20-year experience of treating esophageal polyps in children



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Abstract

Introduction. Gastrointestinal polyps are rare in newborn children, at the same time they are most common in children aged 2 to 10 years. Many aspects of endoscopic surgical treatment of polyps in children remain controversial, since they are not sufficiently covered in domestic and foreign literature.

The aim was to conduct a retrospective analysis of surgical treatment of abdominal polyps of the esophagus in 52 children in the surgical and endoscopic department of the Regional Children's Clinical Hospital of Rostov-on-Don.

Material and methods. For a 20-year period (2001-2020) and presentation of own material for the treatment of children with esophageal polyps based on modern pathogenetic views on the occurrence and development of this pathology. The main symptom of the disease in patients was dysphagia, which occurred in 79% of patients. Under anesthesia in the operating unit, patients underwent endoscopic polypectomy using diathermocoagulation, followed by covering the defect of the esophageal wall by clipping the edges of the mucous membrane.

Results. The authors found that it is sufficient to perform polyp removal within the unaffected areas and continue antireflux therapy in order to get a full recovery of patients. Polyps of the transition zone between the esophagus and the stomach seem to have, among other things, also a morphological cause of their origin and development.

The contact of two types of mucous membranes (esophagus and stomach) suggests, under certain conditions, the possibility of the development of polyps at the junction of two different morphological structure of mucous membranes. The benign nature of the polyps was confirmed histologically.

Conclusion. The authors found that in the treatment of juvenile esophageal polyps, the suppression of gastroesophageal reflux disease should be considered mandatory both before and after surgery. There were no relapses of the disease.

About the authors

M. G. Chepurnoy

Rostov State Medical University

Author for correspondence.
Email: m.g.2012@yandex.ru
ORCID iD: 0000-0002-7703-1097

Mikhail G. Chepurnoy - MD, Associate Professor, Head of the Department of Pediatric Surgery and Orthopedics of Rostov State Medical University.

Rostov-na-Donu, 344022

Russian Federation

M. V. Kovalev

Rostov State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0001-5393-6257

Rostov-on-Don, 324022

Russian Federation

A. N. Kivva

Rostov State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-0802-9364

Rostov-on-Don, 324022

Russian Federation

References

  1. Drobni Sh. Intestine Surgery. Akademija kiado. Budapest, 1983: 335-46.
  2. Zitsmana J.L., Schullingera J.N., Berdona W.E. Inflammatory esophagogastric polyps: Resolution following antireflux surgery. J. Pediatr. Surg. 1988; 23(11): 1016-7. https://doi.org/10.1016/S0022-3468(88)80011-3
  3. Jones T.B., Heller R.M., Kirchner S.G. et al. Inflammatory esophagogastric polyp in children. Am. J. Roentgenol. 1979; 133: 314-6. https://doi.org/10.1016/S0022-3468(80)80071-64
  4. Накатис Я.А., Кащенко В.А., Солоницын Е.Г. и др. Эндоскопическая диагностика и лечение неуточнённых желудочно-кишечных кровотечений. Экспериментальная и клиническая гастроэнтерология. 2017; 146(10): 74-9. https://doi.org/10.4291/wjgp.v5.i4.467
  5. Сайфутдинов И.М., Иванов А.И., Пеганова Е.В. Эндоскопическое удаление полипов пищевода и желудка с использованием лигирующего устройства. Казанский медицинский журнал. 2016; 97(2): 199-203. https://doi.org/17750/KMJ2016-199
  6. Титов А.Н., Солоницын Е.Г., Кащенко В.А. К вопросам о патогенезе гастроэзофагеальной рефлюксной болезни (значение вегетативного тонуса). Клиническая больница. 2014; 4(10): 31-5. https://doi.org/04.2014/S0245-3547(12)10012-4
  7. Berr F. Курс внутрипросветной оперативной эндоскопии. Учебные методические рекомендации. Перевод с англ.: Митракова Н.Н., Приходько К.С. Нижний Новгород; 12-14 декабря 2019 г.: 74.
  8. Berr F., Oyama N., Ponchon T., Yahagi N., eds. Early Neoplasias of the Gastrointestinal Tract — Endoscopic Diagnosis and Therapeutic Decisions. New-York: Springer; 2014. https://doi.org/10.1007/978-1-4614-8292-5
  9. Fukami N., ed. Endoscopic Submucosal Dissection — Principles and Practice. New-York: Springer; 2015. https://doi.org10.1007/978-1-4939-2041-9
  10. Oyama T., Inoue H., Arima M. et al. Prediction of the invasion depth of superficial squamous cell carcinoma based on microvessel morphology: magnifying endoscopic classification of the Japan Esophageal Society. Esophagus. 2016. https://doi.org/10.1007/s10388-016-0527-7
  11. Dunbar K.B., Spechler S.J. The risk of lymph-node metastases in patients with high-grade dysplasia or intramucosal carcinoma in Barrett's esophagus: a systematic review. Am. J. Gastroenterol. 2012; 107(6): 850-62. https://doi.org/10.1038/ajg.2012.78
  12. Sharma P., Bergman J.J., Goda K. et al. Development and validation of a classification system to identify high-grade dysplasia and esophageal adenocarcinoma in Barrett's esophagus using narrow-band imaging. Gastroenterology. 2016; 150(3): 591-8. https://doi.org/10.1053/j.gastro.2015.11.037

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