{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T02:53:02Z","timestamp":1747191182396,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","license":[{"start":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T00:00:00Z","timestamp":1702857600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Gastrointestinal Medicine"],"published-print":{"date-parts":[[2023,12,18]]},"abstract":"<jats:p>Solitary Peutz\u2013Jeghers-type polyp (SPJP) is a rare hamartomatous lesion. It is considered a different entity from Peutz\u2013Jeghers syndrome despite similar histopathological findings. It can be found in the GI tract but rarely in the jejunum. Jejunal SPJP is susceptible to necrosis, ulceration, and intussusception, resulting in GI bleeding or small bowel obstruction. We describe a case of subacute gastrointestinal bleeding secondary to jejunal SPJP to share our approach to this challenging case using therapeutic endoscopy. An 81-year-old male patient with a history of atrial fibrillation on warfarin with stable therapeutic INR levels presented with a 1-week history of melena, generalized fatigue, and shortness of breath on exertion and was found to have profound iron deficiency anemia. Esophageal gastroduodenoscopy and colonoscopy failed to identify the source of bleeding; however, single-balloon enteroscopy detected a 4\u2009cm polyp with a stalk in the proximal jejunum. Endoscopic polypectomy was performed, and the whole polyp was removed. Histopathological examination was consistent with Peutz\u2013Jeghers polyp. The genetic analysis was negative for STK11 mutation. Follow-up magnetic resonance enterography and video capsule endoscopy did not reveal any other polypoid lesion in the GI tract. The patient\u2019s symptoms resolved gradually, and his hemoglobin level returned back to normal levels within 6\u2009months. To our knowledge, this is the first case of endoscopic polypectomy during balloon-assisted enteroscopy for jejunal SPJP.<\/jats:p>","DOI":"10.1155\/2023\/2391602","type":"journal-article","created":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T23:05:07Z","timestamp":1702940707000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["A Case Report and Literature Review of a Rare Jejunal Solitary Peutz\u2013Jeghers-Type Polyp Resected Endoscopically in an Elderly Patient Presenting with Subacute Gastrointestinal Bleeding"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4220-6747","authenticated-orcid":true,"given":"Talal","family":"Alenezi","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology, McGill University Health Centre, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0873-8506","authenticated-orcid":true,"given":"Victoria","family":"Marcus","sequence":"additional","affiliation":[{"name":"Department of Pathology, McGill University Health Centre, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2610-1910","authenticated-orcid":true,"given":"Talat","family":"Bessissow","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, McGill University Health Centre, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00309096"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1159\/000437175"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1101\/mcs.a001610"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/s0016-5107(00)70308-7"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0b013e3180339944"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1626-1-68"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-015-0606-8"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.4103\/0971-9261.214442"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2018.0019"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.epsc.2020.101433"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1007\/s12328-020-01197-2"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2021.0038"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-015-1296-y"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000008466"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-002-0411-x"}],"container-title":["Case Reports in Gastrointestinal Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2023\/2391602.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2023\/2391602.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2023\/2391602.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,18]],"date-time":"2023-12-18T23:05:11Z","timestamp":1702940711000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crigm\/2023\/2391602\/"}},"subtitle":[],"editor":[{"given":"Haruhiko","family":"Sugimura","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,12,18]]},"references-count":15,"alternative-id":["2391602","2391602"],"URL":"https:\/\/doi.org\/10.1155\/2023\/2391602","relation":{},"ISSN":["2090-6536","2090-6528"],"issn-type":[{"type":"electronic","value":"2090-6536"},{"type":"print","value":"2090-6528"}],"subject":[],"published":{"date-parts":[[2023,12,18]]}}}