Clinical Presentations and Surgical Approach of Acute Intussusception Caused by Peutz–Jeghers Syndrome in Adults
Introduction Peutz–Jeghers syndrome is a rare autosomal dominantly inherited disease characterized by mucocutaneous pigmentations and gastrointestinal polyps. The polyps are located predominantly in the small intestine and usually cause intussusceptions. Adult intussusception caused by Peutz–Jeghers...
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| Veröffentlicht in: | Journal of gastrointestinal surgery 2011-12, Vol.15 (12), p.2218-2225 |
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| creator | Wang, Hong Luo, Ting Liu, Wen-Qu Huang, Yan Wu, Xiao-Ting Wang, Xiu-Jie |
| description | Introduction
Peutz–Jeghers syndrome is a rare autosomal dominantly inherited disease characterized by mucocutaneous pigmentations and gastrointestinal polyps. The polyps are located predominantly in the small intestine and usually cause intussusceptions. Adult intussusception caused by Peutz–Jeghers syndrome occurs very rarely. The purpose of this study was to analyze the clinical characteristics, preoperative diagnosis, and surgical management of Peutz–Jeghers syndrome associated with acute intussusception in adult patients.
Discussion
Consecutive patients with the postoperative diagnosis of acute intussusception caused by Peutz–Jeghers syndrome from 1995 to 2010 were reviewed retrospectively for this study. Data concerning clinical considerations, morphological examinations, and surgical procedure were analyzed. Different clinical manifestations were presented in patients with intussusception due to Peutz–Jeghers syndrome. Computed tomography associated or not with ultrasonography may be the most accurate examination for acute intussusceptions caused by Peutz–Jeghers syndrome. Surgical intervention is the first choice regimen in acute intussusceptions caused by Peutz–Jeghers syndrome. Prophylaxis and polypectomy of the entire small bowel is a worthy way in Peutz–Jeghers syndrome patients to reduce the frequency of laparotomies. |
| doi_str_mv | 10.1007/s11605-011-1724-2 |
| format | Article |
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Peutz–Jeghers syndrome is a rare autosomal dominantly inherited disease characterized by mucocutaneous pigmentations and gastrointestinal polyps. The polyps are located predominantly in the small intestine and usually cause intussusceptions. Adult intussusception caused by Peutz–Jeghers syndrome occurs very rarely. The purpose of this study was to analyze the clinical characteristics, preoperative diagnosis, and surgical management of Peutz–Jeghers syndrome associated with acute intussusception in adult patients.
Discussion
Consecutive patients with the postoperative diagnosis of acute intussusception caused by Peutz–Jeghers syndrome from 1995 to 2010 were reviewed retrospectively for this study. Data concerning clinical considerations, morphological examinations, and surgical procedure were analyzed. Different clinical manifestations were presented in patients with intussusception due to Peutz–Jeghers syndrome. Computed tomography associated or not with ultrasonography may be the most accurate examination for acute intussusceptions caused by Peutz–Jeghers syndrome. Surgical intervention is the first choice regimen in acute intussusceptions caused by Peutz–Jeghers syndrome. Prophylaxis and polypectomy of the entire small bowel is a worthy way in Peutz–Jeghers syndrome patients to reduce the frequency of laparotomies.</description><identifier>ISSN: 1091-255X</identifier><identifier>EISSN: 1873-4626</identifier><identifier>DOI: 10.1007/s11605-011-1724-2</identifier><identifier>PMID: 22005897</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdomen ; Abdomen, Acute - diagnosis ; Abdomen, Acute - surgery ; Adult ; Adults ; Aged ; Anastomosis, Surgical ; Cancer ; China ; Family medical history ; Female ; Gastroenterology ; Hospitals ; Humans ; Ileal Diseases - diagnosis ; Ileal Diseases - surgery ; Internal medicine ; Intestinal obstruction ; Intussusception - diagnosis ; Intussusception - surgery ; Jejunal Diseases - diagnosis ; Jejunal Diseases - surgery ; Laparotomy ; Localization ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pedigree ; Peutz-Jeghers Syndrome - diagnosis ; Peutz-Jeghers Syndrome - surgery ; Polyps ; Prospective Studies ; Retrospective Studies ; Small intestine ; Surgery ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of gastrointestinal surgery, 2011-12, Vol.15 (12), p.2218-2225</ispartof><rights>The Society for Surgery of the Alimentary Tract 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c371t-c57caeefa9767dfe5da9676ca97c483583be0625fd12ef74e01219ed5b47b26c3</citedby><cites>FETCH-LOGICAL-c371t-c57caeefa9767dfe5da9676ca97c483583be0625fd12ef74e01219ed5b47b26c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11605-011-1724-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11605-011-1724-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22005897$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Hong</creatorcontrib><creatorcontrib>Luo, Ting</creatorcontrib><creatorcontrib>Liu, Wen-Qu</creatorcontrib><creatorcontrib>Huang, Yan</creatorcontrib><creatorcontrib>Wu, Xiao-Ting</creatorcontrib><creatorcontrib>Wang, Xiu-Jie</creatorcontrib><title>Clinical Presentations and Surgical Approach of Acute Intussusception Caused by Peutz–Jeghers Syndrome in Adults</title><title>Journal of gastrointestinal surgery</title><addtitle>J Gastrointest Surg</addtitle><addtitle>J Gastrointest Surg</addtitle><description>Introduction
Peutz–Jeghers syndrome is a rare autosomal dominantly inherited disease characterized by mucocutaneous pigmentations and gastrointestinal polyps. The polyps are located predominantly in the small intestine and usually cause intussusceptions. Adult intussusception caused by Peutz–Jeghers syndrome occurs very rarely. The purpose of this study was to analyze the clinical characteristics, preoperative diagnosis, and surgical management of Peutz–Jeghers syndrome associated with acute intussusception in adult patients.
