‘Top and Tail Endoscopy’ and Follow-up in Peutz-Jeghers Syndrome

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Abstract
Combined gastro-duodenoscopy and colonoscopy ('top and tail' endoscopy) on the same occasion in Peutz-Jeghers patients has allowed multiple endoscopic polypectomies of lesions up to 4.5 cm diameter and up to 40 cm above the ileo-caecal valve. 'Top and tail' endoscopy simplifies the management of Peutz-Jeghers patients and should also be useful in the management of other patients requiring investigation of both ends of the gastro-intestinal tract.

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