Miyachi Tomohiro, Tanaka Naoki, Endo Katsuya, Fujishima Fumiyoshi, Sasaki Hiroyuki, Nagao Munenori, Morikawa Takanori, Naitoh Takeshi, Miura Koh, Shibata Chikashi, Shimosegawa Tooru, Unno Michiaki
Division of Biological Regulation and Oncology, Tohoku University Graduate School of Medicine, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2013 Jun;110(6):1014-21.
Intestinal polyps are a distinctive feature of Peutz-Jeghers syndrome (PJS). These hamartomas can lead to significant complications such as intussusception or gastrointestinal bleeding which necessitate multiple laparotomies and bowel resections. In an operation for intestinal intussusception, it is preferable to simultaneously resect as many polyps as possible to prevent recurrence of complications caused by intestinal polyps. We report a case of a woman in her twenties with PJS, diagnosed as small intestinal intussusception caused by an intestinal polyp. We performed not only repair of the intussusception but also endoscopic polypectomy without resection of the small intestine. We successfully resected all polyps larger than 10mm from the duodenum to the ascending colon during the operation.
肠息肉是黑斑息肉综合征(PJS)的一个显著特征。这些错构瘤可导致诸如肠套叠或胃肠道出血等严重并发症,这需要多次开腹手术和肠切除术。在进行肠套叠手术时,最好同时尽可能多地切除息肉,以防止由肠息肉引起的并发症复发。我们报告一例二十多岁患有PJS的女性病例,诊断为肠息肉引起的小肠套叠。我们不仅进行了肠套叠修复,还进行了内镜下息肉切除术,未切除小肠。手术过程中,我们成功地从十二指肠至升结肠切除了所有直径大于10mm的息肉。