Colorectal Surgery Department, Hospital Central Militar, México City, México (Dr. M. Gurieb-Trueba)
Advanced Endoscopy Department, Hospital Central Militar, México City, México (Dr. V. M. Rivera-Méndez)
Hospital San Ángel Inn Chapultepec, México City, México (Dr. J. C. Sánchez-Robbles)

ABSTRACT

Colorectal cancer prevention relies on effective screening through colonoscopy and polypectomy. Several techniques and methods have been described to manage complex colonic polyps such as the ones that are endoscopically unresectable. Across time, we have been able to perform less invasive techniques that include different types of colonic resections, ranging from partial thickness, full-thickness and, segmental colectomies, however, none has proven to be the treatment of choice for these lesions. The technique presented here is an attractive alternative to segmental colectomy using a robotic platform to perform a full-thickness resection.

Key Words: Robotic surgery, Combined approach, Polyp, Colon, Colonoscopy, Colon cancer, Minimally invasive surgery.

The post Combined Endoscopic-Robotic Resection of a Giant Polyp to Avoid Colorectal Resection first appeared on JSLS.

Department of Surgery, Montefiore Medical Center, Bronx, New York, USA (all authors).

ABSTRACT

Introduction: Hyperplastic inflammatory polyp (HIP) is an overgrowth of gastric mucosa associated with underlying chronic inflammation. Usually located in the gastric corpus and antrum, it has also been known to arise at the gastroesophageal (GE) junction

Case Description: We report a case of a large HIP located at the GE junction causing dysphagia in a patient who recently underwent a Roux-en-Y gastric bypass. The polyp was removed endoscopically with resolution of the patient’s symptoms.

Discussion: We present an unusual case of HIP, the first such case in our experience, and report the successful restoration of oral intake in the patient.

Key Words: Hyperplastic, Polyp, Obstruction, Gastric bypass.

The post Dysphagia Due to an Esophageal Polyp After Gastric Bypass first appeared on JSLS.