Peutz-Jeghers syndrome surgery

Peutz-Jeghers syndrome Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamad Alkateb, MBBCh [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:

• Copious rectal bleeding
• Intussusception

• Laparotomy and desvagination of intestinal loops may be needed in case of intussusception
• Laser cosmetic therapy may be considered for mucocutaneous pigmentation

Intraoperative findings. (a) Intussusception of the ileum (large arrow). (b) Pedunculated polyps in the small intestinum. (c) Resected polyps of different sizes.