Inflammatory esophagogastric polyp in children

Jones, TB; Rm, Heller; Sg, Kirchner; Hl, Greene

doi:10.2214/ajr.133.2.314

Cited by 24 publications

(19 citation statements)

References 2 publications

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“…H2 blockers and/or PPI medication, endoscopic mucosal resection, endoscopic polypectomy, excision of the polyp, and fundoplication have been suggested as treatment modalities for IEPs [1,3,5,6,8,12,13,14,15,16,17,18,19,20,21,22,23]. Controlling reflux esophagitis can reduce the polyp size and decrease the clinical symptoms [3,16,17,24]; however, it is difficult to determine which medication is optimal and how long medication is needed for treatment.…”

Section: Discussionmentioning

confidence: 99%

“…In children, only 10 articles including 15 cases have been reported in the medical literature [1,3,5,8,12,14,15,16,17,19]. H2 blockers have been used as the treatment of choice in most cases.…”

Section: Discussionmentioning

confidence: 99%

“…The term IEP is used for a sentinel polyp, sentinel fold, inflammatory polyp-fold complex, inflammatory fibrous polyp, inflammatory fibroid polyp, prominent esophagogastric fold, eosinophilic granuloma, pseudotumor at the esophagogastric junction and retrograde gastric mucosal prolapse [3,4,5,6,7,8]. IEPs were first described in 1978 by Bleshman et al [4], and first reported in children in 1979 [5].…”

Section: Introductionmentioning

confidence: 99%

“…IEPs were first described in 1978 by Bleshman et al [4], and first reported in children in 1979 [5]. The polyp and fold at the esophagogastric junction are temporally related; it has been suggested that the polyp follows the development of the fold, and a pseudotumor may stimulate the polyp-fold complex.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Proton Pump Inhibitors on Pediatric Inflammatory Esophagogastric Polyps

Choi

Kim²,

Lee³

et al. 2012

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Background: The aim of this study was to investigate the effects of proton pump inhibitors on symptomatic inflammatory esophagogastric polyps (IEPs) in a pediatric cohort and to determine the optimal duration of treatment. Methods: The 11 patients with IEPs were managed with lansoprazole. Follow-up endoscopies were performed at 2 and 6 months after the start of medication. Medication was discontinued when the clinical symptoms completely resolved and the polyp size was reduced by more than 50% compared to the initial size. Results:The initial polyp size was 13.7 ± 3.3 mm. After 2 months of medication, the polyp size was reduced to 8.0 ± 5.8 mm. At 6 months, the polyp size was 4.7 ± 2.2 mm. The mean duration of medication was 4.8 ± 2.1 months. The duration of medication and the change in the polyp size appeared to have a linear correlation (p < 0.001). According to the formula used to calculate polyp size, the optimal duration of treatment was more than 7 months for complete resolution of the polyps. Conclusions: Proton pump inhibitor was effective for the treatment of IEPs. About 5 months of lansoprazole was adequate to treat IEPs in children. The optimal duration for complete resolution of the polyp might be more than 7 months.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effects of Proton Pump Inhibitors on Pediatric Inflammatory Esophagogastric Polyps

Choi

Kim²,

Lee³

et al. 2012

Digestion

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“…[1][2][3]6 Only 17 cases of IFP of the esophagus have been reported (Table 1). 1,[7][8][9][10][11][12][13][14][15][16][17] In summary, the mean age of the reported patients was 51.2 years, and the male/female ratio was 12 : 5. IFP of the esophagus is most frequently found in the lower portion of the esophagus or at the esophagogastric junction.…”

Section: Discussionmentioning

confidence: 99%

An inflammatory fibroid polyp of the esophagus concomitant with a superficial flat carcinoma

Morishima

Tashiro

Nitta

et al. 1999

International Journal of Clinical Oncology

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We report a rare case of an inflammatory fibroid polyp (IFP) of the esophagus associated with an extensive early mucosal carcinoma. At esophagoscopy, a polypoid lesion 2 cm in length, and a non-stained area detected by the Lugol iodine spray staining method were found in the mid-thoracic portion, and esophagectomy was performed. Endoscopic polypectomy is thought to be useful for the diagnosis of IFP, but it should be kept in mind that IFP may be concomitant with carcinoma. Indeed, in our patient, early esophageal carcinoma was discovered because of the symptoms of dysphagia induced by the IFP.

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Endoscopic Removal of Inflammatory Esophagogastric Polyps in Children

Glassman,

Bostwick,

Godine

et al. 1991

J. pediatr. gastroenterol. nutr.

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SummaryTwo adolescent patients with inflammatory esophagogastric polyps (IEPs) are presented. In each case, the patients complained of chest pain and dysphagia. In one patient, there was no histological evidence of esophagitis in association with the IEPs. Their clinical course suggests that the presentation of IEPs in adolescents is indistinguishable from and may result in secondary gastroesophageal reflux and esophagitis. In each case, endoscopic polypectomy was utilized effectively as the mode of therapy.

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Inflammatory esophagogastric polyp in children

Cited by 24 publications

References 2 publications

Effects of Proton Pump Inhibitors on Pediatric Inflammatory Esophagogastric Polyps

Effects of Proton Pump Inhibitors on Pediatric Inflammatory Esophagogastric Polyps

An inflammatory fibroid polyp of the esophagus concomitant with a superficial flat carcinoma

Endoscopic Removal of Inflammatory Esophagogastric Polyps in Children

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