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Eur J Pediatr Surg. 1997 Dec;7(6):367-8.

Recent developments in the management of Peutz-Jeghers syndrome in childhood.

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Department of Paediatric Surgery, Royal Liverpool Children's Hospital (Alder Hey), UK.


A combined surgical and endoscopic approach for managing extensive polyposis in a child with Peutz-Jeghers syndrome (PJS) is presented. Application of this technique offers the following advantages over conventional surgical practice -- 1) an accurate assessment can be made of the extent of intestinal polyposis; 2) small polyps can be easily removed endoscopically; 3) endoscopy can direct the operating surgeon to selected enterotomy sites for open excision of larger polyps and 4) multiple laparotomy, extensive intestinal resection(s) and the potential threat of short-gut syndrome in PJS patients may be avoided.

[Indexed for MEDLINE]

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