ArticleVideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy2026
Ischemic polypectomy for small-bowel polyps in pediatric Peutz-Jeghers syndrome.
Article in VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Pediatric Hereditary Polyposis Syndromes: Diagnosis, Surveillance, and Management Across Evolving Guidelines.Digestive diseases and sciences · 2026Review
- Hot and Cold Polypectomy Techniques in Children: A 13-Year Comparative Study of 2,000 Polyps.Digestive diseases and sciences · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Peutz-Jeghers syndrome (PJS) is characterized by the development of hamartomatous polyps in the gastrointestinal tract that can cause chronic blood loss. Ischemic polypectomy has emerged as a low-risk technique in adult patients with PJS but remains largely undocumented in pediatric populations. This video presents the first published case demonstrating ischemic polypectomy in a pediatric patient, to our knowledge. Methods: A 12-year-old girl with PJS and chronic anemia underwent balloon-assisted enteroscopy. Seven pedunculated small-bowel polyps were identified and treated using ischemic polypectomy with a detachable snare. Results: Three representative polypectomies are shown. The snare was tightened at the polyp stalk until ischemic changes occurred, then cinched and deployed. One instance required a second snare because of equipment malfunction. All polyps were successfully treated without electrocautery, bleeding, or perforation. Follow-up demonstrated improvement in longstanding anemia, with a rise in hemoglobin from 9.1 to 12.4 g/dL at 6 weeks, supporting therapeutic benefit. Repeat capsule endoscopy was planned. Conclusions: Ischemic polypectomy using balloon-assisted enteroscopy is feasible, effective, and safe in pediatric PJS. By avoiding thermal energy, it may reduce the risk of transmural injury and represents a valuable option for children with numerous pedunculated small-bowel polyps.
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Registered trials
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