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Điều trị lồng ruột do polyp Peutz Jeghers ở trẻ em

Bài viết Điều trị lồng ruột do polyp Peutz Jeghers ở trẻ em trình bày đánh giá đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị lồng ruột do polyp Peutz Jeghers (PJS) ở trẻ em. Với phương pháp: Hồi cứu mô tả toàn bộ bệnh nhân được chẩn đoán lồng ruột nghi ngờ bị hội chứng Peutz Jeghers được phẫu thuật tại khoa Ngoại tổng hợp Bệnh viện Nhi Trung ương từ tháng 1/2019 tới tháng 12/2020 và kết quả giải phẫu bệnh sau mổ là polyp PJS. | Journal of Pediatric Research and Practice Vol. 6 No. 3 4 2022 1-8 Research Paper Management of Intussuception Due to Peutz Jeghers Polyp in Children Pham Duy Hien Vu Manh Hoan Tran Xuan Nam Nguyen Cong Son Vietnam National Children s Hospital 18 879 La Thanh Dong Da Hanoi Vietnam Received 25 April 2022 Revised 4 May 2022 Accepted 16 May 2022 Abstract Objective To evaluate clinical pre-clinical characteristic and treatment outcomes of Peutz Jeghers polyp PJS in children. Methods Medical records of all the patients with the diagnosis of intussuception due to PJS were operatived in General Surgical Department from 1 2019 to 12 2020 and post- operative pathology results was polyp PJS. Pre-operative and post operative informations were collected and analyzed. Results 10 patiens were identified from 1 2019 to 12 2020 . Male female ratio 5 5. Median age of operation was 5 years old 2 months to 15 years old . All the patients were admitted due to intussuception signs. Abdominal ultrasound revealed 5 10 patients with polyp inside the mass. Pre-operative diagnosis of PJS was noted in 8 patients. Indication for operation was made in 3 cases of unsuccesful air-reduction 7 cases of suspected polyp PJS. Median post-operative stay was 8 days 5-20 days . None of intra-operative and post-operative complications were found. The time of post-operative surrveilance was 15 9 6 6 months 6-24 months . No cases of recurrent polyp were detected. All the patients were performed abdominal ultrasound with normal results. Conclusion PJS is rare in children. Most of patients were found with polyps in gastrointestinal tract. Removal of all the polyps is widely accepted. This disease is managed by GI intervention and operation. Open operation performing for removing polyp is feasible safe and effective in Vietnam Keywords Intussuception Peutz Jeghers syndrome. Corresponding author. E-mail address duyhien1972@yahoo.com https doi.org 10.47973 jprp.v6i3.407 1 2 P.D. Hien et al. Journal of .