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Juvenile polyp in esophageal colon interposition
M A Del Rosario1, J M Croffie, F J Rescorla
1Division of Pediatric Gastroenterology, James Whitcomb Riley Hospital for Children, Indianapolis, IN 46202, USA.
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.
Abstract:
Esophageal polyps are rare in children, whereas colorectal juvenile polyps are common. An 11-year-old boy with an esophageal colonic interposition for an esophageal stricture secondary to caustic injury was found to have a polypoid mass in the interposed colon. Fiberoptic endoscopic removal with diathermy was performed. Histological examination confirmed it was a juvenile polyp. The occurrence of a polyp in a colon removed from its natural location and serving a different function suggests the possibility that an unknown factor produced by colonic cells play a pivotal role in its development.