2019 Volume 55 Issue 4 Pages 828-834
A 4 year and 10 month boy presented with intermittent abdominal pain occurring for several days, and intussusception was revealed by abdominal ultrasonography. Suspected of having Peutz–Jeghers syndrome because of the pigmentation on his lower lip and family history, he was referred to our hospital for further examination and treatment. After confirming the intraluminal polypoid lesion at the intestinal intussusception site by abdominal CT, single-balloon enteroscopy (SBE) was conducted under general anesthesia. Polyps (25 and 8 mm) were found at the upper jejunum 60 cm from the incisor, and polypectomies were subsequently performed safely and successfully. Balloon-assisted enteroscopy (BAE) was first developed in Japan in 2000 and has been used widely in adults. However, in the pediatric population, the use of BAE is still uncommon; furthermore, the use of SBE is rarely reported. Our present experience suggests that SBE is feasible for the diagnosis and treatment of small bowel lesion even in children.
