• Surgical treatment of polyposis in children with Peutz-Jeghers syndrome

Surgical treatment of polyposis in children with Peutz-Jeghers syndrome

Paediatric Surgery.2017.4(57):85-87; doi 10.15574/PS.2017.57.85

Grytsenko M. I., Grytsenko Ie. M.
Children’s Municipal Clinical Hospital, Poltava, Ukraine
Higher State Educational Establishment of Ukraine «Ukrainian Medical Stomatological Academy», Poltava

Objective – to improve methods of surgical treatment of patients with polyposis of the gastrointestinal tract.
Material and methods. The study is based on the analysis of treatment outcomes of three children with the Peutz-Jeghers syndrome – two boys aged 12 years and a girl aged 13 years.
Results and discussion. Traditionally, polypectomy due to intestinal polyposis requires multiple incisions of intestine or segmental resection of the affected area, which can lead to various complications. A new method of removing polyps from the intestine without multiple intestinal incisions is proposed. The method provides that, after opening the intestine, a clamp is inserted into it and the gut is crimped on it, while a polyp is detected by palpation. Then the polyp peduncle or the intestine wall near the polyp is clamped, traction is performed, and the corrugated gut is displaced from the clamp, thus causing intussusception before excising the polyp through the incision on the intestine. After the polyp removal, perform disinvagination and repeat the manipulation.
Conclusions. The proposed method of polypectomy can reduce the traumatic nature of surgery and reduce the risk of postoperative complications and is the operation of choice for multiple disseminated polyps of the small and large intestine.
Key words: Peutz-Jeghers syndrome, polypectomy, children.