{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:06:57Z","timestamp":1790233617945,"version":"4.1.0"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background To decrease the risk of bleeding or perforation, ischemic polypectomy is performed using a detachable snare or endoclip with double-balloon endoscopy (DBE) for small-bowel polyps in patients with Peutz\u200a\u2013\u200aJeghers syndrome. The aim of this study was to determine the effectiveness and feasibility of ischemic polypectomy.<\/jats:p><jats:p>\n          Methods We retrospectively reviewed patients who underwent two or more sessions of ischemic polypectomy using DBE from July 2004 to August 2017.<\/jats:p><jats:p>\n          Results 67 therapeutic DBEs were performed in nine patients during the study period and 352 polyps were treated. The median observation period was 34 months (range 12\u200a\u2013\u200a66). There was a declining trend over time in the median number of polyps\u200a&gt;\u200a15\u200amm treated per patient first DBE session 6, second 2, third 1.5, fourth 0.5, fifth 0.5; P\u200a=\u200a0.11, Friedman test). No patient required laparotomy due to intussusception during the study period. One patient developed mild acute pancreatitis after the procedure.<\/jats:p><jats:p>\n          Conclusions Ischemic polypectomy was feasible for the control of small-bowel polyps in patients with Peutz\u200a\u2013\u200aJeghers syndrome.<\/jats:p>","DOI":"10.1055\/a-1276-6452","type":"journal-article","created":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T23:45:51Z","timestamp":1601595951000},"page":"744-748","source":"Crossref","is-referenced-by-count":33,"title":["Endoscopic ischemic polypectomy for small-bowel polyps in patients with Peutz\u2013Jeghers syndrome"],"prefix":"10.1055","volume":"53","author":[{"given":"Tsevelnorov","family":"Khurelbaatar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan"},{"name":"Department of Gastroenterology, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirotsugu","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomonori","family":"Yano","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuichi","family":"Sagara","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulzii","family":"Dashnyam","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan"},{"name":"Department of Pediatrics, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Shinozaki","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan"},{"name":"Shinozaki Medical Clinic, Utsunomiya, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keijiro","family":"Sunada","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan Kawarai","family":"Lefor","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jichi Medical University, Tochigi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hironori","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,12,16]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1056\/NEJM194912292412601","article-title":"Generalized intestinal polyposis and melanin spots of the oral mucosa, lips and digits; a syndrome of diagnostic significance","volume":"241","author":"H Jeghers","year":"1949","journal-title":"N Engl J Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1136\/gut.2009.198499","article-title":"Peutz\u2013Jeghers syndrome: a systematic review and recommendations for management","volume":"59","author":"A D Beggs","year":"2010","journal-title":"Gut"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1097\/00005176-200408000-00027","article-title":"Complications of childhood Peutz\u2013Jeghers syndrome: implications for pediatric screening","volume":"39","author":"R Hinds","year":"2004","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1647","DOI":"10.1016\/j.cgh.2017.08.018","article-title":"Fifteen years since the advent of double-balloon endoscopy","volume":"15","author":"H Yamamoto","year":"2017","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.gie.2011.04.001","article-title":"Nonsurgical management of small-bowel polyps in Peutz\u2013Jeghers syndrome with extensive polypectomy by using double-balloon endoscopy","volume":"74","author":"H Sakamoto","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"594","DOI":"10.4321\/S1130-01082013001000004","article-title":"Double-balloon enteroscopy in the management of patients with Peutz\u2013Jeghers syndrome: a retrospective cohort multicenter study","volume":"105","author":"M Serrano","year":"2013","journal-title":"Rev Esp Enferm Dig"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1111\/1751-2980.12784","article-title":"The role of double-balloon enteroscopy in reducing the maximum size of polyps in patients with Peutz\u2013Jeghers syndrome: 12-year experience","volume":"20","author":"Y X Wang","year":"2019","journal-title":"J Dig Dis"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1111\/den.13189","article-title":"Crossed-clip strangulation for the management of small intestinal polyps in patients with Peutz\u2013Jeghers syndrome","volume":"30","author":"T Yano","year":"2018","journal-title":"Dig Endosc"},{"issue":"S 02","key":"ref9","doi-asserted-by":"crossref","first-page":"E264","DOI":"10.1055\/s-0030-1256528","article-title":"Selective ligation using a detachable snare for small-intestinal polyps in patients with Peutz\u2013Jeghers syndrome","volume":"43","author":"K Takakura","year":"2011","journal-title":"Endoscopy"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1038\/bmt.2012.244","article-title":"Investigation of the freely available easy-to-use software \u2018EZR\u2019 for medical statistics","volume":"48","author":"Y Kanda","year":"2013","journal-title":"Bone Marrow Transplant"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1111\/den.13173","article-title":"Efficacy and safety of cold versus hot snare polypectomy for resecting small colorectal polyps: systematic review and meta-analysis","volume":"30","author":"S Shinozaki","year":"2018","journal-title":"Dig Endosc"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/j.gie.2009.11.005","article-title":"Endoscopic therapy of small-bowel polyps by double-balloon enteroscopy in patients with Peutz\u2013Jeghers syndrome","volume":"71","author":"H Gao","year":"2010","journal-title":"Gastrointest endosc"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1055\/s-0030-1256473","article-title":"Risk of hyperamylasemia and acute pancreatitis after double-balloon enteroscopy: a prospective study","volume":"43","author":"S Zepeda-Gomez","year":"2011","journal-title":"Endoscopy"}],"container-title":["Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1276-6452.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T09:48:08Z","timestamp":1660124888000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1276-6452"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,1]]},"references-count":13,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2021,6,24]]},"published-print":{"date-parts":[[2021,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1276-6452","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0013-726X","1438-8812"],"issn-type":[{"value":"0013-726X","type":"print"},{"value":"1438-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,10,1]]},"published":{"date-parts":[[2020,10,1]]}}}