Endoscopy 2020; 52(S 01): S47
DOI: 10.1055/s-0040-1704144
ESGE Days 2020 oral presentations
Thursday, April 23, 2020 14:30 – 16:00 Twist and shout through the bowel Liffey Meeting Room 1
© Georg Thieme Verlag KG Stuttgart · New York

PYOGENIC GRANULOMA (PG): UN UNCOMMON CAUSE OF IRON DEFICIENCY ANAEMIA DIAGNOSED AND TREATED BY DOUBLE-BALLOON ENTEROSCOPY (DBE) (WITH VIDEO)

Authors

  • N Lazaridis

    1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom

  • A Murino

    1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom

  • E Athanasiadou

    1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom

  • A Podesta

    1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom

  • F Solonos

    1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom

  • R Raymond

    1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom

  • N Koukias

    1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom

  • J Watkins

    2   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Department of Cellular Pathology, London, United Kingdom

  • T Yano

    1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
    3   Jichi Medical University, Division of Gastroenterology, Department of Medicine, Shimotsuke, Japan

  • EJ Despott

    1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, United Kingdom
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Pyogenic granuloma (PG) is a rare cause of obscure gastrointestinal bleeding. Histopathologically is characterised by proliferation of capillary vessels and granulation tissue while pathogenesis is unclear.

A 59-year-old man with iron-deficiency anaemia was referred to our institution. Small bowel capsule endoscopy showed a large vascular malformation within the jejunum. At double-balloon enteroscopy (DBE) two reddish polypoid lesions in keeping with PGs were identified. Endoscopic mucosal resection (EMR) was performed successfully. Endoclips were placed to reduce delayed-bleeding risk. Histopathology report confirmed initial endoscopic diagnosis.

DBE facilitated endotherapy is a precise, safe and minimally invasive management of PGs in the small bowel.