• 徐州醫(yī)學院附屬宿遷醫(yī)院 南京鼓樓醫(yī)院集團宿遷市人民醫(yī)院肝膽外科(江蘇宿遷 223800);

目的  提高對幼年性息肉致小腸套疊的診治水平。
方法  按檢索策略,檢索PubMed、中國生物醫(yī)學文獻數(shù)據(jù)庫(CBM)、中文科技期刊全文數(shù)據(jù)庫(CSJD)、中國期刊全文數(shù)據(jù)庫(CJFD)及CNKI數(shù)字圖書館的相關文獻,并結合筆者所在醫(yī)院于2011年收治的1例幼年性息肉致小腸套疊病例資料,對該病進行一系統(tǒng)的描述。
結果  共檢出相關文獻65篇,按納入及排除標準,最后納入6篇文獻。共7例患者,臨床表現(xiàn)為腹痛、嘔吐5例,便血2例,貧血3例;經(jīng)超聲檢查診斷4例;全組均行小腸切除腸吻合術,其中1例為腹腔鏡輔助手術;有1例患者共實施了3次手術,最后死于惡液質(zhì),其余患者恢復較好。
結論  幼年性息肉致小腸套疊為臨床罕見疾病,超聲檢查仍為首選診斷方法;提高醫(yī)師對該病的認識,術中徹底探查腸道,必要時術中行快速冰凍切片病理學檢查,有望減少息肉遺留,改善患者的預后。

引用本文: 劉坤,林斌,汪啟樂. 幼年性息肉致小腸套疊的系統(tǒng)文獻復習. 中國普外基礎與臨床雜志, 2012, 19(12): 1341-1343. doi: 復制

