Korean J Gastrointest Endosc.  2007 Dec;35(6):424-428.

A Case of Peutz-Jeghers Polyp that was Diagnosed using Capsule Endoscoy and the Polyp was Removed by Means of Double Balloon Enteroscopy

• Lee JS
• Jang WC
• Ok KS
• Jeung TY
• Huh JG
• Ryu SH
• Lee JH
• Kim YS
• Moon JS

Abstract

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.

Keyword

Peutz-Jeghers syndrome; Capsule endoscopy; Double balloon enteroscopy; Small bowel polyp

MeSH Terms

Abdominal Pain
Anemia
Barium
Capsule Endoscopy
Colonoscopy
Double-Balloon Enteroscopy*
Gastrointestinal Tract
Genetic Diseases, Inborn
Hemorrhage
Humans
Ileum
Intestine, Small
Intussusception
Laparotomy
Melanins
Melena
Peutz-Jeghers Syndrome
Pigmentation
Polyps*
Radiography
Barium
Melanins