Korean J Gastrointest Endosc > Volume 35(6); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;35(6): 424-428.
소장 출혈을 유발한 Peutz-Jeghers 용종의 캡슐내시경 진단 및 이중풍선 소장내시경에 의한 용종절제술 1예
인제대학교 의과대학 서울백병원 내과학교실
A Case of Peutz-Jeghers Polyp that was Diagnosed using Capsule Endoscoy and the Polyp was Removed by Means of Double Balloon Enteroscopy
Jong Sung Lee, M.D., Won Cheol Jang, M.D., Kyung Sun Ok, M.D., Tae Yeob Jeung, M.D., Jin Gook Huh, M.D., Soo Hyung Ryu, M.D., Jung Hwan Lee, M.D., You Sun Kim, M.D. and Jeong Seop Moon, M.D.
Department of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
Peutz-Jeghers syndrome is an autosomal dominant hereditary disease that's characterized by hamartomatous polyps of the gastrointestinal tract and mucocutaneous melanin pigmentation. Hamartomatous polyps can arise anywhere in the gastrointestinal tract, but they are most common in the small intestine. The major symptoms of Peutz-Jeghers syndrome are abdominal pain, intussusception and anemia due to gastrointestinal bleeding, which are all caused by harmatomatous polyp. Capsule endoscopy has been reported to have a higher diagnostic yield than small bowel barium radiography for patients with Peutz-Jeghers syndrome and who have small bowel polyp. Small bowel polyp in patients with Peutz-Jeghers syndrome can be resected by double balloon enteroscopy without laparotomy. We report here on a patient with melena that was caused by small bowel polyps, and this was found by using capsule endoscopy. Polyp in the distal ileum was resected by using colonoscopy and the patient was diagnosed as suffering with Peutz-Jeghers syndrome. The other proximal ileum polyp was resected by using double balloon enteroscopy without complication. (Korean J Gastrointest Endosc 2007;35:424-428)
Key Words: Peutz-Jeghers syndrome, Capsule endoscopy, Double balloon enteroscopy, Small bowel polyp
주요어: Peutz-Jeghers 증후군, 캡슐내시경 검사, 이중풍선 소장내시경술, 소장 용종
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