Kim Byung Chang, Cheon Jae Hee, Lee Sang Kil, Kim Tae Il, Kim Hoguen, Kim Won Ho
Department of Internal Medicine, Yonsei University College of Medicine, 250 Seongsanno, Seodaemun-gu, Seoul 120-752, Korea.
Yonsei Med J. 2008 Aug 30;49(4):680-6. doi: 10.3349/ymj.2008.49.4.680.
Colonic inflammatory fibroid polyp (IFP) is an uncommon benign polypoid lesion, which is composed of fibroblasts, numerous small vessels and edematous connective tissue with marked eosinophilic inflammatory cell infiltration. This condition is frequently detected in the stomach and small intestine, but uncommon in the colon. Although IFP is a benign lesion, surgical resections are performed in most colonic cases because the polyps are usually too large to resect endoscopically. Only three patients underwent endoscopic polypectomy in our literature reviews. Here, we present a case of IFP in the descending colon successful endoscopically resected using a novel technique of trapping its stalk with an endoloop, forming the stalk into an omega shape, and then dissecting the stalk with a needle knife.
结肠炎性纤维性息肉（IFP）是一种罕见的良性息肉样病变，由成纤维细胞、众多小血管和伴有显著嗜酸性粒细胞浸润的水肿性结缔组织组成。这种情况在胃和小肠中经常被检测到，但在结肠中并不常见。虽然IFP是良性病变，但在大多数结肠病例中仍需进行手术切除，因为息肉通常太大，无法通过内镜切除。在我们的文献综述中，只有3例患者接受了内镜下息肉切除术。在此，我们报告一例降结肠IFP患者，采用一种新技术成功进行了内镜切除，该技术是用一个内镜圈套器套住息肉蒂部，将蒂部形成一个Ω形，然后用针刀切断蒂部。
