Jung EY, Choi SO, Cho KB, Kim ES, Park KS, Hwang JB. Successful endoscopic submucosal dissection of a giant polyp in a 21-month-old female. World J Gastroenterol 2014; 20(1): 323-325 [PMID: 24415889 DOI: 10.3748/wjg.v20.i1.323]
Corresponding Author of This Article
Kwang Bum Cho, MD, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Keimyung University School of Medicine, 194 Dongsan dong, Jung-gu, Daegu 700-712, South Korea. chokb@dsmc.or.kr
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jan 7, 2014; 20(1): 323-325 Published online Jan 7, 2014. doi: 10.3748/wjg.v20.i1.323
Successful endoscopic submucosal dissection of a giant polyp in a 21-month-old female
Eun-Young Jung, Soon-Ok Choi, Kwang Bum Cho, Eun Soo Kim, Kyung Sik Park, Jin-Bok Hwang
Eun-Young Jung, Soon-Ok Choi, Department of Pediatric Surgery, Division of Gastroenterology and Hepatology, Keimyung University School of Medicine, Daegu 700-712, South Korea
Kwang Bum Cho, Eun Soo Kim, Kyung Sik Park, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Keimyung University School of Medicine, Daegu 700-712, South Korea
Jin-Bok Hwang, Division of Gastroenterology and Hepatology, Department of Pediatrics, Keimyung University School of Medicine, Daegu 700-712, South Korea
Author contributions: Jung EY wrote the manuscript; Choi SO provided surgical standby during the ESD procedure; Cho KB designed the study and performed the ESD procedure; Kim ES and Park KS provided the collection of the figures and advice for this work; Hwang JB provided medical treatment to the patient and advice for this work.
Correspondence to: Kwang Bum Cho, MD, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Keimyung University School of Medicine, 194 Dongsan dong, Jung-gu, Daegu 700-712, South Korea. chokb@dsmc.or.kr
Telephone: +82-53-2507007 Fax: +82-53-2507088
Received: August 25, 2013 Revised: September 15, 2013 Accepted: September 29, 2013 Published online: January 7, 2014 Processing time: 147 Days and 20.7 Hours
Abstract
Endoscopic submucosal dissection (ESD) is now recognized as the preferred treatment modality for gastrointestinal epithelial lesions. A 21-month-old female was admitted with a giant hyperplastic polyp causing a gastric outlet obstruction. Successful ESD was performed with caution. The post-procedural course was uneventful without a bleeding episode. Although further study of the feasibility of ESD in early children is necessary, ESD could be applied to avoid laparotomy even in young children.
Core tip: We performed successful endoscopic submucosal dissection (ESD) for a giant hyperplastic polyp that obstructed the gastric outlet in a 21-month-old female patient. ESD could be applied to avoid surgery even in a young child. The present case is the youngest patient reported to date globally.
