Zhao Hongmei,Zhan Meizheng,Li Yong,et al.Value of multidisciplinary cooperation in therapy refractory digestive tract polyps in children[J].Journal of Clinical Pediatric Surgery,,19():326-330.[doi:10.3969/j.issn.1671-6353.2020.04.009]
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Value of multidisciplinary cooperation in therapy refractory digestive tract polyps in children

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第19卷 Number: 2020 04 Page: 326-330 Column: 论著 Date of publication: 2020-04-28
Author(s):
Zhao Hongmei1;  Zhan Meizheng1;  Li Yong2;  Hu Yuan3;  Li Xiaoming4;  Chen Weijian5;  Ouyang Hongjuan1;  Liu Li1;  Duan Jiaqi1;  Luo Yanhong1;  Zhang Wenti
1. Department of Gastroenterology, Hunan Children’s Hospital, Changsha 410007, China;
2. Department of General Surgery, Hunan Children’s Hospital, Changsha 410007, China;
3. Department of Special Examinations, Hunan Children’s Hospital, Changsha 410007, China;
4. Department of Radiology, Hunan Children’s Hospital, Changsha 410007, China;
5. Department of Pathology, Hunan Children’s Hospital, Changsha 410007, China
Keywords:
Intestinal Polyps; Laparoscopy; Multidisciplinary Cooperation; Child
CLC:
R726.1;R574
DOI:
10.3969/j.issn.1671-6353.2020.04.009
Abstract:
Objective To explore the clinical value and safety of multi-disciplinary cooperating laparoscopic assisted enteroscopic polypectomy for pediatric refractory digestive tract polyps. Methods Retrospective analysis was performed for clinical data of 21 children of pediatric refractory deep digestive tract polyps undergoing laparoscopically assisted enteroscopic polypectomy from 2008 to 2018. Results There were 14 boys and 7 girls with an average age of (7±2.1) years.The causes were Peutz-Jeghers syndrome (n=15),familial ademomatous polyposis (n=1) and intestinal polyps (n=5).And the pathological diagnoses were hamartoma (n=8),juvenile polyps (n=9),adenomatous polyps (n=1) and hyperplastic polyps (n=3).Clinical manifestations included recurrent intussusception (n=16) and incomplete intestinal obstruction (n=5).And all children underwent laparoscopic-assisted enteroscopic polypectomy,including duodenal horizontal segment polypectomy (n=2) and upper colon polypectomy (n=3).The remainder underwent small intestine polypectomy.A total of 143 polyps were removed and submitted for pathological examinations.The maximal diameter of polyp was 5×4.5 cm.One patient with broad-based giant polyp (5.5×5 cm) that could not be removed endoscopically was finally operated.Three cases of giant polyps were sutured with titanium clip while 5 cases of polyps were treated with titanium clip for hemostasis.Two cases finally underwent laparoscopic repair because of intestinal perforation intraoperatively. Conclusion Under the guidance of abdominal CT and ultrasound,laparoscopic assisted enteroscopic polypectomy has fewer complications and more safety so that more satisfactory clinical outcomes may be achieved.Only few cases require surgery.Therefore it is worthy of promoting multidisciplinary cooperation plus mini-invasive treatment.

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Memo

收稿日期:2019-06-16。
基金项目:湖南省自然科学基金面上项目（编号：2019JJ40155）
通讯作者:游洁玉,Email:yjy660111@sina.com

Last Update: 1900-01-01