Abnormal Polypoid Finding During Colonoscopy

Peng, Frederick B.; Kim, Hyun-seok; Agarwal, Shreya

doi:10.1053/j.gastro.2019.05.063

Gastroenterology

2019

DOI: 10.1053/j.gastro.2019.05.063

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Abnormal Polypoid Finding During Colonoscopy

Frederick B. Peng

Hyun-seok Kim

Shreya Agarwal

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Cited by 2 publications

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“…PCI is a rare disease characterized by cysts filled with gas in the intestinal wall. The following are considered as etiological factors for PCI: digestive tract stenosis, obstructive pulmonary disease, abdominal external injury or surgery, immunosuppression, systemic chemotherapy, and malnutrition [ 1 - 3 ]. As regards the pathogenesis, infiltration of intraluminal air into the injured mucosa and an invasion of gas-producing bacteria into the bowel wall have been described [ 2 , 3 ].…”

mentioning

confidence: 99%

Pneumatosis cystoides intestinalis

Yamamoto

Takahashi

Ishida

2020

aog

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mentioning

confidence: 99%

Pneumatosis cystoides intestinalis

Yamamoto

Takahashi

Ishida

2020

aog

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The Challenge of Pneumatosis Intestinalis: A Contemporary Systematic Review

Perrone,

Giuffrida,

Donato

et al. 2024

JPM

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Purpose: Pneumatosis intestinalis is a radiological finding with incompletely understood pathogenesis. To date, there are no protocols to guide surgical intervention. Methods: A systematic review of literature, according to PRISMA criteria, was performed. Medline and PubMed were consulted to identify articles reporting on the items “emergency surgery, pneumatosis coli, and pneumatosis intestinalis” from January 2010 up to March 2022. This study has not been registered in relevant databases. Results: A total of 1673 patients were included. The average age was 67.1 ± 17.6 years. The etiology was unknown in 802 (47.9%) patients. Hemodynamic instability (246/1673–14.7% of the patients) was associated with bowel ischemia, necrosis, or perforation (p = 0.019). Conservative management was performed in 824 (49.2%) patients. Surgery was performed 619 (36.9%) times, especially in unstable patients with bowel ischemia signs, lactate levels greater than 2 mmol/L, and PVG (p = 0.0026). In 155 cases, surgery was performed without pathological findings. Conclusions: Many variables should be considered in the approach to patients with pneumatosis intestinalis. The challenge facing the surgeons is in truly identifying those who really would benefit and need surgical intervention. The watch and wait policy as a first step seems reasonable, reserving surgery only for patients who are unstable or with high suspicion of bowel ischemia, necrosis, or perforation.

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Abnormal Polypoid Finding During Colonoscopy

Cited by 2 publications

References 3 publications

Pneumatosis cystoides intestinalis

Pneumatosis cystoides intestinalis

The Challenge of Pneumatosis Intestinalis: A Contemporary Systematic Review

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