Reduction of ileoileal intussusception by using double-balloon endoscopy in Peutz-Jeghers syndrome (with video)

Until only a few years ago, primary surgical resection and intraoperative endoscopy with polypectomy were the only means available for treating polyps in the small intestine in patients with Peutz-Jeghers syndrome (PJS). With the introduction of double-balloon endoscopy 1 Yamamoto H. Sekine Y. Sato Y. et al. Total enteroscopy with a nonsurgical steerable double-balloon method. Gastrointest Endosc. 2001; 53: 216-220 Abstract Full Text Full Text PDF PubMed Scopus (1185) Google Scholar , 2 Yamamoto H. Kita H. Sunada K. et al. Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of small-intestinal diseases. Clin Gastroenterol Hepatol. 2004; 2: 1010-1016 Abstract Full Text Full Text PDF PubMed Scopus (644) Google Scholar (DBE), however, endoscopic polypectomy has become available. However, in the case of intussusception in PJS, surgical intervention is still usually required. We describe our experience with successful reduction of an ileoileal intussusception followed by endoscopic resection of the responsible polyp by using DBE in a patient with PJS.