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采用内镜与手术相结合的方法成功治疗黑斑息肉综合征伴完全息肉清除的肠套叠。

Successful management of intussusception with total polyp clearance in Peutz-Jeghers syndrome using a combined endoscopic and surgical approach.

作者信息

Kong Su-San, Taib Nur Aishah, Mahadeva Sanjiv

机构信息

University of Malaya, Surgery, Lembah Pantai, Kuala Lumpur, 50603, Malaysia.

出版信息

BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.08.2008.0628. Epub 2009 Apr 3.

DOI:10.1136/bcr.08.2008.0628
PMID:21686715
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3028327/
Abstract

Intussusception due to small intestinal polyps in Peutz-Jeghers syndrome represents a significant clinical challenge. Neither pure surgical nor endoscopic approaches alone are effective in the long-term management of this problem. We describe a combined approach using both surgery and small bowel endoscopy in the management of this condition, which resulted in both immediate and long-term success. Although not new, we believe this approach remains relevant despite recent technological advancements in this area.

摘要

佩-吉二氏综合征(Peutz-Jeghers syndrome)中小肠息肉所致肠套叠是一项重大的临床挑战。单纯的手术方法或内镜方法都无法有效长期解决这一问题。我们描述了一种在该病症管理中同时使用手术和小肠内镜检查的联合方法,这带来了即时和长期的成功。尽管这种方法并不新颖,但我们认为,尽管该领域近期有技术进步,它仍然具有相关性。

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本文引用的文献

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Laparoscopic-assisted double-balloon enteroscopy for small-bowel polyp surveillance and treatment in patients with Peutz-Jeghers syndrome.腹腔镜辅助双气囊小肠镜用于黑斑息肉综合征患者小肠息肉的监测与治疗
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Double-balloon enteroscopy (push-and-pull enteroscopy) of the small bowel: feasibility and diagnostic and therapeutic yield in patients with suspected small bowel disease.小肠双气囊肠镜检查(推挽式肠镜检查):疑似小肠疾病患者的可行性及诊断和治疗效果
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Complications of childhood Peutz-Jeghers syndrome: implications for pediatric screening.儿童黑斑息肉综合征的并发症:对儿科筛查的影响
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Combined surgical and endoscopic clearance of small-bowel polyps in Peutz-Jeghers syndrome.佩-吉二氏综合征中小肠息肉的手术与内镜联合切除
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Long-term results of polyp clearance by intraoperative enteroscopy in the Peutz-Jeghers syndrome.小肠镜下息肉切除术治疗黑斑息肉综合征的长期疗效
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Combined endoscopic and surgical treatment for the polyposis of Peutz-Jeghers syndrome.内镜与手术联合治疗黑斑息肉综合征的息肉病
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Combined endoscopic and surgical treatment for multiple polyps of the small intestine in Peutz-Jeghers syndrome: a case report.内镜与手术联合治疗黑斑息肉综合征小肠多发息肉:1例报告
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