Endoscopic Mucosectomy in a Child Presenting with Gastric Heterotopia of the Rectum

Soares, Joana; Ferreira, Carla; Marques, Margarida; Corujeira, Susana; Tavares, Marta; Lopes, Joanne; Carneiro, Fátima; Dias, Jorge Amil; Trindade, Eunice

doi:10.1159/000478939

Cited by 6 publications

(9 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 At least 4 pediatric cases have also been treated with endoscopic mucosal resection without complications. 10 …”

Section: Discussionmentioning

confidence: 99%

“…8 At least 4 pediatric cases have also been treated with endoscopic mucosal resection without complications. 10 There is inconclusive evidence about whether HGM can progress to malignancy, but the potential is present. There are only 3 adult cases in the literature reporting rectal HGM with metaplasia.…”

Section: Discussionmentioning

confidence: 99%

“…Pediatric rectal HGM cases in the literature were often treated with transanal surgery 8. At least 4 pediatric cases have also been treated with endoscopic mucosal resection without complications 10…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child

et al. 2022

View full text Add to dashboard Cite

Heterotopic gastric mucosa (HGM) in the colon and small bowel is a very rare finding. We report a case of HGM in the rectum of an 8-year-old child with a history of eosinophilic esophagitis after having a colonoscopy to evaluate for inflammatory bowel disease. The colonoscopy was normal except for rectal tissue erythema and edema. Inflammatory bowel disease has been reported in some cases of children with eosinophilic changes of the esophagus. The child had intermittent rectal bleeding thought to be due to constipation. Interestingly, when the patient was placed on a proton pump inhibitor for the treatment of eosinophilic esophagitis, the rectal bleeding decreased. After our patient ceased proton pump inhibitor therapy, he experienced a large amount of rectal bleeding. Histological findings revealed HGM in the colon/rectum. An extensive review of the incidence, diagnosis, and treatment is discussed.

show abstract

“…8 At least 4 pediatric cases have also been treated with endoscopic mucosal resection without complications. 10 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Many of these polyps, however, are pedunculated and do not require an EMR technique for resection. The published literature includes case reports of EMR for gastric, small intestine and colonic lesions with technical success and no adverse events (16)(17)(18). The largest published pediatric series to date compares therapy with high-frequency electrocoagulation to EMR in a series of 154 children in Guiyang Children's Hospital in China.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Mucosal Resection in Children

Vitale

Wang

Jamil

et al. 2021

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

Objectives: Endoscopic mucosal resection (EMR) for removal of large polyps is well established in adults. EMR technique in the pediatric population is less utilized due to lower incidence of large intestinal polyps in pediatric patients and limited EMR training for pediatric gastroenterologists. The aim of this study is to retrospectively review safety and efficacy of pediatric EMR cases at two large, tertiary referral centers with adult and pediatric EMR expertise. Methods: A retrospective chart review was conducted at Cedars-Sinai Medical Center and Cincinnati Children's Hospital Medical Center from January 2012 to May 2021. Demographic, clinical, technical and follow up data were collected for patients <18 years of age who underwent EMR during the study period. Results: Fifteen pediatric EMR procedures were identified in 11 patients (five male, six female) during the study period. Indication was most frequently rectal bleeding. Polyp size removed ranged from 9 to 60 mm and pathology was consistent with juvenile inflammatory polyps in six patients. Technical success was achieved in 14 of 15 (93%) of EMRs with clinical success (desired clinical outcome) in all 13 procedures with clinical follow-up. There were no adverse events. Conclusions: This study identifies a case series of pediatric patients who underwent EMR at two tertiary care centers. This series demonstrates successful EMR in children and shows a high technical and clinical success rate with a low complication rate. More investigation into EMR in pediatric patients is necessary, and its use should be isolated to centers with endoscopists with specific experience in EMR techniques.

show abstract

“…Endoscopic resection or surgical excision is generally considered the treatment of choice and has resulted in complete relief following removal of the HGM. Conventional endoscopic interventions such as endoscopic snare resection (polypectomy or endoscopic mucosal resection[ 20 ]) and ablation with APC are indicated in HGM patients mimicking polyps and small superficial lesions. ESD, enables en bloc resection of superficial lesions especially in early GI cancer and LST, and could also be used in the treatment of HGM.…”

Section: Discussionmentioning

confidence: 99%

Large heterotopic gastric mucosa and a concomitant diverticulum in the rectum: Clinical experience and endoscopic management

Chen

Zhu

Yang

et al. 2018

WJG

View full text Add to dashboard Cite

Heterotopic gastric mucosa (HGM) in the rectum is an extremely rare clinical entity which may be missed or misdiagnosed due to a lack of knowledge. In the present study, a 14-year-old girl visited our hospital due to a 5-year history of repeated hematochezia. Colonoscopy showed a solitary superficial depressed lesion approximately 5 cm in size and a concomitant 1.5 cm deep diverticulum in the rectum. Histological examination of the endoscopic biopsy showed typical ectopic gastric mucosa in the depressed lesion and inside the diverticulum. Narrow band imaging further confirmed the histological results. Endoscopic ultrasound indicated that the lesion originated from the mucosal layer, and partially involved the submucosal layer. Endoscopic submucosal dissection was performed in this patient due to the large size and shape of the lesion. No bleeding, perforation or other adverse events were observed. The presence of HGM in the diverticular cavity greatly increased the surgical difficulty. A literature review was also carried out in our study.

show abstract

Endoscopic Mucosectomy in a Child Presenting with Gastric Heterotopia of the Rectum

Cited by 6 publications

References 20 publications

Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child

Heterotopic Gastric Mucosa Causing Rectal Bleeding in a Young Child

Endoscopic Mucosal Resection in Children

Large heterotopic gastric mucosa and a concomitant diverticulum in the rectum: Clinical experience and endoscopic management

Contact Info

Product

Resources

About