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Endoscopic Mucosectomy in a Child Presenting with Gastric Heterotopia of the Rectum

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Resumo:Gastric mucosal heterotopia has been described in all levels of the gastrointestinal tract. Its occurrence in the rectum is uncommon. We report the case of a 4-year-old boy referred to Pediatric Gastroenterology for intermittent rectal bleeding for the past 2 years. Total ileocolonoscopy revealed a flat, well-circumscribed lesion of 4 cm, with elevated margins, localized at 10 cm from the anal verge. Histologic examination showed typical gastric mucosa of the oxyntic type. Treatment with proton pump inhibitors was started without resolution of the symptoms and, therefore, an endoscopic mucosal resection was performed. Heterotopic gastric mucosa represents a rare cause of rectal bleeding in children and endoscopic evaluation is fundamental for diagnosis. Although not usually performed in pediatric ages, endoscopic mucosectomy allows complete resolution of the problem avoiding surgery.
Autores principais:Soares,Joana
Outros Autores:Ferreira,Carla; Marques,Margarida; Corujeira,Susana; Tavares,Marta; Lopes,Joanne; Carneiro,Fátima; Dias,Jorge Amil; Trindade,Eunice
Assunto:Heterotopic gastric mucosa Endosocopic mucosal resection Rectum
Ano:2017
País:Portugal
Tipo de documento:relatório
Tipo de acesso:acesso aberto
Instituição associada:Fundação para a Ciência e Tecnologia
Idioma:inglês
Origem:SciELO Portugal

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