Korean Journal of Gastrointestinal Endoscopy 2001;23(4): 235-239.
Trocar 를 이용하여 수술 중 내시경적 용종절제술을 시행한 Peutz - Jeghers 증후군 1 예 ( Intraoperative Endoscopic Resection of Small Bowel Polyps through Trocar in Patient with Peutz - Jeghers Syndrome )
한주영(Joo Young Han),김효종(Hyo Jong Kim),김경진(Kyeong Jin Kim),동석호(Seok Ho Dong),김병호(Byung Ho Kim),이정일(Joung Il Lee),장영운(Young Woon Chang),장린(Rin Chang)
Abstract
The Peutz-jeghers syndrome is an autosomal dominant disease characterized by mucocutaneous pigmentation and gastrointestinal hamartomatous polyps. This syndrome is clinically important because of the complications caused by polyps and of an increased risk of cancer. We experienced a typical case of Peutz-Jeghers syndrome in a 24-year-old female patient who presented with jejunojejunal intussusception. With the use of combined surgery and intraoperative endoscopy through trocar, 60 polyps were removed, performing only 2 enterotomies. We apply a modified endosocopic technique of intraoperative endoscopic resection of small-bowel polyps using conventional 10 mm metal trocar in conjunction with a corrugated anesthetic tube. This allows fully visualized and optically controlled removal of all small intestnal polyps without air leakage. The usefulness of this technique reduces the complications associated with multiple laparotomies and resections. (Korean j Gastrointest Endosc 2001;23:235-239)