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Erschienen in:
01.05.2011 | Original Article
Balloon-Assisted Enteroscopy with Prophylactic Polypectomy for Peutz-Jeghers Syndrome: Experience in Taiwan
Erschienen in: Digestive Diseases and Sciences | Ausgabe 5/2011
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Background
Peutz-Jeghers syndrome (PJS) is a very rare disease that often causes severe complications such as bowel obstruction or gastrointestinal tract bleeding.
In the past, it was usually treated by using surgical intervention despite the associated complications. Balloon-assisted enteroscopy (BAE) has been documented as an effective and safe method for the diagnosis and treatment of small bowel lesions. Hence, we conducted this study to verify whether BAE is useful for patients with PJS.
Aim
To evaluate the safety and efficacy of BAE with prophylactic polypectomy in patients with PJS.
Methods and Patients
From August 2005 to February 2010, 6 consecutive patients were diagnosed with PJS after pathological and clinical examination, and underwent BAE examination and polypectomy at Chang Gung Memorial Hospital, an academic tertiary referral center.
Results
Six consecutive patients (4 men and 2 women) diagnosed with PJS underwent BAE with polypectomy. BAE was performed 17 times for complete examination of the entire small bowel. The range of the diameter of the removed polyps was 1–6 cm. No immediate complications such as hemorrhage or hollow organ perforation were noted during the procedure, and no patient developed intussusception during the follow-up period (32 ± 17.5 months).
Conclusion
BAE with polypectomy is useful for patients with PJS in order to reduce the complications of the condition.