Transumbilical approach to intraoperative enteroscopy in a child with intussusception and Peutz-Jeghers syndrome

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery
• Pediatric Surgery

Background:

• Peutz-Jeghers syndrome is associated with complications like intussusception and increased reoperation rates.
• Intraoperative enteroscopy, typically done via laparotomy, is used to manage complicated polyposis.
• Minimally invasive approaches are sought to reduce surgical morbidity.

Observation:

• A 10-year-old child with Peutz-Jeghers syndrome presented with intussusception.
• Laparoscopic reduction of the intussusception was successfully performed.
• Intraoperative transenterotomy enteroscopy and extracorporeal ileal resection were achieved via a transumbilical approach.

Findings:

• The described transumbilical technique successfully combined intraoperative enteroscopy and ileal resection.
• This approach obviated the need for a traditional laparotomy.
• Feasibility of this minimally invasive strategy in pediatric Peutz-Jeghers syndrome was demonstrated.

Implications:

• This technique offers a less invasive alternative for managing Peutz-Jeghers syndrome complications in children.
• It potentially reduces the need for laparotomy, leading to faster recovery and fewer complications.
• Further studies may explore the broader application of transumbilical approaches in pediatric gastrointestinal surgery.