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포이츠-예거 증후군에서 수술 중 내시경을 통한 소장용종 전절제술

Intraoperative Enteroscopic Total Polypectomy for the Patients with Peutz-Jeghers Syndrome

대한대장항문학회지 2004년 20권 6호 p.405 ~ 410
유상범 ( Yoo Sang-Bum ) - 연세대학교 원주의과대학 외과학교실

김익용 ( Kim Ik-Yong ) - 연세대학교 원주의과대학 외과학교실
성승훈 ( Seong Seung-Hoon ) - 연세대학교 원주의과대학 외과학교실
김대성 ( Kim Dae-Sung ) - 연세대학교 원주의과대학 외과학교실
노병선 ( Rhoe Byung-Sun ) - 연세대학교 원주의과대학 외과학교실

Abstract


Patients with Peutz-Jeghers syndrome often suffer complications of the polyps, such as intussusception, bowel obstruction, and bleeding. Furthermore, repeated operations may be required in some patients, which may result in short-bowel syndrome. Intraoperative enteroscopy during a laparotomy for this syndrome was introduced. This can avert multiple enterotomies and decrease bowel resection segments. We report the cases of three consecutive patients with Peutz-Jeghers syndrome who recently underwent intraoperative enteroscopy via enterotomy with successful removal of most small-bowel polyps. The large polyps of the jejunum required an enterotomy for their removal, but smaller polyps at the lower ileum were identified and removed by using intra-operative total enteroscopy. A more complete polypectomy can be performed using this technique, thus allowing patients with Peutz- Jeghers syndrome a longer interval between laparotomies and a reduction in the symptoms attributed to polyps. J Korean Soc Coloproctol 2004;20:405-410

키워드

포이츠-예거 증후군;위장 내시경;수술 중 관리;장폴립
Peutz-Jeghers syndrome;Intraoperative care;Endoscopy;Intestinal polyps
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