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World J Gastroenterol. Jul 14, 2023; 29(26): 4156-4165
Published online Jul 14, 2023. doi: 10.3748/wjg.v29.i26.4156
Schistosomal (bilharzial) polyps: Travel through the colon and beyond
Mohamed H Emara, Aya M Mahros, Abdelrahman M Ahmed Rasheda, Mohamed I Radwan, Besher Mohamed, Osama Abdelrazik, Mostafa Elazab, Hassan Elbatae
Mohamed H Emara, Aya M Mahros, Mostafa Elazab, Hassan Elbatae, Department of Hepatology, Gastroenterology and Infectious Diseases, Kafrelsheikh University, Kafr-Elshikh 33516, Egypt
Abdelrahman M Ahmed Rasheda, Department of Internal Medicine, Gastroenterology Unit, Security Forces Hospital, Ryiadh 11481, Saudi Arabia
Mohamed I Radwan, Department of Tropical Medicine, Zagazig University, Zagazig 44519, Egypt
Besher Mohamed, Department of Gastroenterology, Surrey and Sussex Hospitals NHS Trust, Surrey RH1 5RH, United Kingdom
Osama Abdelrazik, Department of Hepato-Gastroenterology and Infectious Diseases, Al-Azhar University, Cairo 11651, Egypt
Author contributions: Emara MH, Mahros AM, Radwan MI, and Rasheda AMA developed concept of the study, and retrieved the evidence; Elbatae H, Emara MH, Abdelrazik O, and Elazab M searched the literature; Elbatae H, Emara MH, Abdelrazik O, Elazab M, Mahros AM, and Radwan MI analyzed the evidence; Emara MH, Rasheda AMA, Elazab M, and Mahros AM drafted the article; All authors revised the article.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mohamed H Emara, MD, MSc, Professor, Department of Hepatology, Gastroenterology and Infectious Diseases, Kafrelsheikh University, Ageish Street, Kafr-Elshikh 33516, Egypt. emara_20007@yahoo.com
Received: December 24, 2022
Peer-review started: December 24, 2022
First decision: January 14, 2023
Revised: January 18, 2023
Accepted: March 29, 2023
Article in press: March 29, 2023
Published online: July 14, 2023
Core Tip

Core Tip: Schistosomiasis is associated with a wide range of pathological lesions including development of polyps. Colon is the commonest site for polyp development, however polyps are reported in many organs including urinary bladder, ureters, larynx, duodenum, small intestine, gallbladder, anus, uterine cervix and external genitalia. Schistosomal polyps are associated with a wide range of morbidity according to the polyp site, size and number. The malignant potential of these polyps is a hot point of discussion. Although small sized polyps can regress with medical therapy using praziquantel, large accessible polyps can be retrieved endoscopically. Complicated, huge and inaccessible polyps can be treated surgically.