Discussion
Consecutive patients with the postoperative diagnosis of acute intussusception caused by Peutz–Jeghers syndrome from 1995 to 2010 were reviewed retrospectively for this study. Data concerning clinical considerations, morphological examinations, and surgical procedure were analyzed. Different clinical manifestations were presented in patients with intussusception due to Peutz–Jeghers syndrome. Computed tomography associated or not with ultrasonography may be the most accurate examination for acute intussusceptions caused by Peutz–Jeghers syndrome. Surgical intervention is the first choice regimen in acute intussusceptions caused by Peutz–Jeghers syndrome. Prophylaxis and polypectomy of the entire small bowel is a worthy way in Peutz–Jeghers syndrome patients to reduce the frequency of laparotomies.</description><subject>Abdomen</subject><subject>Abdomen, Acute - diagnosis</subject><subject>Abdomen, Acute - surgery</subject><subject>Adult</subject><subject>Adults</subject><subject>Aged</subject><subject>Anastomosis, Surgical</subject><subject>Cancer</subject><subject>China</subject><subject>Family medical history</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Ileal Diseases - diagnosis</subject><subject>Ileal Diseases - surgery</subject><subject>Internal medicine</subject><subject>Intestinal obstruction</subject><subject>Intussusception - diagnosis</subject><subject>Intussusception - surgery</subject><subject>Jejunal Diseases - diagnosis</subject><subject>Jejunal Diseases - surgery</subject><subject>Laparotomy</subject><subject>Localization</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pedigree</subject><subject>Peutz-Jeghers Syndrome - diagnosis</subject><subject>Peutz-Jeghers Syndrome - surgery</subject><subject>Polyps</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Small intestine</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1091-255X</issn><issn>1873-4626</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kcFu1DAQhi0EoqXwAFyQJQ6cAh4ntpPjagWlqBKVChI3y7En21RZZ_HEh-XEO_CGfRK8bEEIiZPHmm_--TU_Y89BvAYhzBsC0EJVAqACI5tKPmCn0Jq6arTUD0stOqikUl9O2BOiWyHACGgfsxMphVBtZ05ZWk9jHL2b-FVCwri4ZZwjcRcDv85p86u12u3S7PwNnwe-8nlBfhGXTJTJ4-7A87XLhIH3e36Fefl29_3HB9zcYCJ-vY8hzVvkY-SrkKeFnrJHg5sIn92_Z-zzu7ef1u-ry4_nF-vVZeVrA0vllfEOcXCd0SYMqILrtNG-_H3T1qqtexRaqiGAxME0KEBCh0H1jeml9vUZe3XULea_ZqTFbsdieJpcxDmT7YTSpu10V8iX_5C3c06xmLPlhEorEG1TKDhSPs1ECQe7S-PWpX2B7CEPe8zDljzsIQ8ry8yLe-XcbzH8mfgdQAHkEaDSihtMf6_-n-pPDxCXww</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Wang, Hong</creator><creator>Luo, Ting</creator><creator>Liu, Wen-Qu</creator><creator>Huang, Yan</creator><creator>Wu, Xiao-Ting</creator><creator>Wang, Xiu-Jie</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20111201</creationdate><title>Clinical Presentations and Surgical Approach of Acute Intussusception Caused by Peutz–Jeghers Syndrome in Adults</title><author>Wang, Hong ; Luo, Ting ; Liu, Wen-Qu ; Huang, Yan ; Wu, Xiao-Ting ; Wang, Xiu-Jie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c371t-c57caeefa9767dfe5da9676ca97c483583be0625fd12ef74e01219ed5b47b26c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdomen</topic><topic>Abdomen, Acute - diagnosis</topic><topic>Abdomen, Acute - surgery</topic><topic>Adult</topic><topic>Adults</topic><topic>Aged</topic><topic>Anastomosis, Surgical</topic><topic>Cancer</topic><topic>China</topic><topic>Family medical history</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Ileal Diseases - diagnosis</topic><topic>Ileal Diseases - surgery</topic><topic>Internal medicine</topic><topic>Intestinal obstruction</topic><topic>Intussusception - diagnosis</topic><topic>Intussusception - surgery</topic><topic>Jejunal Diseases - diagnosis</topic><topic>Jejunal Diseases - surgery</topic><topic>Laparotomy</topic><topic>Localization</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pedigree</topic><topic>Peutz-Jeghers Syndrome - diagnosis</topic><topic>Peutz-Jeghers Syndrome - surgery</topic><topic>Polyps</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Small intestine</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Hong</creatorcontrib><creatorcontrib>Luo, Ting</creatorcontrib><creatorcontrib>Liu, Wen-Qu</creatorcontrib><creatorcontrib>Huang, Yan</creatorcontrib><creatorcontrib>Wu, Xiao-Ting</creatorcontrib><creatorcontrib>Wang, Xiu-Jie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastrointestinal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Hong</au><au>Luo, Ting</au><au>Liu, Wen-Qu</au><au>Huang, Yan</au><au>Wu, Xiao-Ting</au><au>Wang, Xiu-Jie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical Presentations and Surgical Approach of Acute Intussusception Caused by Peutz–Jeghers Syndrome in Adults</atitle><jtitle>Journal of gastrointestinal surgery</jtitle><stitle>J Gastrointest Surg</stitle><addtitle>J Gastrointest Surg</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>15</volume><issue>12</issue><spage>2218</spage><epage>2225</epage><pages>2218-2225</pages><issn>1091-255X</issn><eissn>1873-4626</eissn><abstract>Introduction
Peutz–Jeghers syndrome is a rare autosomal dominantly inherited disease characterized by mucocutaneous pigmentations and gastrointestinal polyps. The polyps are located predominantly in the small intestine and usually cause intussusceptions. Adult intussusception caused by Peutz–Jeghers syndrome occurs very rarely. The purpose of this study was to analyze the clinical characteristics, preoperative diagnosis, and surgical management of Peutz–Jeghers syndrome associated with acute intussusception in adult patients.
Discussion
Consecutive patients with the postoperative diagnosis of acute intussusception caused by Peutz–Jeghers syndrome from 1995 to 2010 were reviewed retrospectively for this study. Data concerning clinical considerations, morphological examinations, and surgical procedure were analyzed. Different clinical manifestations were presented in patients with intussusception due to Peutz–Jeghers syndrome. Computed tomography associated or not with ultrasonography may be the most accurate examination for acute intussusceptions caused by Peutz–Jeghers syndrome. Surgical intervention is the first choice regimen in acute intussusceptions caused by Peutz–Jeghers syndrome. Prophylaxis and polypectomy of the entire small bowel is a worthy way in Peutz–Jeghers syndrome patients to reduce the frequency of laparotomies.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>22005897</pmid><doi>10.1007/s11605-011-1724-2</doi><tpages>8</tpages></addata></record> |
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| subjects | Abdomen Abdomen, Acute - diagnosis Abdomen, Acute - surgery Adult Adults Aged Anastomosis, Surgical Cancer China Family medical history Female Gastroenterology Hospitals Humans Ileal Diseases - diagnosis Ileal Diseases - surgery Internal medicine Intestinal obstruction Intussusception - diagnosis Intussusception - surgery Jejunal Diseases - diagnosis Jejunal Diseases - surgery Laparotomy Localization Male Medicine Medicine & Public Health Middle Aged Original Article Pedigree Peutz-Jeghers Syndrome - diagnosis Peutz-Jeghers Syndrome - surgery Polyps Prospective Studies Retrospective Studies Small intestine Surgery Treatment Outcome Young Adult |
| title | Clinical Presentations and Surgical Approach of Acute Intussusception Caused by Peutz–Jeghers Syndrome in Adults |
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