Ischemic polypectomy for small-bowel polyps in pediatric Peutz-Jeghers syndrome.

ABSTRACT:

Background and aims

Peutz-Jeghers syndrome (PJS) is characterized by the development of hamartomatous polyps in the gastrointestinal tract that can cause chronic blood loss. Ischemic polypectomy has emerged as a low-risk technique in adult patients with PJS but remains largely undocumented in pediatric populations. This video presents the first published case demonstrating ischemic polypectomy in a pediatric patient, to our knowledge.

Methods

A 12-year-old girl with PJS and chronic anemia underwent balloon-assisted enteroscopy. Seven pedunculated small-bowel polyps were identified and treated using ischemic polypectomy with a detachable snare.

Results

Three representative polypectomies are shown. The snare was tightened at the polyp stalk until ischemic changes occurr

SUBMITTER: Grabau JM 

PROVIDER: S-EPMC12921582 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature