[Improvement in the resection of intestinal Peutz-Jeghers polyps].

ABSTRACT

Polyps in patients with Peutz-Jeghers syndrome (PJS) are found in the large and small bowels. In the past, intestinal polyps were treated mainly by multiple abdominal operations. The authors reported resecting 259 polyps in 13 patients with PJS by laparotomy plus colonoscopy via small bowel incision for small intestines, and/or plus colonoscopy via the anus for ileum and large bowel polyps at a time combined with periodic colonoscopy via the anus for colorectal polyps. The largest polyp resected in this way was 10 x 9 x 8 cm. As many as 46 polyps were resected by snare polypectomy at a single colonoscopic attempt. Using the above-mentioned methods, multiple intestinal polyps can be resected more thoroughly, and postoperative recurrence and complication became less frequent.