دورية أكاديمية
Endoscopic treatment of intussusception due to small intestine polyps in patients with Peutz-Jeghers Syndrome.
العنوان: | Endoscopic treatment of intussusception due to small intestine polyps in patients with Peutz-Jeghers Syndrome. |
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المؤلفون: | Oguro K; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Sakamoto H; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Yano T; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Funayama Y; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Kitamura M; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Nagayama M; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Sunada K; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Lefor AK; Department of Surgery, Jichi Medical University, Tochigi, Japan., Yamamoto H; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan. |
المصدر: | Endoscopy international open [Endosc Int Open] 2022 Dec 15; Vol. 10 (12), pp. E1583-E1588. Date of Electronic Publication: 2022 Dec 15 (Print Publication: 2022). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Georg Thieme Verlag KG Country of Publication: Germany NLM ID: 101639919 Publication Model: eCollection Cited Medium: Print ISSN: 2364-3722 (Print) Linking ISSN: 21969736 NLM ISO Abbreviation: Endosc Int Open Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Stuttgart : Georg Thieme Verlag KG, [2013]- |
مستخلص: | Background and study aims Intussusception caused by intestinal polyps in patients with Peutz-Jeghers syndrome usually requires laparotomy. Patients following successful endoscopic reduction using double-balloon endoscopy (DBE) have been reported. The aim of this study was to evaluate the feasibility of endoscopic treatment of intussusception. Patients and methods We retrospectively reviewed patients who underwent DBE for intussusception due to small intestine polyps in patients with Peutz-Jeghers syndrome from January 2004 to June 2020. Results Twenty-seven (antegrade 22, retrograde 5) DBEs were performed in 19 patients with 25 sites of intussusception identified during the study period. If the intussusception remained once the endoscope reached the site, endoscopic reduction of the intussusception was performed as needed (15 sites). Ultimately, endoscopic resections (8 sites) or ischemic polypectomies (16 sites) of the polyp causing the intussusception were completed at 24 sites. Only one site could not be treated endoscopically and was treated surgically. The final per-site and per-patient success rates of endoscopic treatment were 96 % (24/25) and 95 % (18/19) respectively. Two patients developed mild acute pancreatitis and one patient developed intussusception after the procedures, both of which were treated non-operatively. Conclusions Endoscopic treatment of intussusception is feasible to avoid laparotomy in patients with Peutz-Jeghers syndrome. Competing Interests: Competing interests Dr. Yamamoto is a consultant for Fujifilm Corp. and has received honoraria, grants, and royalties from the company. Drs. Sakamoto, Yano, and Sunada have received honoraria from Fujifilm Corp. Dr. Sakamoto has also received a grant from Fujifilm Medical Corporation. Other authors declare no conflicts of interest regarding this study. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).) |
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تواريخ الأحداث: | Date Created: 20221219 Latest Revision: 20221221 |
رمز التحديث: | 20221221 |
مُعرف محوري في PubMed: | PMC9754869 |
DOI: | 10.1055/a-1954-0110 |
PMID: | 36531680 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2364-3722 |
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DOI: | 10.1055/a-1954-0110 |