Taira K, Matsubara H, Isa T, Miyazato H, Hiroyasu S, Shiraishi M, Muto Y, Kinjo F
First Department of Surgery, Ryukyu University School of Medicine, Okinawa, Japan.
Surg Laparosc Endosc Percutan Tech. 2000 Dec;10(6):409-11.
Combined endoscopic and surgical treatment in a 14-year-old girl with Peutz-Jeghers syndrome is reported herein. The patient was diagnosed with Peutz-Jeghers syndrome because of mucocutaneous pigmentation and hamartomas of the small intestine at 10 years of age, when she underwent an emergency laparotomy for an intussusception of the small intestine. Since this diagnosis, she has undergone follow-up, and barium radiologic and endoscopic studies have shown multiple polyps of various sizes from the stomach throughout the small intestine and to the colon. This time, with the use of combined endoscopic and surgical treatment for polyps of the small intestine, 26 polyps were removed endoscopically by performing only one enterotomy. This combined technique may allow for a longer interval between laparotomies, therefore reducing the complications associated with multiple laparotomies and resections.
本文报道了一名14岁患有黑斑息肉综合征女孩的内镜与手术联合治疗。该患者10岁时因皮肤黏膜色素沉着和小肠错构瘤被诊断为黑斑息肉综合征，当时她因小肠套叠接受了急诊剖腹手术。自确诊以来，她一直接受随访，钡剂放射学和内镜检查显示，从胃到整个小肠再到结肠有多个大小不一的息肉。此次，通过内镜与手术联合治疗小肠息肉，仅做了一次肠切开术就内镜下切除了26个息肉。这种联合技术可能会延长剖腹手术的间隔时间，从而减少与多次剖腹手术和切除术相关的并发症。
