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Endoscopic Removal of a Single, Painless, Juvenile Polyp in the Small Intestine Causing Anemia

Amornluck Krasaelap1, Diana Lerner1, James Southern2

  • 1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics.

Journal of Pediatric Gastroenterology and Nutrition
|June 17, 2020
PubMed

Insights

Juvenile polyps, common in children

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Pathology

Background:

  • Juvenile polyps are the most frequent gastrointestinal polyps in childhood.
  • They typically occur in the colon, presenting with painless hematochezia.
  • Small intestine juvenile polyps are rare, often necessitating surgical intervention due to intussusception.

Purpose of the Study:

  • To report a unique case of a juvenile polyp in the small intestine.
  • To highlight an alternative presentation of small intestine juvenile polyps.
  • To demonstrate minimally invasive diagnostic and therapeutic approaches.

Main Methods:

  • Video capsule endoscopy for diagnosis.
  • Enteroscopy for endoscopic removal.

Main Results:

  • An isolated juvenile polyp was identified in the small intestine.
  • The polyp presented as painless anemia, a rare symptom.
  • Successful endoscopic removal was achieved without surgery.

Conclusions:

  • Small intestine juvenile polyps can present atypically with anemia.
  • Video capsule endoscopy and enteroscopy are valuable tools for diagnosing and treating these rare cases.
  • Minimally invasive techniques offer an alternative to surgery for small intestine juvenile polyps.

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