Endoscopic mucosal resection for cap poliposis treatment

Alonso, Sara Monsalve; García, Pablo Miranda; Vaquero, Cecilio Santander

doi:10.17235/reed.2020.6537/2019

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…We also summarized the literature on this issue ( Arana et al, 2014 ; Suzuki et al, 2014 ; Kim et al, 2017 ; Murata et al, 2017 ; Anuchapreeda et al, 2018 ; Batra et al, 2018 ; Okamoto et al, 2018 ; Tamura et al, 2018 ; Brunner et al, 2019 ; Monsalve et al, 2020 ), and evaluated the percentage of clinical improvement associated with these treatments ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…Based on the literature review ( Arana et al, 2014 ; Suzuki et al, 2014 ; Bordeianou et al, 2017 ; Kim et al, 2017 ; Murata et al, 2017 ; Anuchapreeda et al, 2018 ; Batra et al, 2018 ; Okamoto et al, 2018 ; Tamura et al, 2018 ; Brunner et al, 2019 ; Monsalve et al, 2020 ) and our own data, we hypothesized that, if the patient was H. pylori positive, then H. pylori eradication combined with other therapies might be useful. There were 7 patients who were tested to have H. pylori infection; 5 of them improved after H. pylori eradication, the other two were lost to follow-up.…”

Section: Discussionmentioning

confidence: 99%

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Clinical, endoscopic, pathological characteristics and management of cap polyposis: experience from a Tertiary Hospital in China

Lu,

Huang,

Lou

et al. 2024

Front. Pharmacol.

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Background and aimsCap polyposis (CP) is a rare kind of benign disease, and the majority of previously published relevant articles involve a small number of patients. Hence, we summarized our experience to contribute additional data, hoping to raise awareness of this disease.MethodsFrom 1 January 2017 to 1 November 2021, consecutive patients diagnosed with CP were retrospectively reviewed. Their medical histories, and laboratory, imaging, endoscopic, and pathology results were analyzed. We made telephone calls to the patients and searched for the information in our electronic medical records to obtain the follow-up results.ResultsForty-one patients were chosen for analysis. The median age of the patients was 20 years old, and 90.24% (37 patients) of the patients were male. The majority of the patients presented with hematochezia. The rectum was the most commonly affected site, and the Helicobacter pylori infection rate was high. There were multiple and combined treatments for these patients. These treatments can be divided into 3 main categories: medical therapy, endotherapy and surgery. Medical therapy helped to diminish the size of but the polyps were difficult to resolve; however, the patients’ symptoms could be diminished. Twenty-three patients underwent surgical resection, and 12 patients received endotherapy. We further compared the two methods of polyp resection. Both endotherapy and surgery were safe, and the recurrence risk was not significantly different between the two kinds of therapy (p = 0.321).ConclusionThe clinical improvement of medical treatments was not satisfactory, and endotherapy or surgical resection could remove the polyposis and provide temporary relief, but the recurrence rates were high.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Clinical, endoscopic, pathological characteristics and management of cap polyposis: experience from a Tertiary Hospital in China

Lu,

Huang,

Lou

et al. 2024

Front. Pharmacol.

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show abstract

“…Based on the literature review [2,6,7,9,[14][15][16][17][18][19]26] and our own data, we thought that, if the patient was H. pylori positive, then H. pylori eradication combined with other therapies might be useful. There were 7 patients who were tested to have H. pylori, 5 of them had improvement after H. pylori eradication, the other two was lost.…”

Section: Discussionmentioning

confidence: 99%

“…We also summarized the literature on this issue [2,6,7,9,[14][15][16][17][18][19] , and evaluated the percentage of clinical improvement of these treatments (Table 2).…”

Section: Literature Reviewmentioning

confidence: 99%

Clinical, Endoscopic, Pathological Characteristics and Managements of Cap Polyposis: A Real-world Study from China

Huang,

Lou,

Chen

et al. 2024

Preprint

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Background and aims: Cap polyposis (CP) is a rare kind of benign disease, and the majority of previously published articles on it involve a small number of patients. Hence, we summarized our experience to add more data, hoping to raise awareness of this disease. Methods From January, 1st, 2017 to November, 1st, 2021, consecutive patients diagnosed with CP were retrospectively reviewed. Their medical histories, and laboratory, imaging, endoscopic, and pathology results were analyzed. We made telephone calls to the patients and searched for the information in our electronic medical records to obtain the follow-up results. Results Forty-one patients were chosen for analysis. The median age of the patients was 20 years old, and 90.24% (37 patients) of the patients were male. There were multiple and combined treatments for these patients. These treatments can be mainly divided into 3 categories: medical therapy, endotherapy and surgery. Medical therapy could help to diminish the size of the polyps but was difficult to resolve; however, the patients’ symptoms could be diminished. Twenty-three patients received surgical resection, and 12 patients received endotherapy. We further compared the two methods of polyp resection. Both endotherapy and surgery were safe, and the recurrence risk was not significantly different between the two kinds of therapy (P = 0.321). Conclusions The clinical improvement of medical treatments was not satisfactory, and endotherapy or surgical resection could remove the polyposis and provide temporary relief, but the recurrence rates were high.

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“…These include conservative measures such as consuming a high-fiber diet, bowel training, and avoiding manual stool evacuation and constipation in patients with evidence of infection, such as a positive breath urea test for Helicobacter pylori, aminosalicylates either topical or systemic, steroids, and TNF-alpha based on the disease’s possible inflammatory process. Moreover, alternative measures including endoscopic procedures such as EMR and polypectomy or even surgery such as rectopexy or total proctosigmoidectomy may be used in patients who are resistant to other treatments or who experience recurrence of symptoms interfering with daily activities [ 2 , 8 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

Solitary rectal ulcer transformation to cap polyposis in a 15-year-old child

et al. 2022

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Background Cap polyposis (CP) is a benign, non-malignant inflammatory disease that affects the rectum. It usually occurs during the 5th decade of life, but children could also be affected. Its specific pathology is unknown. Due to the clinical, endoscopic, and histologic similarities with other disorders such as inflammatory bowel disease, a thorough histologic evaluation is critical to avoid unnecessary interventions. This study presents a 15-year-old child with a previously reported case of solitary rectal ulcer (SRU) that developed into CP determined by colonoscopy and histologic findings. Case presentation A 15-year-old boy who was previously diagnosed with SRU presented to our office with rectal bleeding, mucoid discharge, and abdominal pain. Additional colonoscopy evaluation revealed multiple polyposes varying in size and shape limited to the rectum. Histologic examination revealed a characteristic cap of granulation tissue covering tortuous nondysplastic crypts in the inflamed stroma, indicating that SRU had transformed into CP. Based on the assessments, we planned to perform endoscopic mucosal resection of the lesions in multiple sessions. Conclusions Despite the rarity of CP, the transformation from SRU may be one of its etiologies. Thus, thorough serial histologic evaluation is critical in children with rectal bleeding to avoid unnecessary or harmful interventions.

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Endoscopic mucosal resection for cap poliposis treatment

Cited by 4 publications

References 5 publications

Clinical, endoscopic, pathological characteristics and management of cap polyposis: experience from a Tertiary Hospital in China

Clinical, endoscopic, pathological characteristics and management of cap polyposis: experience from a Tertiary Hospital in China

Clinical, Endoscopic, Pathological Characteristics and Managements of Cap Polyposis: A Real-world Study from China

Solitary rectal ulcer transformation to cap polyposis in a 15-year-old child

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