A Case of Peutz-Jeghers Syndrome Treated Surgically Combined with an Intraoperative Endoscopic Polypectomy

Abstract

A 40-year-old man diagnosed with Peutz-Jeghers syndrome was admitted to our hospital due to intestinal intussusceptions. He had a history of laparotomy for intussusception and gastrointestinal bleeding. Although the preoperative examination revealed more than 100 polyps in the intestine requiring resection, bowel resection or surgical polypectomy was assumed to be associated with short bowel syndrome or a high rate of postoperative complications. The patient underwent laparotomy and repair of the intestinal intussusceptions followed by endoscopic polypectomy via small incisions in the intestinal wall. Large polyps that were difficult to treat endoscopically were surgically resected. We successfully resected nearly 150 polyps larger than 10 mm between the duodenum and the ascending colon. Intraoperative endoscopic polypectomy is an effective and safe procedure for patients with a history of laparotomy and diffuse polyps throughout the intestine.