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[黑斑息肉病引起的回肠套叠]

[Ileal invaginations caused by Peutz-Jeghers polyposis].

作者信息

Mirone I, Consoli A, Bonaccorso R, Cimbali P, Lizzio A, Cavallaro A

机构信息

Cattedra e Unità Operativa di Chirurgia dell'Apparato Digerente, Università degli Studi, Catania.

出版信息

Minerva Chir. 2000 Jan-Feb;55(1-2):59-63.

Abstract

The Peutz-Jeghers syndrome is considered a familial polyposis syndrome. The polyps are of hamartomatous type. The symptomatology is due to the more voluminous polyps which can necrotize, ulcerate, bleed and cause intussusception and intestinal obstruction. A case of ileum-ileal intussusception due to Peutz-Jeghers syndrome is reported. The utility of a genealogic research is underlined and the recent results of the genetic research are evaluated. The surgical therapy of Peutz-Jeghers syndrome can have many aims: 1) to remove all big polyps, 2) to avoid the danger of canceration, 3) to prevent the hemorrhagic or occlusive risks and complications.

摘要

佩-吉综合征被认为是一种家族性息肉病综合征。息肉为错构瘤类型。症状是由较大的息肉引起的,这些息肉可发生坏死、溃疡、出血,并导致肠套叠和肠梗阻。本文报道了一例因佩-吉综合征导致的回肠-回肠套叠病例。强调了系谱研究的实用性,并评估了基因研究的最新结果。佩-吉综合征的手术治疗可有多个目的:1)切除所有大的息肉;2)避免癌变风险;3)预防出血或阻塞风险及并发症。

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