Clinical Trials Study
Copyright ©The Author(s) 2023.
World J Gastroenterol. Jun 7, 2023; 29(21): 3302-3317
Published online Jun 7, 2023. doi: 10.3748/wjg.v29.i21.3302
Table 6 Recommended follow-up and intervention strategies for mutant-type and wild-type Peutz-Jeghers syndrome
Age (yr)Mutant-type
Wild-type
Surveillance
Intervention
Surveillance
Intervention
< 7Routine abdominal ultrasound surveillance is recommended every yearRemoval of polypsAbdominal ultrasound is recommended every 3-5 yrFollow-up observation
8-11Routine abdominal ultrasound surveillance is recommended every year. For symptomatic individuals with PJS, an abdominal ultrasound should be performed earlierRemoval of polypsAbdominal ultrasound is recommended every 3-5 yr. For symptomatic individuals with PJS, an abdominal ultrasound should be performed earlierRemoval of polyps
8-18Total GI surveillance every year (CT scan of small-bowel or enteroscopy/capsule endoscopy should be offered as optionsPolyps > 10 mm should be removedTotal GI surveillance 2-3 yrRemoval of polyps
19-30Routine total GI polyps surveillance every 2-3 yr and screening for systemic tumorsRemoval of polyps and treatment of tumorsRoutine total GI polyps surveillance every 2-3 yrRemoval of polyps
> 30Focus on detection of tumors in digestive tract and other organsTreatment of tumorsFocus on detection of tumors in digestive tract and other organsTreatment of tumors