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Gastroduodenal polyp as a cause of upper gastrointestinal bleeding is a very rare entity especially in infancy. In infants hematemesis often is a manifestation of systemic illnesses like septicemia or coagulopathy. Here we present a 5 month old young girl who presented in emergency with hematemesis associated with a significant drop of Hemoglobin....
Context in source publication
Context 1
... adults with sporadic fundic gland polyps (FGPs) mutations of the ß-catenin gene affecting the APC/ß-catenin pathway occurred and this may be involved in the pathogenesis of sporadic fundic gland polyps [4]. In pediatric population cases are limited but in future genetic sequencing of all such cases will be needed to delineate the genetic background (Figures 2 and 3). Few cases of Gastric polyp mimicking hypertropic pyloric stenosis in infancy have been reported in literature [5]. ...
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Aim: Laparoscopic wedge resection is widely accepted as the choice of treatment for gastric submucosal tumors (GST). However, tumors on the posterior wall at the esophagogastric junction (EGJ) are difficult to approach. Laparoscopic transgastric resection (LTR) is a novel technique to remove gastric tumors that are unresectable by endoscopy due to...
Citations
In children, upper gastrointestinal bleeding (UGIB) is an uncommon, but potentially serious, condition with diverse etiologies. A prospective study had been undertaken to find out any changing trend in the etiology and outcome of pediatric UGIB in Eastern India. This retrospective analysis of case records of children, presenting in outpatient or emergency with hematemesis and/or melena from 2 tertiary GI centers of Kolkata, was undertaken to find out the etiologies of bleed and the outcome of management. A total of 180 children were evaluated including 30 (16.7%) infants. The predominant cause of GGIB was gastroduodenal ulcer and erosions (60%) followed by variceal bleeding (19.4%). Vascular lesions were detected in 4 (2%). Hyperplastic antral polyp was an unusual etiology in 3 (1.7%) infants. Various endotherapies were needed in 28% of cases. No mortality was noted. Melena, hemoglobin below 8 gm%, the need for volume replacement, and packed red blood cells transfusion on admission were associated with significant endoscopic lesions, which needed endotherapies. This study, comprising the largest cohort among Indian published series, found an etiology of pediatric upper GI bleed, different from the one, previously depicted. This may be a reflection either of regional variations or a changing trend over time.
