2003
DOI: 10.1007/s00535-002-1164-6
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Localized giant inflammatory polyposis of the cecum associated with distal ulcerative colitis

Abstract: This case report describes a 68-year-old man who presented with bronchiolitis obliterans organizing pneumonia (BOOP) and gastric carcinoma. During evaluation, including a colonoscopy, he was found to have distal colitis and a giant polypoid lesion in the cecum that was diagnosed as localized giant inflammatory polyposis (LGIP) by magnifying colonoscopy. The patient was treated over a period of 3 years without surgery, and the LGIP was reduced in size during the follow-up period. Magnifying observation was usef… Show more

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Cited by 11 publications
(7 citation statements)
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“…In another study by Koinuma et al[69], magnifying endoscopy was demonstrated as a useful tool for distinguishing neoplastic from non-neoplastic lesions, reducing the amount of biopsies needed; however, the efficacy of this technique for studying the underlying inflammatory process was shown to be limited by the presence of multiple PPs[65]. In another study, 165 patients with long-standing UC were divided and randomized for endoscopic surveillance by means of either conventional endoscopy (with biopsies every 10 cm) or chromo-endoscopy (with 0.1% methylene blue); there were two false-negative results that were not identified by the chromo-endoscopy procedure, for which non-targeted biopsies from colons with multiple PP proved to contain dysplasia[70].…”
Section: Long-term Managementmentioning
confidence: 99%
“…In another study by Koinuma et al[69], magnifying endoscopy was demonstrated as a useful tool for distinguishing neoplastic from non-neoplastic lesions, reducing the amount of biopsies needed; however, the efficacy of this technique for studying the underlying inflammatory process was shown to be limited by the presence of multiple PPs[65]. In another study, 165 patients with long-standing UC were divided and randomized for endoscopic surveillance by means of either conventional endoscopy (with biopsies every 10 cm) or chromo-endoscopy (with 0.1% methylene blue); there were two false-negative results that were not identified by the chromo-endoscopy procedure, for which non-targeted biopsies from colons with multiple PP proved to contain dysplasia[70].…”
Section: Long-term Managementmentioning
confidence: 99%
“…It was also reported after coronary artery bypass graft surgery [398] or in association with localised giant inflammatory polyposis of the caecum and distal ulcerative colitis [399].…”
Section: Fungimentioning
confidence: 99%
“…Another 7 cases were reported thereafter [3][4][5][6][7][8]. Of these 82 cases, 45 were associated with UC, 35 were associated with CD, and only 2 were not associated with IBD.…”
Section: Discussionmentioning
confidence: 97%