1. Sachatello CR, Hahn IS, Carrington CB. Juvenile gastrointestinalpolyposis in a female infant:report of a case and review of the literature of a recently recognized syndrome[J]. Surgery, 1974, 75(1):107-114.
2. Zimmermann H, Stauch G, Kamran D. Juvenile polyp in the small bowel (author’s transl)[J]. Z Kinderchir, 1981, 33(1):89-93.
3. Sah SP, Agrawal CS, Jha PC, et al. Juvenile polyps in the small intestine presenting as jejunojejunal intussusception in a 10-year-oldchild:report of a case[J]. Surg Today, 2002, 32(9):828-830.
4. 劉仕琪, 牛建華, 史生偉, 等. 小腸幼年性息肉致腸套疊1例報道[J]. 臨床和實驗醫(yī)學雜志, 2008, 7(3):176.
5. 孫茂, 周輝. 幼年性息肉致小兒空腸套疊1例分析[J]. 中國誤診學雜志, 2009, 9(31):7790.
6. Ceccanti S, Frediani S, Manganaro F, et al. Laparoscopic-assisted resection of juvenile polyp of the jejunum in a 3-year-old girl[J]. J Pediatr Surg, 2012, 47(2):426-429.
7. McColl I, Busxey HJ, Veale AM, et al. Juvenile polyposis coli[J]. Proc R Soc Med, 1964, 57(10):896-897.
8. Desai DC, Neale KF, Talbot IC, et al. Juvenile polyposis[J]. Br J Surg, 1995, 82(1):14-17.
9. Adolph VR, Bernabe K. Polyps in children[J]. Clin Colon Rectal Surg, 2008, 21(4):280-285.
10. Postgate AJ, Will OC, Fraser CH, et al. Capsule endoscopy for the small bowel in juvenile polyposis syndrome:a caseseries[J]. Endoscopy, 2009, 41(11):1001-1004.
11. Guilhon de Araujo Sant’Anna AM;Dubois J, Miron MC, et al. Wireless capsule endoscopy for obscure small-bowel disorders:final results of the first pediatric controlled trial[J]. Clin Gastroenterol Hepatol, 2005, 3(3):264-270.
12. de’ Angelis GL, Fornaroli F, de’ Angelis N, et al. Wireless capsule endoscopy for pediatric small-bowel diseases[J]. Am J Gastroenterol, 2007, 102(8):1749-1757.
13. Parra DA, Navarro OM. Sonographic diagnosis of intestinalpolyps in children[J]. Pediatr Radiol, 2008, 38(6):680-684.
14. 王石林, 顧國利, 魏學明, 等. Peutz-Jeghers 綜合征臨床綜合治療模式初探 (附 71 例報道)[J] . 中國普外基礎與臨床雜志, 2012, 19(5):502-506.
15. de Ridder L, van Lingen AV, Taminiau JA, et al. Rectal bleeding in children:endoscopic evaluation revisited[J]. Eur J Gastroenterol Hepatol, 2007, 19(4):317-320.
16. Cynamon HA, Milov DE, Andres JM. Diagnosis and management of colonic polyps in children[J]. J Pediatr, 1989, 114(4 Pt 1):593-596.
17. Rozen P, Baratz M. Familial juvenile colonic polyposis withassociated colon cancer[J]. Cancer, 1982, 49(7):1500-1503.
  1. 1. Sachatello CR, Hahn IS, Carrington CB. Juvenile gastrointestinalpolyposis in a female infant:report of a case and review of the literature of a recently recognized syndrome[J]. Surgery, 1974, 75(1):107-114.
  2. 2. Zimmermann H, Stauch G, Kamran D. Juvenile polyp in the small bowel (author’s transl)[J]. Z Kinderchir, 1981, 33(1):89-93.
  3. 3. Sah SP, Agrawal CS, Jha PC, et al. Juvenile polyps in the small intestine presenting as jejunojejunal intussusception in a 10-year-oldchild:report of a case[J]. Surg Today, 2002, 32(9):828-830.
  4. 4. 劉仕琪, 牛建華, 史生偉, 等. 小腸幼年性息肉致腸套疊1例報道[J]. 臨床和實驗醫(yī)學雜志, 2008, 7(3):176.
  5. 5. 孫茂, 周輝. 幼年性息肉致小兒空腸套疊1例分析[J]. 中國誤診學雜志, 2009, 9(31):7790.
  6. 6. Ceccanti S, Frediani S, Manganaro F, et al. Laparoscopic-assisted resection of juvenile polyp of the jejunum in a 3-year-old girl[J]. J Pediatr Surg, 2012, 47(2):426-429.
  7. 7. McColl I, Busxey HJ, Veale AM, et al. Juvenile polyposis coli[J]. Proc R Soc Med, 1964, 57(10):896-897.
  8. 8. Desai DC, Neale KF, Talbot IC, et al. Juvenile polyposis[J]. Br J Surg, 1995, 82(1):14-17.
  9. 9. Adolph VR, Bernabe K. Polyps in children[J]. Clin Colon Rectal Surg, 2008, 21(4):280-285.
  10. 10. Postgate AJ, Will OC, Fraser CH, et al. Capsule endoscopy for the small bowel in juvenile polyposis syndrome:a caseseries[J]. Endoscopy, 2009, 41(11):1001-1004.
  11. 11. Guilhon de Araujo Sant’Anna AM;Dubois J, Miron MC, et al. Wireless capsule endoscopy for obscure small-bowel disorders:final results of the first pediatric controlled trial[J]. Clin Gastroenterol Hepatol, 2005, 3(3):264-270.
  12. 12. de’ Angelis GL, Fornaroli F, de’ Angelis N, et al. Wireless capsule endoscopy for pediatric small-bowel diseases[J]. Am J Gastroenterol, 2007, 102(8):1749-1757.
  13. 13. Parra DA, Navarro OM. Sonographic diagnosis of intestinalpolyps in children[J]. Pediatr Radiol, 2008, 38(6):680-684.
  14. 14. 王石林, 顧國利, 魏學明, 等. Peutz-Jeghers 綜合征臨床綜合治療模式初探 (附 71 例報道)[J] . 中國普外基礎與臨床雜志, 2012, 19(5):502-506.
  15. 15. de Ridder L, van Lingen AV, Taminiau JA, et al. Rectal bleeding in children:endoscopic evaluation revisited[J]. Eur J Gastroenterol Hepatol, 2007, 19(4):317-320.
  16. 16. Cynamon HA, Milov DE, Andres JM. Diagnosis and management of colonic polyps in children[J]. J Pediatr, 1989, 114(4 Pt 1):593-596.
  17. 17. Rozen P, Baratz M. Familial juvenile colonic polyposis withassociated colon cancer[J]. Cancer, 1982, 49(7):1500-1503.