Endoscopic ischemic polypectomy for small-bowel polyps in patients with Peutz-Jeghers syndrome.

Autor:	Khurelbaatar T; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan.; Department of Gastroenterology, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia., Sakamoto H; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Yano T; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Sagara Y; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Dashnyam U; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan.; Department of Pediatrics, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia., Shinozaki S; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan.; Shinozaki Medical Clinic, Utsunomiya, Japan., Sunada K; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan., Lefor AK; Department of Surgery, Jichi Medical University, Tochigi, Japan., Yamamoto H; Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan.
Jazyk:	angličtina
Zdroj:	Endoscopy [Endoscopy] 2021 Jul; Vol. 53 (7), pp. 744-748. Date of Electronic Publication: 2020 Dec 16.
DOI:	10.1055/a-1276-6452
Abstrakt:	Background: To decrease the risk of bleeding or perforation, ischemic polypectomy is performed using a detachable snare or endoclip with double-balloon endoscopy (DBE) for small-bowel polyps in patients with Peutz - Jeghers syndrome. The aim of this study was to determine the effectiveness and feasibility of ischemic polypectomy. Methods: We retrospectively reviewed patients who underwent two or more sessions of ischemic polypectomy using DBE from July 2004 to August 2017. Results: 67 therapeutic DBEs were performed in nine patients during the study period and 352 polyps were treated. The median observation period was 34 months (range 12 - 66). There was a declining trend over time in the median number of polyps > 15 mm treated per patient first DBE session 6, second 2, third 1.5, fourth 0.5, fifth 0.5; P  = 0.11, Friedman test). No patient required laparotomy due to intussusception during the study period. One patient developed mild acute pancreatitis after the procedure. Conclusions: Ischemic polypectomy was feasible for the control of small-bowel polyps in patients with Peutz - Jeghers syndrome. Competing Interests: Dr. Yamamoto is a consultant for Fujifilm Corp. and has received honoraria, grants, and royalties from the company. Drs. Sakamoto, Yano, and Sunada have received honoraria from Fujifilm Corp. Dr. Sakamoto has also received a grant from Fujifilm Medical Corporation. Other authors declare no conflicts of interest regarding this study. (Thieme. All rights reserved.)
Databáze:	MEDLINE
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