A 15-year-old boy with an esophageal pyogenic granuloma and subsequent Barrett's esophagus (with videos).

摘要

A 15-year-old boy had dysphagia and an 8-kg weight loss. His history revealed severe vomiting as an infant. Upper GI endoscopy showed a large pedunculated tumor at 30 cm, almost completely occluding the esophagus (Fig. 1, Video 1, available online at www.giejournal.com). The tumor had a red, smooth surface with ulceration on top, and it bled easily after biopsies. The polyp originated from normal mucosa, but further down there were ulcerations and columnar-lined epithelium with the squamocolumnar junction at 32 cm. This appeared endoscopically as Barrett's epithelium. There was a hiatal hernia, with the diaphragmatic hiatus at 38 cm and the top of the gastric folds at 37 cm. Biopsy specimens were taken at 33 cm from the incisors.