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. 2021 Nov 11;5(12):1398-1400.
doi: 10.1002/jgh3.12674. eCollection 2021 Dec.

Esophageal pyogenic granuloma resected by polypectomy using a detachable snare

Affiliations

Esophageal pyogenic granuloma resected by polypectomy using a detachable snare

Hiroyoshi Iwagami et al. JGH Open. .

Abstract

Pyogenic granuloma (PG) is a benign inflammatory vascular lesion rarely seen in the gastrointestinal tract and a possible cause of bleeding. Polypectomy using a detachable snare for esophageal PG with active bleeding is an effective treatment.

Keywords: endoscopy: upper gastrointestinal; esophageal neoplasms; esophagus; gastroenterology.

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Figures

Figure 1
Figure 1
(a, b) Emergency esophagogastroduodenoscopy showing a 10‐mm pedunculated polyp with a clot in the cervical esophagus. (c) We squeezed the polyp stalk using a detachable snare. (d) We performed polypectomy using a 10‐mm snare.
Figure 2
Figure 2
(a) Both hemostasis and en bloc resection were achieved. We added the clip because we expected an effect in preventing dislocation of the detachable snare. (b) Hematoxylin and eosin staining of the resected specimen. Subepithelial capillary hyperplasia and a focal lobular structure are seen. (c) Magnified image of the yellow square in Figure 2b. Numerous neutrophilic infiltrations are seen. All findings were compatible with pyogenic granuloma.

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