Enteroscopy during laparotomy for Peutz-Jeghers syndrome aims for more complete polyp clearance, reducing the number of subsequent laparotomies for intestinal polyps.
In this study, researchers assessed all patients with Peutz-Jeghers syndrome, who had undergone intraoperative enteroscopy since 1987. Their findings are published in the latest issue of Diseases of the Colon and Rectum.
The team recorded the number of polyps identified by palpation and transillumination, and enteroscopy.
In addition, they analyzed the timing of, indications for, and findings of all subsequent laparotomies. These data were compared with data from prior to the introduction of intraoperative enteroscopy.
The researchers studied a total of 25 patients (14 females).
The team found that enteroscopy identified 350 polyps not detected by palpation and transillumination.
All impalpable polyps were removed endoscopically by snare or biopsy.
|No patients required operative polypectomy within 4 years of polyp clearance by intraoperative enteroscopy.|
|Diseases of the Colon and Rectum|
The median follow-up was 53 months.
Of the 25 patients, 6 were required to have had an additional laparotomy.
The research team found that no patients required operative polypectomy within 4 years of polyp clearance by intraoperative enteroscopy. This was compared with 17% of patients from the registry data, who had more than 1 laparotomy within 1 year.
Dr Edwards’s team concluded, “Intraoperative enteroscopy for Peutz-Jeghers syndrome improves polyp clearance without the need for additional enterotomies and may help to reduce the frequency of laparotomies”.