Kong Su-San, Taib Nur Aishah, Mahadeva Sanjiv
University of Malaya, Surgery, Lembah Pantai, Kuala Lumpur, 50603, Malaysia.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.08.2008.0628. Epub 2009 Apr 3.
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.
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。