Endoloop-Assisted Polypectomy for a Symptomatic Giant Colonic Polyp in a Pediatric Patient
Colonic polyps are a common cause of persistent bloody stools in pediatric patients. Such polyps are easily diagnosed by a barium study of the lower gastrointestinal tract or by colonoscopy. Polypectomies utilizing electric ligators are generally performed on pediatric patients, and such patients ca...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-02-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/9/2/222 |
| _version_ | 1797481720541347840 |
|---|---|
| author | Yen-Chung Lin Jen-Wei Chou An-Chyi Chen Shu-Fen Wu Ching-Tien Peng Walter Chen Chien-Heng Lin |
| author_facet | Yen-Chung Lin Jen-Wei Chou An-Chyi Chen Shu-Fen Wu Ching-Tien Peng Walter Chen Chien-Heng Lin |
| author_sort | Yen-Chung Lin |
| collection | DOAJ |
| description | Colonic polyps are a common cause of persistent bloody stools in pediatric patients. Such polyps are easily diagnosed by a barium study of the lower gastrointestinal tract or by colonoscopy. Polypectomies utilizing electric ligators are generally performed on pediatric patients, and such patients can be easily operated on. However, giant colonic polyps have been reported in pediatric patients. In the past, a laparotomy or laparoscopy would have been performed in some pediatric patients diagnosed with a giant colonic polyp; however, the large size, location, or position of the polyp would sometimes be too large or the location or position of the polyp would make successful operation difficult. In general, larger stumps with large feeding arteries are associated with larger colonic polyps. Therefore, if such a polyp is removed via electric polypectomy alone, there may be a higher risk of post-polypectomy bleeding from its stump. We report a case of a 14-year-old male patient who presented with a 2-month history of bloody stools. A giant juvenile colonic polyp was detected by colonoscopy in the transverse colon. Finally, we successfully removed the giant polyp by using endoloop-assisted polypectomy. |
| first_indexed | 2024-03-09T22:18:34Z |
| format | Article |
| id | doaj.art-c78ac620b84e4091a901786e9491d3a7 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T22:18:34Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-c78ac620b84e4091a901786e9491d3a72023-11-23T19:19:30ZengMDPI AGChildren2227-90672022-02-019222210.3390/children9020222Endoloop-Assisted Polypectomy for a Symptomatic Giant Colonic Polyp in a Pediatric PatientYen-Chung Lin0Jen-Wei Chou1An-Chyi Chen2Shu-Fen Wu3Ching-Tien Peng4Walter Chen5Chien-Heng Lin6Division of Pediatric Gastroenterology, China Medical University Children’s Hospital, Taichung 404327, TaiwanDivision of Gastroenterology and Hepatology, Department of Internal Medicine, China Medical University Hospital, Taichung 404327, TaiwanDivision of Pediatric Gastroenterology, China Medical University Children’s Hospital, Taichung 404327, TaiwanDivision of Pediatric Gastroenterology, China Medical University Children’s Hospital, Taichung 404327, TaiwanDivision of Pediatric Hemato-Oncology, China Medical University Hospital, Taichung 404327, TaiwanDivision of Pediatric Gastroenterology, China Medical University Children’s Hospital, Taichung 404327, TaiwanDivision of Pediatric Pulmonology, China Medical University Hospital, Taichung 404327, TaiwanColonic polyps are a common cause of persistent bloody stools in pediatric patients. Such polyps are easily diagnosed by a barium study of the lower gastrointestinal tract or by colonoscopy. Polypectomies utilizing electric ligators are generally performed on pediatric patients, and such patients can be easily operated on. However, giant colonic polyps have been reported in pediatric patients. In the past, a laparotomy or laparoscopy would have been performed in some pediatric patients diagnosed with a giant colonic polyp; however, the large size, location, or position of the polyp would sometimes be too large or the location or position of the polyp would make successful operation difficult. In general, larger stumps with large feeding arteries are associated with larger colonic polyps. Therefore, if such a polyp is removed via electric polypectomy alone, there may be a higher risk of post-polypectomy bleeding from its stump. We report a case of a 14-year-old male patient who presented with a 2-month history of bloody stools. A giant juvenile colonic polyp was detected by colonoscopy in the transverse colon. Finally, we successfully removed the giant polyp by using endoloop-assisted polypectomy.https://www.mdpi.com/2227-9067/9/2/222endoloopcolonoscopyjuvenile polyppolypectomy |
| spellingShingle | Yen-Chung Lin Jen-Wei Chou An-Chyi Chen Shu-Fen Wu Ching-Tien Peng Walter Chen Chien-Heng Lin Endoloop-Assisted Polypectomy for a Symptomatic Giant Colonic Polyp in a Pediatric Patient Children endoloop colonoscopy juvenile polyp polypectomy |
| title | Endoloop-Assisted Polypectomy for a Symptomatic Giant Colonic Polyp in a Pediatric Patient |
| title_full | Endoloop-Assisted Polypectomy for a Symptomatic Giant Colonic Polyp in a Pediatric Patient |
| title_fullStr | Endoloop-Assisted Polypectomy for a Symptomatic Giant Colonic Polyp in a Pediatric Patient |
| title_full_unstemmed | Endoloop-Assisted Polypectomy for a Symptomatic Giant Colonic Polyp in a Pediatric Patient |
| title_short | Endoloop-Assisted Polypectomy for a Symptomatic Giant Colonic Polyp in a Pediatric Patient |
| title_sort | endoloop assisted polypectomy for a symptomatic giant colonic polyp in a pediatric patient |
| topic | endoloop colonoscopy juvenile polyp polypectomy |
| url | https://www.mdpi.com/2227-9067/9/2/222 |
| work_keys_str_mv | AT yenchunglin endoloopassistedpolypectomyforasymptomaticgiantcolonicpolypinapediatricpatient AT jenweichou endoloopassistedpolypectomyforasymptomaticgiantcolonicpolypinapediatricpatient AT anchyichen endoloopassistedpolypectomyforasymptomaticgiantcolonicpolypinapediatricpatient AT shufenwu endoloopassistedpolypectomyforasymptomaticgiantcolonicpolypinapediatricpatient AT chingtienpeng endoloopassistedpolypectomyforasymptomaticgiantcolonicpolypinapediatricpatient AT walterchen endoloopassistedpolypectomyforasymptomaticgiantcolonicpolypinapediatricpatient AT chienhenglin endoloopassistedpolypectomyforasymptomaticgiantcolonicpolypinapediatricpatient |