| Theme |
Recent advances in the diagnosis and management of small intestinal tumor |
| Title |
Inflammatory fibroid polyp of the small intestine |
| Author |
Hiroshi Kozawa |
Division of Gastroenterology, Sapporo Kosei General Hospital |
| Author |
Sei Kurokawa |
Division of Gastroenterology, Sapporo Kosei General Hospital |
| Author |
Akimichi Imamura |
Division of Gastroenterology, Sapporo Kosei General Hospital |
| [ Summary ] |
Gastrointestinal inflammatory fibroid polyps (IFPs) commonly occur in the stomach but rarely occur in the small intestine. IFPs have histological features consisting of proliferating fibrous connective tissue and small blood vessels, with inflammatory cell infiltration. IFPs originate in the submucosa and are grossly mimic GI stromal tumors. Typically, endoscopic examination shows an elevated lesion with an ulcer on top. In some cases, patients exhibit vomiting and stomachaches due to intussusceptions. Some patients also show symptoms of anemia. It is necessary to treat these conditions when the symptoms are present. If it is possible, it is recommended that endoscopic mucosal resection (EMR) be performed. However, but when an emergency arises or a malignant tumor cannot be excluded, laparoscopically assisted surgery or traditional surgery is necessary. Recurrent cases have not been reported in Japan, and the prognosis for these patients is excellent. |