Pyogenic granuloma in Barrett's esophagus mimicking esophageal carcinoma

Craig, Robert M.; Carlson, Stephen J.; Nordbrock, H. A.; Yokoo, Hidejiro

doi:10.1016/0016-5085(95)90155-8

Cited by 20 publications

(10 citation statements)

References 10 publications

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“…[4][5][6][7][8][9][10][11][12][13] Eight (62%) of these 13 cases occurred in males and the age ranged from 26 to 82 years (mean, 50.4 years). With respect to the location of the pyogenic granulomas in the alimentary tract, three occurred in the esophagus, 4,9,12 seven in the small intestine, [5][6][7]10,11,13 and two in the colon, 8,10 with the present case being the first reported occurrence in the stomach. Clinical symptoms of the alimentary tract pyogenic granulomas included melena in 7 patients 6,8,10,13 and dysphagia in 1 patient, 9 while 2 cases were subclinical.…”

Section: Discussionmentioning

confidence: 99%

“…4,[6][7][8][9][10][11][12][13] Although EMR is the most favorable option, it can be associated with the risk of complications such as post-resection bleeding, due to the blood-rich nature of the lesion. In the present patient, the lesion was relatively large (30 mm) and hypervascular, according to the radiological data, and, as such, endoscopic resection was considered to carry a high risk of postoperative bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…1-3 Only 12 cases have been reported in the alimentary tract, with none of these in the stomach. [4][5][6][7][8][9][10][11][12][13] Resection is often required for alimentary tract pyogenic granulomas, as they can cause gastrointestinal bleeding, due to their hypervascular nature. [6][7][8]10,13 Although infection, mechanical irritation, and hormones have been proposed as etiologic factors for pyogenic granuloma, [1][2][3] there is still controversy regarding the mechanisms underlying the development of this tumor.…”

Section: Introductionmentioning

confidence: 99%

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Pyogenic granuloma of the stomach successfully treated by endoscopic resection after transarterial embolization of the feeding artery

et al. 2005

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Pyogenic granulomas represent the aquisition of vasodilative granulation tissue in the skin or mucosa. They are extremely rare in the alimentary tract, other than in the oral cavity. Here, we report a case of pyogenic granuloma arising from the gastric mucosa. An 82-year-old man was admitted to our hospital because of melena of more than 3 months, duration. Esophagogastroduodenoscopy (EGD) revealed a 30-mm-diameter semipedunculated lesion with an irregular surface in the fundus of the stomach. During hospitalization, the patient's anemia worsened due to loss of blood from the lesion, with the level of hemoglobin declining to 6 g/dl, and a blood transfusion was required. Because radiological and endoscopic findings indicated the lesion was hypervascular, transarterial embolization of the nutritional artery of the lesion was performed before endoscopic resection of the lesion. One week after the embolotherapy, endoscopic mucosal resection was performed, without any complications, such as massive bleeding. Histological studies of the resected specimen revealed many capillaries of various sizes, lined with plump endothelial cells, and accompanied by acute and chronic inflammatory infiltrates. On the basis of these observations, the lesion was diagnosed as a pyogenic granuloma. One year later, the patient was asymptomatic and there was no evidence of tumor recurrence on follow-up EGD.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pyogenic granuloma of the stomach successfully treated by endoscopic resection after transarterial embolization of the feeding artery

et al. 2005

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“…Broadly defined, an esophageal polyp is any intraluminal projection of tissue in the esophagus, this generally excludes extrinsic compression. Histopathologic descriptions for esophageal polyps have included squamous papillomas, giant fibrovascular polyps, lipomas, inflammatory fibroid polyps, hamartomas, primary glomangioma and pyogenic granulomas . The pathogenesis of true esophageal polyps is unclear.…”

Section: Introductionmentioning

confidence: 99%

“…Histopathologic descriptions for esophageal polyps have included squamous papillomas, 14 giant fibrovascular polyps, [15][16][17] lipomas, 18 inflammatory fibroid polyps, 19,20 hamartomas, 21 primary glomangioma 22 and pyogenic granulomas. 23 The pathogenesis of true esophageal polyps is unclear. Esophageal polyps have been traditionally ascribed to esophagitis secondary to gastroesophageal reflux 1,2,5,6,11,24 often presenting near the squamocolumnar junction.…”

Section: Introductionmentioning

confidence: 99%

Esophageal polyps in pediatric patients undergoing routine diagnostic upper gastrointestinal endoscopy: a multicenter study

Septer

Cuffari²,

Attard

2013

Dis Esophagus

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Esophageal polyps are uncommon findings in pediatric patients, and reports have been limited to case reports. Esophageal polyps have been previously ascribed to esophagitis secondary to gastroesophageal reflux, medications, infections and recurrent vomiting. They have been associated with underlying conditions such as hiatal hernia, Barrett's esophagus, eosinophilic esophagitis and Crohn's disease. Presenting complaints of children with esophageal polyps have included vomiting, dysphagia, hematemesis and abdominal pain. The aim of this paper is to characterize the incidence, clinical presentation and progression, histologic subtypes and associated mucosal abnormalities in children with esophageal polyps. A retrospective multicenter study was performed at four institutions identifying diagnosis of esophageal polyps in pediatric patients (<21 years). Information was obtained from patient charts, endoscopy reports and histopathology reports. Specimens and slides were examined by experienced pediatric pathologists for all included cases. Esophageal polyps were identified in 13 patients (9 M) from 9438 esophagogastroduodenoscopies (0.14%). Mean age of subjects was 9.2 years. Vomiting was the most common indication for endoscopy. Polyp location was at the gastroesophageal junction in 7 of the 13 cases. Most polyps were inflammatory (n = 7). Esophagitis was noted in 69% of those with esophageal polyps. Repeat endoscopies in six patients at a mean interval of 8 months noted persistence of polyps in all six patients. This paper is the first to characterize esophageal polyps in pediatrics. These polyps are rare in children and often are associated with esophagitis. Presenting complaints seem to vary by age. Polyps did not consistently change with either time or acid suppression. The optimal management strategy has yet to be defined and likely depends on the underlying pathophysiologic process.

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Benign Nonepithelial Tumors and Tumor-Like Conditions of the Esophagus

2009

Pathology of the Esophagus

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Pyogenic granuloma in Barrett's esophagus mimicking esophageal carcinoma

Cited by 20 publications

References 10 publications

Pyogenic granuloma of the stomach successfully treated by endoscopic resection after transarterial embolization of the feeding artery

Pyogenic granuloma of the stomach successfully treated by endoscopic resection after transarterial embolization of the feeding artery

Esophageal polyps in pediatric patients undergoing routine diagnostic upper gastrointestinal endoscopy: a multicenter study

Benign Nonepithelial Tumors and Tumor-Like Conditions of the Esophagus

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