Successful endoscopic submucosal dissection of a giant polyp in a 21-month-old female

Endoscopic submucosal dissection(ESD)is now recognized as the preferred treatment modality for gastrointestinal epithelial lesions.A 21-month-old female was admitted with a giant hyperplastic polyp causing a gastric outlet obstruction.Successful ESD was performed with caution.The post-procedural cou...

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Published in:World journal of gastroenterology : WJG Vol. 20; no. 1; pp. 323 - 325
Main Authors: Jung, Eun-Young, Choi, Soon-Ok, Cho, Kwang Bum, Kim, Eun Soo, Park, Kyung Sik, Hwang, Jin-Bok
Format: Journal Article
Language:English
Published: United States Baishideng Publishing Group Co., Limited 07-01-2014
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Summary:Endoscopic submucosal dissection(ESD)is now recognized as the preferred treatment modality for gastrointestinal epithelial lesions.A 21-month-old female was admitted with a giant hyperplastic polyp causing a gastric outlet obstruction.Successful ESD was performed with caution.The post-procedural course was uneventful without a bleeding episode.Although further study of the feasibility of ESD in early children is necessary,ESD could be applied to avoid laparotomy even in young children.
Bibliography:Eun-Young Jung;Soon-Ok Choi;Kwang Bum Cho;Eun Soo Kim;Kyung Sik Park;Jin-Bok Hwang;Department of Pediatric Surgery,Division of Gastroenterology and Hepatology,Keimyung University School of Medicine,Daegu 700-712,South Korea;Department of Internal Medicine,Division of Gastroenterology and Hepatology,Keimyung University School of Medicine,Daegu 700-712,South Korea;Division of Gastroenterology and Hepatology,Department of Pediatrics,Keimyung University School of Medicine,Daegu 700-712,South Korea
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Correspondence to: Kwang Bum Cho, MD, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Keimyung University School of Medicine, 194 Dongsan dong, Jung-gu, Daegu 700-712, South Korea. chokb@dsmc.or.kr
Author contributions: Jung EY wrote the manuscript; Choi SO provided surgical standby during the ESD procedure; Cho KB designed the study and performed the ESD procedure; Kim ES and Park KS provided the collection of the figures and advice for this work; Hwang JB provided medical treatment to the patient and advice for this work.
Telephone: +82-53-2507007 Fax: +82-53-2507088
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v20.i1.323