Diaconescu Smaranda, Miron Ingrith, Gimiga Nicoleta, Olaru Claudia, Ioniuc Ileana, Ciongradi Iulia, Sarbu Ioan, Stefanescu Gabriela
From the Grigore T. Popa University of Medicine and Pharmacy (SD, IM, NG, CO, II, IC, IS, GS); St. Mary's Emergency Hospital for Children (SD, IM, NG, CO, II, IC, IS) and St. Spiridon Emergency Hospital, Iasi, Romania (GS).
Medicine (Baltimore). 2016 Jan;95(3):e2539. doi: 10.1097/MD.0000000000002539.
Isolated polyps of the upper digestive tract are rarely diagnosed in children, being usually an incidental finding during endoscopic exploration.The diagnostic, therapy, and outcome of these lesions are based on endoscopy and pathology.In a 5-year period, clinical features, topography, size, pathology, therapeutics, and progression of esophagogastric polyps founded in children addressed to our pediatric gastroenterology unit were studied.The authors encountered 3 lesions in teenagers aged 13 to 17 years two males (2M), from a total number of 2140 upper digestive endoscopies (0.14%). All patients presented with pirosis, epigastric pain, and vomits; one of the children had end-stage renal disease and Kabuki syndrome. Endoscopic and pathologic findings were 2 esophageal polyps, an inflammatory one, and another containing goblet cells and a double-headed hyperplastic gastric polyp. Two patients received proton pump inhibitors without any improvement in subsequent endoscopic evaluations.The difficulties related to age group, underlying conditions, debatable response to acid suppression, and limited experience in pediatric therapeutic endoscopy selected significantly the effectiveness of treatment.The rarity of these lesions requires an individualized management, the endoscopic diagnostic, and therapeutic gesture depending on the symptoms, type, location, comorbidities, and team experience.
