Fecal calprotectin measurement to detect recurrence of solitary juvenile polyps: A case report

Author:

Kudoh Maika1,Kakiuchi Toshihiko1ORCID,Yoshiura Masato1,Esaki Motohiro2,Matsuo Muneaki1

Affiliation:

1. Department of Pediatrics, Faculty of Medicine, Saga University, Saga, Japan

2. Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, Japan.

Abstract

Rationale: Juvenile polyps (JPs) are the most common polyp type and can be observed in 1% of all preschoolers. The peak incidence is observed at ages 3 to 5 years, constituting 90% of all polyps in children. Elevated levels of fecal calprotectin (FC) are often seen in children with JPs. Patient concerns: A 15-month-old girl was referred to our hospital for blood on the stool surface persisting for 3 months. She was healthy, with no abdominal pain, diarrhea, anorexia, or weight loss and no complaints other than hematochezia. Her physical examination, vital signs and laboratory date were unremarkable. Diagnosis: JPs Intervention: Total colonoscopy for her found 2 JPs in the sigmoid colon, which were subsequently resected endoscopically. Outcomes: At the age of 5 years, this patient again had bloody stools. Her FC measurement at that time was 1020 mg/kg, which normalized to 42 mg/kg 3 months after her second resection. Lessons: Single or multiple solitary JPs require follow-up that fully considers the possibility of recurrence. Establishing a method for early confirmation of JP recurrence based on bloody stools, fecal occult blood testing, and FC measurement is necessary.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference16 articles.

1. Über die Histogenese der Schleimhautcarcinome.;Versé;Verh Dtsch Path Ges,1908

2. Some peculiarities in the histology of intestinal polyps.;Morson;Dis Colon Rectum,1962

3. Polypoid disease of colon in children.;Soyer;Pediatr Surg Int,2020

4. Juvenile colorectal polyps in children: experience in Pakistan.;Mandhan;Pediatr Surg Int,2004

5. Fecal calprotectin.;Ayling;Adv Clin Chem,2018

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3