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Inflammatory esophagogastric polyp and fold in an adolescent.
- Source :
-
Acta paediatrica Japonica : Overseas edition [Acta Paediatr Jpn] 1993 Feb; Vol. 35 (1), pp. 53-6. - Publication Year :
- 1993
-
Abstract
- The case of a 13 year old boy with an inflammatory esophagogastric polyp and ulcerative colitis is described. Endoscopy revealed a typical polyp and gastric fold complex at the esophagogastric junction and a hiatal hernia. Histology of a biopsy specimen confirmed an inflammatory polyp covered by hyperplastic squamous and gastric foveolar epithelium. Continuous 24 hour esophageal manometry suggested gastroesophageal reflux, which may be related to the pathogenesis of the lesion. Follow-up endoscopy showed marked regression of the polyp with medication for reflux esophagitis. This clinical entity is rare in childhood and adolescence, and the manifestations may not be readily recognized. Therefore, endoscopic biopsy is important in children with esophageal polyps. However, polypectomy is unnecessary except when malignancy is suspected or when symptoms persist.
- Subjects :
- Adolescent
Colitis, Ulcerative complications
Colitis, Ulcerative drug therapy
Endoscopy, Gastrointestinal
Esophageal Neoplasms complications
Esophageal Neoplasms pathology
Esophageal Neoplasms therapy
Esophagitis, Peptic etiology
Humans
Male
Polyps complications
Polyps pathology
Polyps therapy
Esophageal Neoplasms diagnosis
Esophagogastric Junction pathology
Polyps diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 0374-5600
- Volume :
- 35
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Acta paediatrica Japonica : Overseas edition
- Publication Type :
- Academic Journal
- Accession number :
- 8460546
- Full Text :
- https://doi.org/10.1111/j.1442-200x.1993.tb03006.x