Endoloop-Assisted Polypectomy for a Symptomatic Giant Colonic Polyp in a Pediatric Patient

Area of Science:

• Pediatric Gastroenterology
• Gastrointestinal Endoscopy

Background:

• Colonic polyps are a frequent cause of bloody stools in pediatric patients.
• While standard polypectomies are common, giant colonic polyps present surgical challenges due to size and location.
• Traditional surgical interventions like laparotomy or laparoscopy may be difficult for giant polyps.

Observation:

• A 14-year-old male presented with a two-month history of bloody stools.
• Colonoscopy revealed a giant juvenile colonic polyp in the transverse colon.
• The polyp had a large feeding artery, increasing the risk of post-polypectomy bleeding if removed by electric ligation alone.

Findings:

• Giant colonic polyps can be successfully removed using endoloop-assisted polypectomy.
• This technique mitigates the risk of post-polypectomy hemorrhage associated with large polyps.
• Endoloop-assisted polypectomy provides a minimally invasive alternative to traditional surgery for giant colonic polyps.

Implications:

• Endoloop-assisted polypectomy is a viable and safer option for managing giant colonic polyps in pediatric patients.
• This approach can reduce the need for more invasive surgical procedures.
• Further research into minimally invasive techniques for pediatric colonic polyp management is warranted.