Peutz-Jeghers syndrome surgery: Difference between revisions
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{{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 pigmentation. | 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]]. | ||
==Surgery== | ==Surgery== | ||
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:*[[Polyp|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]] | ||
*[[Laparotomy]] and desvagination of intestinal loops may be needed in case of [[intussusception]]. | *[[Laparotomy]] and desvagination of [[intestinal]] loops may be needed in case of [[intussusception]]. | ||
*Laser cosmetic therapy may be considered for mucocutaneous pigmentation. | *[[Laser]] cosmetic therapy may be considered for mucocutaneous [[pigmentation]]. | ||
== References == | == References == | ||
Revision as of 15:04, 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.
Surgery
- Polypectomy is performed if the patient presented with any of the following:[1][2]
- Copious rectal bleeding
- Intussusception
- Polyps greater than 1-1.5 cm in size
- Rapidly growing polyps
- 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.