Juvenile polyp in esophageal colon interposition

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Conditional Reprogramming of Pediatric Human Esophageal Epithelial Cells for Use in Tissue Engineering and Disease Investigation
10:15

Conditional Reprogramming of Pediatric Human Esophageal Epithelial Cells for Use in Tissue Engineering and Disease Investigation

Published on: March 22, 2017

M A Del Rosario1, J M Croffie, F J Rescorla

  • 1Division of Pediatric Gastroenterology, James Whitcomb Riley Hospital for Children, Indianapolis, IN 46202, USA.

Journal of Pediatric Surgery
|October 10, 1998
PubMed

Insights

Esophageal polyps are rare in children. A juvenile polyp was found in a surgically repositioned colon segment, suggesting colonic cells may influence polyp development.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Pathology
  • Gastrointestinal Oncology

Background:

  • Esophageal polyps are uncommon in pediatric patients.
  • Colorectal juvenile polyps are a frequent finding in children.
  • Esophageal strictures can necessitate surgical interventions like colonic interposition.

Observation:

  • An 11-year-old male presented with a polypoid mass within an interposed colonic segment.
  • The colonic interposition was performed to treat an esophageal stricture caused by caustic injury.
  • The patient underwent successful endoscopic removal of the mass via diathermy.

Findings:

  • Histological examination confirmed the polyp to be a juvenile polyp.
  • This is a rare occurrence of a juvenile polyp in a colon segment outside its native anatomical location.
  • The colon segment was serving a new function as a substitute esophagus.

Implications:

  • The presence of a juvenile polyp in an ectopic colonic segment suggests a potential role for intrinsic colonic cellular factors in polypogenesis.
  • Further research may elucidate unknown factors produced by colonic cells that contribute to juvenile polyp development.
  • This case highlights the importance of continued surveillance and understanding of neoplastic potential even in surgically altered gastrointestinal segments.

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