¼ÒÀå ÃâÇ÷À» À¯¹ßÇÑ Peutz-Jeghers ¿ëÁ¾ÀÇ Ä¸½¶³»½Ã°æ Áø´Ü ¹× ÀÌÁßdz¼± ¼ÒÀå³»½Ã°æ¿¡ ÀÇÇÑ ¿ëÁ¾ÀýÁ¦¼ú 1¿¹
A Case of Peutz-Jeghers Polyp that was Diagnosed using Capsule Endoscoy and the Polyp was Removed by Means of Double Balloon Enteroscopy
´ëÇѼÒȱ⳻½Ã°æÇÐȸÁö 2007³â 35±Ç 6È£ p.424 ~ p.428
ÀÌÁ¾¼º(Lee Jong-Sung) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
Àå¿øö(Jang Won-Cheol) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
¿Á°æ¼±(Ok Kyung-Sun) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°ú
Á¤Å¿±(Jeong Tae-Yeob) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
ÇãÁø±¹(Huh Jin-Gook) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
·ù¼öÇü(Ryu Soo-Hyung) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ³»°úÇб³½Ç
ÀÌÁ¤È¯(Lee Jung-Hwan) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
±èÀ¯¼±(Kim You-Sun) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
¹®Á¤¼·(Moon Jeong-Seop) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ ¼¿ï¹éº´¿ø ³»°úÇб³½Ç
Abstract
Peutz-Jeghers ÁõÈıºÀº ÁÖ·Î »ó¿°»öü ¿ì¼ºÀ¯ÀüÀ» Çϸç À§Àå°ü¿¡ ´Ù¹ß¼º °ú¿ÀÁ¾À» Çü¼ºÇÏ°í ÇǺÎÁ¡¸·¿¡ »ö¼Ò ħÂøÀÌ Æ¯Â¡ÀûÀÎ ÁúȯÀ¸·Î ¿ëÁ¾Àº ¼ÒÈ°ü ¾îµð¿¡¼³ª »ý±æ ¼ö ÀÖÀ¸³ª ¼ÒÀå¿¡¼ °¡Àå ÈçÇÏ´Ù. Áõ»óÀ¸·Î ¿ëÁ¾¿¡ ÀÇÇÑ ÀåÆó»ö°ú ÀåÁßøÁõÀ¸·Î ÀÎÇÑ º¹ºÎ µ¿ÅëÀÌ ÈçÇÏ°í À§Àå°ü ÃâÇ÷À» À¯¹ßÇÒ ¼ö ÀÖ´Ù. Peutz-Jeghers ÁõÈıº¿¡¼ ¹ß»ýÇÏ´Â ¼ÒÀå ¿ëÁ¾ÀÇ Áø´Ü¿¡¼ Ãֱ٠ĸ½¶³»½Ã°æ °Ë»ç°¡ Á¾·¡ÀÇ ¹Ù·ý ¼ÒÀåÁ¶¿µ¼úº¸´Ù ¹Î°¨µµ°¡ ³ô´Ù´Â º¸°í¿Í ¼ÒÀå ¿ëÁ¾À» ÀÌÁßdz¼± ¼ÒÀå³»½Ã°æÀ¸·Î Á¦°ÅÇÑ º¸°í°¡ ÀÖ´Ù. ÀúÀÚµéÀº ¹Ýº¹ÀûÀÎ Èæ»öº¯À» ÁÖ¼Ò ·Î ³»¿øÇÑ È¯ÀÚ¿¡¼ ĸ½¶³»½Ã°æ °Ë»ç¸¦ ÅëÇØ ¹ß°ßµÈ ȸÀå ¿øÀ§ºÎ ¿ëÁ¾À» ´ëÀå³»½Ã°æÀ» ÀÌ¿ëÇÏ¿© ÀýÁ¦ ÈÄ
Peutz-Jeghers ÁõÈıºÀ¸·Î Áø´ÜÇÏ°í ³²¾Æ ÀÖ´Â ¼ÒÀå ¿ëÁ¾À» ÀÌÁßdz¼± ¼ÒÀå³»½Ã°æÀ¸·Î ÇÕº´Áõ ¾øÀÌ Á¦°ÅÇÏ¿´±â ¿¡ º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
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.
Å°¿öµå
Peutz-Jeghers ÁõÈıº, ĸ½¶³»½Ã°æ °Ë»ç, ÀÌÁßdz¼± ¼ÒÀå³»½Ã°æ¼ú, ¼ÒÀå ¿ëÁ¾
Peutz-Jeghers syndrome, Capsule endoscopy, Double balloon enteroscopy, Small bowel polyp
KMID :
0359020070350060424
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
À¯È¿¼º°á°ú(Recomendation)
A Case of Peutz-Jeghers Polyp that was Diagnosed using Capsule Endoscoy and the Polyp was Removed by Means of Double Balloon Enteroscopy.