포이츠-예거 증후군에서 수술 중 내시경을 통한 소장용종 전절제술
Intraoperative Enteroscopic Total Polypectomy for the Patients with Peutz-Jeghers Syndrome
유상범, 김익용, 성승훈, 김대성, 노병선,
소속 상세정보
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
KMID : 0356720040200060405
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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