Underwater endoscopic mucosal resection of a large jejunal polyp by single-balloon enteroscopy in a patient with Peutz–Jeghers syndrome

2019 ◽  
Vol 51 (1) ◽  
pp. 170-172 ◽  
Author(s):  
Marco Pennazio ◽  
Ludovica Venezia ◽  
Alessandro Gambella ◽  
Pablo Cortegoso Valdivia
Keyword(s):  
Endoscopic Mucosal Resection ◽  
Balloon Enteroscopy ◽  
Mucosal Resection ◽  
Peutz Jeghers Syndrome ◽  
Single Balloon ◽  
Single Balloon Enteroscopy

Small Bowel Evaluation with Single Balloon Enteroscopy in Children with Peutz-Jeghers Syndrome

2012 ◽  
Vol 107 ◽  
pp. S786
Author(s):  
Barbara Bizzarri ◽  
Osvaldo Borrelli ◽  
Nicola deʼAngelis ◽  
Alessia Ghiselli ◽  
Giorgio Nervi ◽  
...  
Keyword(s):  
Small Bowel ◽  
Balloon Enteroscopy ◽  
Peutz Jeghers Syndrome ◽  
Single Balloon ◽  
Single Balloon Enteroscopy

scholarly journals Treatment of intermittent intussusception in Peutz–Jeghers syndrome with single-balloon enteroscopy

Endoscopy ◽  
2010 ◽  
Vol 42 (S 02) ◽  
pp. E312-E313
Author(s):  
J.-H. Lai ◽  
C.-W. Chang ◽  
M.-J. Chen ◽  
S.-C. Lin ◽  
H.-Y. Wang ◽  
...  
Keyword(s):  
Balloon Enteroscopy ◽  
Peutz Jeghers Syndrome ◽  
Single Balloon ◽  
Single Balloon Enteroscopy

Management of Duodenal–Jejunal Polyps in Children With Peutz-Jeghers Syndrome With Single-Balloon Enteroscopy

2014 ◽  
Vol 59 (1) ◽  
pp. 49-53 ◽  
Author(s):  
Barbara Bizzarri ◽  
Osvaldo Borrelli ◽  
Nicola de’Angelis ◽  
Alessia Ghiselli ◽  
Giorgio Nervi ◽  
...  
Keyword(s):  
Balloon Enteroscopy ◽  
Peutz Jeghers Syndrome ◽  
Single Balloon ◽  
Single Balloon Enteroscopy

HIGH-TECH DIAGNOSTIC METHODS AND AN ENTEROSCOPIC TREATMENT OF CHILDREN WITH PEUTZ-JEGHERS SYNDROME

2019 ◽  
Vol 22 (1) ◽  
pp. 17-22
Author(s):  
E. V. Kirakosyan ◽  
M. M. Lokhmatov ◽  
E. Yu. Dyakonova
Keyword(s):  
Small Intestine ◽  
Postoperative Period ◽  
Bowel Perforation ◽  
Diagnostic Methods ◽  
High Tech ◽  
Surgical Removal ◽  
Balloon Enteroscopy ◽  
Peutz Jeghers Syndrome ◽  
Single Balloon ◽  
Single Balloon Enteroscopy

Peutz-Jeghers syndrome (PJS) is an autosomal dominant hereditary hamartomatous polyposis with predominant localization in the jejunum and ileum. Because of PJS polyps differ from adenomatous ones, the performing polypectomy is associated with a high risk of bowel perforation. During 2015-2017 18 PJS children were comprehensively examined including esophagogastroduodenoscopy, colonoscopy, and video capsule endoscopy There was developed a step-by-step procedure for the removal of polyps common in all parts of the small intestine, including the creation of a “persistent pillow”; electroexcision of a polyp and application of a clip to the region of the womb of a removed polyp. Polyps more than 7 mm detected in the stomach and duodenum, were removed during endogastroduodenoscopy, and in the colon - under a colonoscopy. During video capsular endoscopy, polyps with a diameter of 2 mm to 2.5 cm were detected in the deep parts of the small intestine. For their surgical removal, during a therapeutic single-balloon enteroscopy, an electroscission of all polyps was performed. The postoperative period was uneventful. The combination of a single balloon enteroscopy with an electroexcision of polyps is suggested by the authors as the optimal method for the diagnosis and treatment of PJS in children, which allows avoiding delayed perforations of the small intestine in the postoperative period. Thanks to this technique, enteroscopy becomes the only possible alternative to bowel resection in PJS children.

scholarly journals Endoscopic therapy of small bowel polyps by single balloon enteroscopy in patients with Peutz-Jeghers syndrome

2021 ◽  
Author(s):  
Zhongsheng Cao ◽  
Weili Jin ◽  
Xueping Wu ◽  
Wensheng PAN
Keyword(s):  
Small Bowel ◽  
Maximum Size ◽  
Efficacy And Safety ◽  
Balloon Enteroscopy ◽  
Delayed Bleeding ◽  
History Of ◽  
Peutz Jeghers Syndrome ◽  
Single Balloon ◽  
Single Balloon Enteroscopy ◽  
Clinical Records

Background: Little is known about the efficacy and safety of single balloon enteroscopy (SBE) in patients with Peutz-Jeghers syndrome (PJS). The aim of this study was to assess the efficacy and safety of SBE for treatment of small bowel polyps in patients with PJS. Methods: We conducted a single center observational study, which included all patients diagnosed with PJS who underwent SBE for polypectomy between January 2018 and March 2021. Complete treatment was defined as the absence of polyps≥20mm after SBE resection. The clinical records were retrospectively reviewed. Results: 102 patients (including 40 men and 62 women) with a mean age of 28.7 years (range 13-55y), were enrolled in our study. The intubation depth via oral approach of patients with history of laparotomy was significantly shorter than that of the patients without history of laparotomy ([241.6±64.2] cm vs [280.9±40.2] cm, P = 0.008). The maximum size of the resected polyps via anus during the second hospitalization was significantly smaller than that during the first hospitalization ([2.25±1.29] cm vs [4.26±3.51] cm, P = 0.032). Complications occurred in 10/129 of hospitalizations (4 delayed bleeding, 3 perforation, and 3 acute pancreatitis). Conclusions: SBE is effective and safe for resection of small bowel polyps in patients with PJS.

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