The management of peutz–jeghers syndrome: European hereditary tumour group (ehtg) guideline

Anja Wagner, Stefan Aretz, Annika Auranen, Marco J. Bruno, Giulia M. Cavestro, Emma J. Crosbie, Anne Goverde, Anne Marie Jelsig, Andrew Latchford, Monique E. van Leerdam, Anna Lepisto, Marta Puzzono, Ingrid Winship, Veronica Zuber, Gabriela Möslein

Research output: Contribution to journalReview ArticleScientificpeer-review

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The scientific data to guide the management of Peutz–Jeghers syndrome (PJS) are sparse. The available evidence has been reviewed and discussed by diverse medical specialists in the field of PJS to update the previous guideline from 2010 and formulate a revised practical guideline for colleagues managing PJS patients. Methods: Literature searches were performed using MEDLINE, Embase, and Cochrane. Evidence levels and recommendation strengths were assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE). A Delphi process was followed, with consensus being reached when ≥80% of the voting guideline committee members agreed. Recommendations and statements: The only recent guidelines available were for gastrointestinal and pancreatic management. These were reviewed and endorsed after confirming that no more recent relevant papers had been published. Literature searches were performed for additional questions and yielded a variable number of relevant papers depending on the subject addressed. Additional recommendations and statements were formulated. Conclusions: A decade on, the evidence base for recommendations remains poor, and collaborative studies are required to provide better data about this rare condition. Within these restrictions, multisystem, clinical management recommendations for PJS have been formulated.

Original languageEnglish
Article number473
Number of pages18
JournalJournal of Clinical Medicine
Issue number3
Publication statusPublished - 2021
Publication typeA2 Review article in a scientific journal


  • Guideline
  • Peutz–Jeghers syndrome
  • STK11

Publication forum classification

  • Publication forum level 1

ASJC Scopus subject areas

  • Medicine(all)


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