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成人黑斑息肉综合征患者回结肠套叠的内镜成功复位

Successful Endoscopic Reduction of an Ileocolonic Intussusception in an Adult With Peutz-Jeghers Syndrome.

作者信息

AlSamman Mohd Amer, Ferreira Jason D, Moustafa Abdelmoniem, Moveson Jonathan, Akerman Paul

机构信息

The Warren Alpert Medical School of Brown University, The Miriam Hospital, Providence, RI, USA.

Division of Gastroenterology, The Warren Alpert Medical School of Brown University, Providence, RI, USA.

出版信息

Gastroenterology Res. 2019 Feb;12(1):40-42. doi: 10.14740/gr1130. Epub 2019 Feb 26.

DOI:10.14740/gr1130
PMID:30834034
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6396794/
Abstract

Peutz-Jeghers syndrome (PJS) is a rare autosomal dominant disorder characterized by hamartomatous polyps throughout the gastrointestinal tract, mostly causing gastrointestinal bleeding and recurrent intestinal obstructions. Few intussusception related to PJS occurs reportedly in adults. Unlike pediatric cases almost all reported cases end up with surgical resection. Here we present a case of PSJ-related intussusception in an adult patient treated successfully with endoscopic approach, with no surgical intervention required.

摘要

黑斑息肉综合征(PJS)是一种罕见的常染色体显性疾病,其特征是全胃肠道存在错构瘤性息肉,主要导致胃肠道出血和反复肠梗阻。据报道,与PJS相关的肠套叠在成人中很少见。与儿童病例不同,几乎所有报道的病例最终都进行了手术切除。在此,我们报告一例成年患者的PJS相关肠套叠,通过内镜方法成功治疗,无需手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d4e/6396794/5fb506babb9c/gr-12-040-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d4e/6396794/bafc72364162/gr-12-040-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d4e/6396794/5fb506babb9c/gr-12-040-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d4e/6396794/bafc72364162/gr-12-040-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d4e/6396794/5fb506babb9c/gr-12-040-g002.jpg

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本文引用的文献

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Surgical versus conservative management of adult intussusception: Case series and review.成人肠套叠的手术治疗与保守治疗:病例系列及综述
Int J Surg Case Rep. 2016;20:142-6. doi: 10.1016/j.ijscr.2016.01.019. Epub 2016 Jan 22.
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Peutz-Jeghers syndrome: a systematic review and recommendations for management.佩吉特-杰格斯综合征:系统评价及管理建议。
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内镜治疗黑斑息肉综合征患者小肠息肉所致肠套叠
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Proposal of a Risk Scoring System to Facilitate the Treatment of Enteroenteric Intussusception in Peutz-Jeghers Syndrome.提出一种风险评分系统,以促进皮杰氏综合征的肠肠型肠套叠的治疗。
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Most Adult Intussusceptions are Caused by Tumors: A Single-Centre Analysis.大多数成人肠套叠由肿瘤引起:一项单中心分析
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Adult intussusception: case reports and review of literature.成人肠套叠:病例报告及文献综述
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Distinguishing features of self-limiting adult small-bowel intussusception identified at CT.CT 检查发现的成人自限性小肠套叠的特征。
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Am J Gastroenterol. 1982 Aug;77(8):556-8.
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Colonoscopic diagnosis of ileocolic intussusception in an adult. A case report.
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