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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
Gama-Rodrigues, Joaquim J; Silva, José Hyppolito da; Aisaka, Adilson A; Jureidini, Ricardo; Falci Júnior, Renato; Maluf Filho, Fauze; Chong, A. Kim; Tsai, André Wan Wen; Bresciani, Cláudio.
Afiliação
  • Gama-Rodrigues, Joaquim J; University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Gastroenterology. São Paulo. BR
  • Silva, José Hyppolito da; University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Gastroenterology. São Paulo. BR
  • Aisaka, Adilson A; University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Gastroenterology. São Paulo. BR
  • Jureidini, Ricardo; University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Gastroenterology. São Paulo. BR
  • Falci Júnior, Renato; University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Gastroenterology. São Paulo. BR
  • Maluf Filho, Fauze; University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Gastroenterology. São Paulo. BR
  • Chong, A. Kim; University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Gastroenterology. São Paulo. BR
  • Tsai, André Wan Wen; University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Gastroenterology. São Paulo. BR
  • Bresciani, Cláudio; University of São Paulo. Faculty of Medicine. Hospital das Clínicas. Department of Gastroenterology. São Paulo. BR
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
Assuntos
Texto completo: 1 Índice: LILACS Assunto principal: Síndrome de Peutz-Jeghers / Enterostomia / Endoscopia Gastrointestinal / Obstrução Intestinal / Intestino Delgado Tipo de estudo: Etiology_studies Limite: Adolescent / Humans / Male Idioma: En Revista: Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo Assunto da revista: MEDICINA Ano de publicação: 2000 Tipo de documento: Article
Texto completo: 1 Índice: LILACS Assunto principal: Síndrome de Peutz-Jeghers / Enterostomia / Endoscopia Gastrointestinal / Obstrução Intestinal / Intestino Delgado Tipo de estudo: Etiology_studies Limite: Adolescent / Humans / Male Idioma: En Revista: Rev. Hosp. Clin. Fac. Med. Univ. Säo Paulo Assunto da revista: MEDICINA Ano de publicação: 2000 Tipo de documento: Article