caa a22 4500 475779746 CHVBK 20180406123641.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s004640000029 doi (NATIONALLICENCE)springer-10.1007/s004640000029 Combined endoscopic and surgical treatment for the polyposis of Peutz-Jeghers syndrome [Elektronische Daten] [B.-C. Lin, J.-M. Lien, R.-J. Chen, J.-F. Fang, Y.-C. Wong] Repeated laparotomy with extensive small bowel resectioning and eventual short-bowel syndrome is a major problem in Peutz-Jeghers syndrome (PJS) patients. This problem is caused by gastrointestinal polyposis with intussusception. A combined surgical and endoscopic approach can assess the extent of the polyposis, and small polyps can be removed by snare polypectomy. This can avert multiple enterotomies and decrease bowel resection segments. We applied an intraoperative colonscope via the enterotomy route in an 20-year-old PJS woman, and successfully removed the other 10 polyps distributed in the whole small bowel. As part of an aggressive approach to the management of polyposis in PJS, complete polypectomy can provide a longer symptom-free interval and remove potentially premaligment polyps. Springer-Verlag New York Inc., 2000 Key words: Endoscopic polypectomy — Intussusception — Peutz-Jeghers syndrome nationallicence Lin B.-C Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan, TW aut Lien J.-M Liver Research Unit, Chang Gung Memorial Hospital, Chang Gung Medical College, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan, TW aut Chen R.-J Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan, TW aut Fang J.-F Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan, TW aut Wong Y.-C Second Department Division of Radiology, Chang Gung Memorial Hospital, Chang Gung Medical College, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan, TW aut Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1185-1187 0930-2794 14:12<1185 2000 14 464 https://doi.org/10.1007/s004640000029 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000029 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lin B.-C Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan, TW aut NATIONALLICENCE 700 1- Lien J.-M Liver Research Unit, Chang Gung Memorial Hospital, Chang Gung Medical College, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan, TW aut NATIONALLICENCE 700 1- Chen R.-J Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan, TW aut NATIONALLICENCE 700 1- Fang J.-F Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan, TW aut NATIONALLICENCE 700 1- Wong Y.-C Second Department Division of Radiology, Chang Gung Memorial Hospital, Chang Gung Medical College, 5, Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan, TW aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1185-1187 0930-2794 14:12<1185 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer