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- W4387007411 abstract "Introduction: Small-bowel polyps in patients with Peutz–Jeghers syndrome (PJS) are sometimes difficult to reach using double-balloon enteroscopy (DBE). However, they can induce intussusception, especially when 15 mm or larger. This study aimed to review the outcomes of patients with such polyps. Patients and methods: All patients with PJS with small-bowel polyps that bidirectional DBE failed to reach and were 5 mm or larger as shown by DBE enterography at our institution from May 2006 to April 2022 were retrospectively evaluated. The endpoint was the earliest occurrence of: symptomatic intussusception induced by the polyp, endoscopic removal by repeat DBE or intraoperative endoscopy, or the last medical record describing the patient’s condition. Results: This study included 27 polyps in 13 patients. All patients had extraluminal adhesions. None developed symptomatic intussusception, 8 patients underwent endoscopic removal at repeat DBE without surgery, 2 patients underwent removal with intraoperative endoscopy, 2 patients were observed without polyp removal, and 1 patient had a polyp removed at repeat DBE and three unreachable polyps remained. Repeat DBE without surgery was able to remove 14 polyps (52%). Polyps 15 mm or larger included 11 lesions in eight patients and were observed for a median of 14 months without symptomatic intussusception. Conclusions: The difficult-to-reach polyps may have a low risk of immediate symptomatic intussusception, possibly due to limited bowel mobility by extraluminal adhesions, and the likelihood of reaching them at repeat DBE was substantial. Hence, repeat DBE one-year later may be proper in such patients with PJS." @default.
- W4387007411 created "2023-09-26" @default.
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- W4387007411 date "2023-09-25" @default.
- W4387007411 modified "2023-09-26" @default.
- W4387007411 title "Repeat bidirectional double-balloon enteroscopy one year later may be proper in Peutz-Jeghers patients with difficult-to-reach polyps" @default.
- W4387007411 doi "https://doi.org/10.1055/a-2180-9442" @default.
- W4387007411 hasPublicationYear "2023" @default.
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