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Vol. 85. Issue 4.
Pages 490-491 (October - December 2020)
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Vol. 85. Issue 4.
Pages 490-491 (October - December 2020)
Scientific letter
DOI: 10.1016/j.rgmxen.2019.10.003
Open Access
Video capsule endoscopy in the diagnosis of Peutz-Jeghers syndrome
Videocápsula endoscópica en el diagnóstico del síndrome de Peutz-Jeghers
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J. García-Márqueza,
Corresponding author
joagarmar@hotmail.com

Corresponding author. Hospital Universitario San Cecilio, Avenida de la Investigación s/n, 18016, Granada, Spain. Phone: 618242443.
, M. Valenzuela-de Damasb, A.M. Caballero-Mateosa
a Hospital Universitario San Cecilio, Granada, Spain
b Hospital Universitario Virgen Macarena, Sevilla, Spain
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Video capsule endoscopy (VCE) is a diagnostic technique utilized in the majority of polyposis syndromes to detect lesions in the small bowel.1

We present herein the case of a 66-year-old man who sought medical attention for subocclusive symptoms presenting over the last few months, that alternated with periods of no symptoms. VCE was performed as soon as the patient presented with a low probability of obstruction, observing numerous polyps of different size and stage that extended from the antrum to the colon (Fig. 1A–C). The study was completed through colonoscopy, with the extirpation of several of the polyps. The histologic analysis stated hamartomatous polyps. The patient is currently in follow-up with endoscopic examinations and periodic polypectomies,2 including resection of jejunal polyps with a double balloon enteroscope.

Fig. 1.

A-C) Images from the VCE study showing numerous polyps of different size and stage in the antrum, jejunum, and colon, respectively.

(0.17MB).

According to the literature, one of the indications for VCE is the diagnosis of small bowel polyposis syndromes, as in the present case. That diagnostic method has shown greater sensitivity than other imaging studies and a similar detection rate to that of double balloon enteroscopy, as well as a low complication rate. However, VCE has a series of disadvantages with respect to imaging studies, such as interobserver variability in its interpretation and its limitation for determining lesion size. In the present case, we wish to emphasize the role of VCE as a simple, efficacious, radiation-free diagnostic method, with a low complication rate, in the study of patients with gastrointestinal polyposis syndromes. Evaluation is later completed with more specific techniques, enabling the most accurate diagnosis possible.

Ethical disclosures

The authors declare they have complied with all the ethical responsibilities regarding data protection, the right to privacy, and informed consent.

Financial disclosure

No financial support was received from any source in relation to the present article.

Conflict of interest

The authors declare that there is no conflict of interest.

References
[1]
A. Beggs, A. Latchford, H. Vasen, et al.
Peutz-Jeghers syndrome: a systematic review and recommendations for management.
Gut., 59 (2010), pp. 975-986
[2]
C. Tomas, P. Soyer, A. Dohan, et al.
Update on imaging of Peutz-Jeghers syndrome.
World J Gastroenterol., 20 (2014), pp. 10864-10875

Please cite this article as: García-Márquez J, Valenzuela-de Damas M, Caballero-Mateos AM. Videocápsula endoscópica en el diagnóstico del síndrome de Peutz-Jeghers. Revista de Gastroenterología de México. 2020;85:490–491.

Copyright © 2019. Asociación Mexicana de Gastroenterología
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