Familial Occurrence of Enteric Muco-Submucosal Elongated Polyp
Author(s) -
Yuto Shimamura,
Kenji Nakamura,
Takeshi Okamoto,
Noriatsu Imamura,
Naoki Ishii,
Yoshiyuki Fujita
Publication year - 2016
Publication title -
acg case reports journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 4
ISSN - 2326-3253
DOI - 10.14309/crj.2016.60
Subject(s) - medicine , gastrointestinal bleeding , gastrointestinal tract , endoscopic mucosal resection , gastroenterology , surgery , endoscopy
We report 2 cases of enteric muco-submucosal elongated polyps (EMSEPs) that presented with gastrointestinal bleeding. The 2 patients are siblings. They both had a history of percutaneous coronary intervention for coronary artery disease and were on dual antiplatelet therapy. They underwent endoscopic resection of the polyps, which displayed identical endoscopic and histological features compatible with EMSEP. This is the first report of familial occurrence of EMSEP, suggesting possible genetic involvement. It is also important to note that the use of antiplatelet agents appears to be a predisposing factor for gastrointestinal bleeding from EMSEP.
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