진행성 직장암을 동반한 Peutz-Jeghers 증후군 환자에서 시행한 CT Enteroclysis와 수술 중 내시경적 용종절제술
CT Enteroclysis and Intraoperative Endoscopic Polypectomy for Peutz-Jeghers Syndrome with Advanced Rectal Carcinoma ? A Case Report ?
한상아, 박치민, 윤성현, 이우용, 전호경,
소속 상세정보
한상아 ( Han Sang-Ah )
성균관대학교 의과대학 삼성서울병원 외과학교실
박치민 ( Park Chi-Min )
성균관대학교 의과대학 삼성서울병원 외과학교실
윤성현 ( Yun Seong-Hyeon )
성균관대학교 의과대학 삼성서울병원 외과학교실
이우용 ( Lee Woo-Yong )
성균관대학교 의과대학 삼성서울병원 외과학교실
전호경 ( Chun Ho-Kyung )
성균관대학교 의과대학 삼성서울병원 외과학교실
KMID : 0356720070230050381
Abstract
Patients with Peutz-Jeghers syndrome often suffer from complications of polyps, such as intussusception, bowel obstruction, and bleeding. Another major problem of these patients is malignancy through the hamartoma-adenoma-carcinoma sequence. If the complications and the cancer risk of small intestinal polyps are to be reduced, early detection of these polyps and a polypectomy are important. Traditionally, a small bowel series, small bowel enteroclysis, and conventional endoscopy have been used for the proper evaluation, and management of polyps. Recently, several reports showed the advantages of enteroscopy and intraoperative endoscopy for achieving a more complete polypectomy of the small intestine. However, CT enteroclysis, which has been introduced as a reliable, less invasive, and tolerable diagnostic tool for small intestinal disease, may be useful for the evaluation of patients with gastrointestinal polyposis. We report the case of a patient with Peutz- Jeghers syndrome who had small-bowel polyposis and a rectal adenocarcinoma and who underwent preoperative CT enteroclysis and intraoperative endoscopy
키워드
포이츠-예거증후군;CT고위관장법;용종절제술;직장암
Peutz-Jeghers syndrome;CT enteroclysis;Polypectomy;Rectal carcinoma
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