Management of hyperplastic gastric polyp following upper gastrointestinal bleeding in infant with Menkes’ disease

• 作者: Arun Urs Dalia Belsha Mike Thomson Priya Narula
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Menkes 疾病 胃肠的流血 掌握和圈套技术 POLYPECTOMY 胃的息肉
• 年，卷（期）: 2017,（7）
• 页码范围: 341-345
• 页数: 5页
• 分类号: R725.7

摘要

We report a case of an infant with Menkes’ disease(MD) presented at the age of five months,with coffee ground vomiting,melaena with a significant drop of haemoglobin.Urgent endoscopic assessment revealed a friable bleeding trans-pyloric multi-lobulated sessile polyp.Due to further significant upper gastrointestinal bleeding,polypectomy occurred.Endoscopic mucosal resection was performed with a grasp-and-snare technique using a dual channel operating gastroscope.Haemostasis was achieved by application of argon plasma coagulation where required.No perforation occurred.Repeated debridement was required 6 wk after which the growth was excised completely with no further blood transfusion required after that procedure.Histological examination confirmed ulcerated and inflamed hyperplastic polyp.We discuss our endoscopic technique and discuss the reported gastrointestinal manifestation of MD in the literature.