430:Intraoperative Care; D007443:Intussusception / Q000209:etiology / Q000601:surgery*; D010580:Peutz-Jeghers Syndrome / Q000150:complications / Q000601:surgery*; D055815:Young Adult