TY - JOUR T1 - Safety and efficacy of small bowel polypectomy using a balloon-assisted enteroscope in pediatric patients with Peutz-Jeghers syndrome JO - Revista de Gastroenterología de México T2 - AU - Blanco-Velasco,G. AU - Hernández-Mondragón,O.V. AU - Blancas-Valencia,J.M. AU - Paz-Flores,V. AU - Fuentes-Hernández,D. AU - Rodríguez-González,P. AU - González-Ortíz,B. SN - 2255534X M3 - 10.1016/j.rgmxen.2018.03.010 DO - 10.1016/j.rgmxen.2018.03.010 UR - http://www.revistagastroenterologiamexico.org/en-safety-efficacy-small-bowel-polypectomy-articulo-S2255534X18300355 AB - Introduction and aimsPeutz-Jeghers syndrome is an autosomal dominant inherited pathology characterized by gastrointestinal hamartomatous polyps, predominantly in the small bowel, and pigmented mucocutaneous lesions. Guidelines suggest polypectomy with a balloon-assisted enteroscope when polyps are larger than 10mm. Complications in adults can be as high as 6.8%, but there is little information on pediatric populations. Our aim was to describe the safety and efficacy of polypectomy in a group of pediatric patients with Peutz-Jeghers syndrome using balloon-assisted enteroscopy. Materials and methodsA retrospective study was conducted at the Hospital de Especialidades del Centro Médico Nacional Siglo XXI on pediatric patients with Peutz-Jeghers syndrome that required balloon-assisted enteroscopy and polypectomy within the time frame of January 2010 and December 2015. Patients that underwent polypectomy with a push enteroscope were excluded from the study. ResultsA total of 35 polypectomies were performed on 4 patients (female/male: 3/1). The mean age of the patients was 13.7 years (range:11-16). Twelve enteroscopies were carried out, 8 of which were anterograde. A single-balloon enteroscope was used in 7 procedures and a double-balloon enteroscope in 5. The mean size of the polyps was 1.6cm (range: 1-4cm). A major complication (acute pancreatitis) presented in only one case (8.3%). No other major complications associated with the procedures were observed. ConclusionBalloon-assisted enteroscopy with polypectomy in children is a safe and effective procedure, with complications similar to those reported in adults. ER -