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Inflammatory fibroid polyps in children:A new case report and a systematic review of the pediatric literature

World Journal of Clinical Pediatrics 2015年第4期4卷 160-166页

作者： Laura Righetti Filippo Parolini paolo cengia Giovanni Boroni Maurizio Cheli Aurelio Sonzogni Daniele Alberti Department of Pediatric Surgery Spedali Civili Hospital Department of Surgery Spedali Civili Hospital Department of Pediatric Surgery Papa Giovanni XXXIII Hospital Department of Pathology Papa Giovanni XXXIII Hospital Department of Pediatric Surgery Spedali Civili HospitalUniversity of Brescia

AIM: To study that inflammatory fibroid polyps(IFPs) in children are extremely uncommon tumors that may occur throughout the gastrointestinal tract. METHODS: A systematic review of the pediatric literature and a report of a new case of IFP is also pres-ented. The Pub Med database was searched for original studies on pediatric IFPs since 1960, according to "Preferred reporting items for systematic reviews and meta-analyses" guidelines for systematic reviews. RESULTS: Five studies were finally enclosed, encompassing 6 children with IFPs(mean age 64 mo). Tumors were located in the stomach(2 patients), in the small bowel(2 patients), in the rectum(1 patient) and in the colon(1 patient). Open surgery was performed in all patients and complete excision of the mass was achieved in all cases. All patients are alive and free of symptom. Authors described a further case of a 3-year-old boy with a large duodenal IFP, in whom the tumor was removed by "en block resection". The presence of IFP throughout the gastrointestinal tract and its variable clinical appearances make it difficult to diagnose. An accurate pre-operative assessment is fundamental in order to differentiate IFP from other more aggressive gastrointestinal tumor, enabling unnecessary demolitive surgery. CONCLUSION: When complete resection of the IFP is achieved, the prognosis is excellent.

关键词： Inflammatory fibroid polyp Duodenum Ultrasound endoscopy Children Surgery

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Endoscopic management of sigmoid volvulus in children

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World Journal of Gastrointestinal Endoscopy 2016年第12期8卷 439-443页

作者： Filippo Parolini paolo Orizio Anna Lavinia Bulotta Miguel Garcia Magne Giovanni Boroni Gianpaolo cengia Fabio Torri Daniele Alberti Department of Paediatric Surgery "Spedali Civili" Children’s Hospital Unit of Digestive Endoscopy and Gastroenterology "ASST Garda-Manerbio" Hospital Department of Clinical and Experimental Sciences University of Brescia

Sigmoid volvulus(SV)is extremely uncommon in children and is usually associated with a long-standing history of constipation or *** early diagnosis and management are crucial in order to prevent the appearance of hemorrhagic infarction of the twisted loop,avoiding further complications such as necrosis,perforation and *** patients with no evidence of peritonitis or ischemic bowel,treatment starts with resuscitation and detorsion of the SV,accomplished by means of sigmoidoscopy and concomitant rectal tube *** bowel is then prepared and surgery is undertaken electively during the same *** report a detailed review of the literature focusing on technical details,risks and benefits of endoscopic management of SV in childhood.

关键词： Sigmoid volvulus Contrast enema Children Endoscopy Surgery

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