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소장 절제술과 수술 중 소장의 내시경적 용종 절제술을 병행하여 치료한 Peutz-Jeghers 증후군 1예

Other Titles
 A case of Peutz-Jeghers syndrome treated with segmental resection of ileum and intraoperative endoscopic polypectomy 
Authors
 김유미  ;  안상훈  ;  조영준  ;  조용석  ;  김원호  ;  김남규 
Citation
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지), Vol.20(3) : 207-212, 2000 
Journal Title
Korean Journal of Gastrointestinal Endoscopy(대한소화기내시경학회지)
ISSN
 1225-7001 
Issue Date
2000
Keywords
Peutz-Jeghers syndrome ; Polypectomy ; Intraoperative enteroscopy
Abstract
Peutz-Jeghers syndrome is a rare disease manifested by a combination of mucocutaneous pigmentation and
gastrointestinal polyposis. The major morbidity results from intussusception, obstruction, and bleeding. Standard
surgical management has been to perform enterotomies at the site of palpable polyps. A method of treating
Peutz-Jeghers syndrome surgically with combined intraoperative enteroscopic polypectomy, is herein presented.
The patient had multiple small bowel polyps, one of which was very large and required surgical resection.
Segmental resection and multiple enterotomies were performed to remove the polyps. During the course of
the operation, endoscope (CF-200I, 130 cm) was inserted per enterotomy site and multiple small bowel polyps
were removed endoscopically using a snare. The combined surgical and endoscopic approach for the Peutz-
Jeghers syndrome was successful. The procedure removes more accurately, the cause of the major morbidity
associated with the disease, and may allow the patient a longer interval between laparotomies. (Korean J
Gastrointest Endosc 2000;20:207 212)
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Sang Hoon(안상훈) ORCID logo https://orcid.org/0000-0002-3629-4624
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172172
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