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首页> 外文期刊>Digestive Diseases and Sciences >Balloon-assisted enteroscopy with prophylactic polypectomy for Peutz-Jeghers syndrome: experience in Taiwan.
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Balloon-assisted enteroscopy with prophylactic polypectomy for Peutz-Jeghers syndrome: experience in Taiwan.

机译：球囊辅助肠镜预防性息肉切除术治疗Peutz-Jeghers综合征：在台湾的经验。

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摘要

BACKGROUND: Peutz-Jeghers syndrome (PJS) is a very rare disease that often causes severe complications such as bowel obstruction or gastrointestinal tract bleeding. In the past, it was usually treated by using surgical intervention despite the associated complications. Balloon-assisted enteroscopy (BAE) has been documented as an effective and safe method for the diagnosis and treatment of small bowel lesions. Hence, we conducted this study to verify whether BAE is useful for patients with PJS. AIM: To evaluate the safety and efficacy of BAE with prophylactic polypectomy in patients with PJS. METHODS AND PATIENTS: From August 2005 to February 2010, 6 consecutive patients were diagnosed with PJS after pathological and clinical examination, and underwent BAE examination and polypectomy at Chang Gung Memorial Hospital, an academic tertiary referral center. RESULTS: Six consecutive patients (4 men and 2 women) diagnosed with PJS underwent BAE with polypectomy. BAE was performed 17 times for complete examination of the entire small bowel. The range of the diameter of the removed polyps was 1-6 cm. No immediate complications such as hemorrhage or hollow organ perforation were noted during the procedure, and no patient developed intussusception during the follow-up period (32 +/- 17.5 months). CONCLUSION: BAE with polypectomy is useful for patients with PJS in order to reduce the complications of the condition.
机译：背景：Peutz-Jeghers综合征（PJS）是一种非常罕见的疾病，通常会导致严重的并发症，例如肠梗阻或胃肠道出血。过去，尽管存在相关并发症，但通常还是通过外科手术进行治疗。气球辅助肠镜检查（BAE）已被证明是诊断和治疗小肠病变的一种有效且安全的方法。因此，我们进行了这项研究，以验证BAE是否对PJS患者有用。目的：评估BAE预防性息肉切除术对PJS患者的安全性和有效性。方法与患者：2005年8月至2010年2月，经病理和临床检查连续6例被诊断为PJS，并在学术性转诊中心长庚纪念医院接受了BAE检查和息肉切除术。结果：连续6例诊断为PJS的患者（4例男性和2例女性）接受了BAE息肉切除术。进行了17次BAE，以完整检查整个小肠。去除的息肉的直径范围是1-6cm。在手术过程中，没有发现出血或中空器官穿孔等直接并发症，并且在随访期间（32 +/- 17.5个月）没有患者出现肠套叠。结论：BAE伴息肉切除术可用于PJS患者，以减少该病的并发症。

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