Peutz-Jeghers syndrome surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Peutz-Jeghers syndrome}} | {{Peutz-Jeghers syndrome}} | ||
{{CMG}} {{AE}} {{HQ}} | {{CMG}}; {{AE}} {{HQ}} | ||
==Overview== | ==Overview== | ||
Surgery is the mainstay of treatment for Peutz-Jeghers syndrome. Surgical options include [[polypectomy]], [[laparotomy]] in case of [[intussusception]], and [[laser]] cosmetic therapy may be considered for mucocutaneous | Surgery is the mainstay of treatment for Peutz-Jeghers syndrome. Surgical options include [[polypectomy]], [[laparotomy]] in case of [[intussusception]], and [[laser]] cosmetic therapy may be considered for mucocutaneous [[pigmentation]]. | ||
==Indications== | |||
Indications for surgery are as follows:<ref name="GiardielloTrimbath2006">{{cite journal|last1=Giardiello|first1=F|last2=Trimbath|first2=J|title=Peutz-Jeghers Syndrome and Management Recommendations|journal=Clinical Gastroenterology and Hepatology|volume=4|issue=4|year=2006|pages=408–415|issn=15423565|doi=10.1016/j.cgh.2005.11.005}}</ref><ref name="pmid25460448">{{cite journal| author=Hofmann S, Barth TF, Kornmann M, Henne-Bruns D| title=Appendix carcinoid associated with the Peutz-Jeghers syndrome. | journal=Int J Surg Case Rep | year= 2014 | volume= 5 | issue= 12 | pages= 964-7 | pmid=25460448 | doi=10.1016/j.ijscr.2014.06.024 | pmc=PMC4276270 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25460448 }} </ref> | |||
:*Copious [[rectal bleeding]] | :*Copious [[rectal bleeding]] | ||
:*[[Intussusception]] | :*[[Intussusception]] | ||
:*Polyps greater than 1-1.5 cm in size | :*[[Polyp|Polyps]] greater than 1-1.5 cm in size | ||
:*Rapidly growing polyps | :*Rapidly growing [[polyps]] The types of surgical procedures are as follows: | ||
*[[Laparotomy]] and desvagination of intestinal loops may be needed in case of [[intussusception]] | |||
*Laser cosmetic therapy may be considered for mucocutaneous pigmentation | ==Surgery== | ||
The surgical procedures are as follows:<ref name="RepiciAnderloni2014">{{cite journal|last1=Repici|first1=Alessandro|last2=Anderloni|first2=Andrea|last3=Jovani|first3=Manol|last4=Hassan|first4=Cesare|title=Advances, problems, and complications of polypectomy|journal=Clinical and Experimental Gastroenterology|year=2014|pages=285|issn=1178-7023|doi=10.2147/CEG.S43084}}</ref> | |||
*Polypectomy: | |||
**[[Forceps|Forcep]] [[biopsy]] [[polypectomy]] | |||
**[[Polypectomy|Snare polypectomy]] | |||
*[[Endoscopy|Endoscopic]] mucosal resection | |||
*[[Endoscopy|Endoscopic]] submucosal resection | |||
*[[Laparotomy]] and desvagination of [[intestinal]] loops may be needed in case of [[intussusception]]. | |||
*[[Laser]] cosmetic therapy may be considered for mucocutaneous [[pigmentation]]. | |||
== References == | == References == | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Gastroenterology]] | |||
[[Category:Surgery]] | |||
[[Category:Oncology]] | |||
[[Category:Disease]] | |||
[[Category:Pediatrics]] | |||
[[Category:Up-To-Date]] | |||
Latest revision as of 16:41, 21 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Surgery is the mainstay of treatment for Peutz-Jeghers syndrome. Surgical options include polypectomy, laparotomy in case of intussusception, and laser cosmetic therapy may be considered for mucocutaneous pigmentation.
Indications
Indications for surgery are as follows:[1][2]
- Copious rectal bleeding
- Intussusception
- Polyps greater than 1-1.5 cm in size
- Rapidly growing polyps The types of surgical procedures are as follows:
Surgery
The surgical procedures are as follows:[3]
- Polypectomy:
- Endoscopic mucosal resection
- Endoscopic submucosal resection
- Laparotomy and desvagination of intestinal loops may be needed in case of intussusception.
- Laser cosmetic therapy may be considered for mucocutaneous pigmentation.
References
- ↑ Giardiello, F; Trimbath, J (2006). "Peutz-Jeghers Syndrome and Management Recommendations". Clinical Gastroenterology and Hepatology. 4 (4): 408–415. doi:10.1016/j.cgh.2005.11.005. ISSN 1542-3565.
- ↑ Hofmann S, Barth TF, Kornmann M, Henne-Bruns D (2014). "Appendix carcinoid associated with the Peutz-Jeghers syndrome". Int J Surg Case Rep. 5 (12): 964–7. doi:10.1016/j.ijscr.2014.06.024. PMC 4276270. PMID 25460448.
- ↑ Repici, Alessandro; Anderloni, Andrea; Jovani, Manol; Hassan, Cesare (2014). "Advances, problems, and complications of polypectomy". Clinical and Experimental Gastroenterology: 285. doi:10.2147/CEG.S43084. ISSN 1178-7023.