|Discussion in 'All Categories' started by Nancy and Herb - Mar 25th, 2014 10:24 pm.|
Nancy and Herb
|My 8 year old son has multiple polyps in his small intestines. My Gastro Doctor had recommended balloon laparoscopy surgery, but I'm having difficulty finding anyone in the US that will do the surgery on a child. My husband saw a surgeon today through Cincinnati Children's and he was not familiar with the procedure. Can you forward some information about this and/or recommendation of someone in the US able to do this surgery.|
re: Multiple polyps in small intestines. by Dr.J S Chowhan - Mar 26th, 2014 12:11 pm
Dr.J S Chowhan
|Dear Nancy and Herb
The problems of diagnosis and treatment of multiple polyposis of the small intestine are different from those of congenital colonic polyposis, or of isolated gastric polypi or small intestinal polypi. A feature of the hereditary type of multiple polyposis is the finding of melanin spots on the body; this may or may not occur in sporadic or non-hereditary polyposis. Symptoms include occasional diarrhea with or without melena, secondary anemia, and epigastric distress probably due to incomplete recurring intussusception. Physicians are urged to consider this disease when making a diagnosis, so that an elective attack may be made on the polyps directly. Thus, in many cases death from anemia and multiple intussusception can be prevented.
A practical method has been devised for exposing the mucosa of the small intestine for excision or destruction of the polyps, or both. The method is also useful, to a limited extent, in examining the colon for polyps, ulcers and cancer implants. Inspection of portions of the colon and small bowel may help in determining the adequacy of mucosal resection for carcinoma or ulcers, or both.
You may contact the Department of Surgery, McLaren General Hospital, Flint, Michigan
Dr J S Chowhan
World Laparoscopy Hospital
Cyber City, DLF Phase II, Gurgaon, NCR Delhi, 122 002, India
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