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
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
; 55(6): 219-224, Nov.-Dec. 2000. ilus
Article
em En
| LILACS
| ID: lil-283236
Biblioteca responsável:
BR1.1
RESUMO
The Peutz-Jeghers syndrome is a hereditary disease that requires frequent endoscopic and surgical intervention, leading to secondary complications such as short bowel syndrome. CASE REPORT 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. DISCUSSION:
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.CONCLUSION:
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
Texto completo:
1
Índice:
LILACS
Assunto principal:
Síndrome de Peutz-Jeghers
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Enterostomia
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Endoscopia Gastrointestinal
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Obstrução Intestinal
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Intestino Delgado
Tipo de estudo:
Etiology_studies
Limite:
Adolescent
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Humans
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Male
Idioma:
En
Revista:
Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo
Assunto da revista:
MEDICINA
Ano de publicação:
2000
Tipo de documento:
Article