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Inflammatory esophagogastric junction polyp

P Croyle, H Nikaidoh, G Currarino

    The American Journal of Gastroenterology
    |November 1, 1981
    PubMed
    Summary

    A nine-year-old boy with Addison's disease underwent surgery for an esophagogastric junction polyp, a rare occurrence in pediatric cases. This case highlights the importance of investigating persistent epigastric pain in children.

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    Area of Science:

    • Pediatric Gastroenterology
    • Gastrointestinal Surgery
    • Endocrinology

    Background:

    • Addison's disease, a rare endocrine disorder, can present with gastrointestinal symptoms.
    • Esophagogastric junction polyps are uncommon, particularly in pediatric populations.
    • Persistent epigastric pain in children warrants thorough investigation.

    Observation:

    • A nine-year-old male patient with a history of Addison's disease presented with chronic epigastric pain.
    • A large polyp was identified in the distal esophagus during diagnostic evaluation.
    • The patient underwent surgical resection of the esophagogastric junction polyp.

    Findings:

    • This case represents the youngest documented patient to undergo surgical intervention for an esophagogastric junction polyp.
    • The successful surgical removal addressed the source of the patient's chronic epigastric pain.
    • A review of the current literature on pediatric esophagogastric junction polyps was conducted.

    Implications:

    • This case expands the understanding of rare gastrointestinal manifestations in pediatric Addison's disease.
    • It underscores the potential for esophagogastric polyps in children, even at a young age.
    • Highlights the need for considering surgical intervention for significant gastrointestinal lesions in pediatric patients.

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