Safety and efficacy of small bowel polypectomy using a balloon-assisted enteroscope in pediatric patients with Peutz-Jeghers syndrome. / Seguridad y eficacia de la polipectomía en intestino delgado utilizando enteroscopio asistido por balones en pacientes pediátricos con síndrome de Peutz-Jeghers.
Rev Gastroenterol Mex (Engl Ed)
; 83(3): 234-237, 2018.
Article
in En, Es
| MEDLINE
| ID: mdl-29449094
ABSTRACT
INTRODUCTION AND AIMS:
Peutz-Jeghers syndrome is an autosomal dominant inherited pathology characterized by gastrointestinal hamartomatous polyps, predominantly in the small bowel, and pigmented mucocutaneous lesions. Guidelines suggest polypectomy with a balloon-assisted enteroscope when polyps are larger than 10mm. Complications in adults can be as high as 6.8%, but there is little information on pediatric populations. Our aim was to describe the safety and efficacy of polypectomy in a group of pediatric patients with Peutz-Jeghers syndrome using balloon-assisted enteroscopy. MATERIALS ANDMETHODS:
A retrospective study was conducted at the Hospital de Especialidades del Centro Médico Nacional Siglo XXI on pediatric patients with Peutz-Jeghers syndrome that required balloon-assisted enteroscopy and polypectomy within the time frame of January 2010 and December 2015. Patients that underwent polypectomy with a push enteroscope were excluded from the study.RESULTS:
A total of 35 polypectomies were performed on 4 patients (female/male 3/1). The mean age of the patients was 13.7 years (range11-16). Twelve enteroscopies were carried out, 8 of which were anterograde. A single-balloon enteroscope was used in 7 procedures and a double-balloon enteroscope in 5. The mean size of the polyps was 1.6cm (range 1-4cm). A major complication (acute pancreatitis) presented in only one case (8.3%). No other major complications associated with the procedures were observed.CONCLUSION:
Balloon-assisted enteroscopy with polypectomy in children is a safe and effective procedure, with complications similar to those reported in adults.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Digestive System Surgical Procedures
/
Peutz-Jeghers Syndrome
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Intestinal Polyps
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Double-Balloon Enteroscopy
/
Intestine, Small
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Child
/
Female
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Humans
/
Male
Language:
En
/
Es
Journal:
Rev Gastroenterol Mex (Engl Ed)
Year:
2018
Document type:
Article