{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T04:04:34Z","timestamp":1763006674630,"version":"3.45.0"},"reference-count":8,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In this report, we present a case of an atypical presentation with a solitary recalcitrant adenomatous colonic polyp, managed by endoscopic mucosal resection (EMR). The patient is a 17\u2010year\u2010old previously healthy male, who was evaluated by the gastroenterology clinic in the setting of abdominal pain, hematochezia and iron deficiency anemia. Patient was found to have a solitary rectosigmoid adenomatous polyp with low\u2010grade dysplasia, and a normal upper endoscopy. The rectosigmoid polyp was difficult to completely resect via snare polypectomy and showed persistent regrowth, requiring EMR for complete resection. Of note, family history is extensive for malignancy, with patient's hereditary colorectal cancer genetic testing showing a heterozygous variant of unknown significance in one copy of his RNF43 gene. Follow\u2010up endoscopic evaluation was unremarkable, with no polyp recurrence and negative pathology at the resected polyp site.<\/jats:p>","DOI":"10.1002\/jpr3.70044","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T05:32:07Z","timestamp":1749447127000},"page":"404-406","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of recalcitrant colorectal adenoma with endoscopic mucosal resection"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8644-7710","authenticated-orcid":false,"given":"Stephanie","family":"Bou\u2010Anak","sequence":"first","affiliation":[{"name":"Department of Pediatrics Akron Children's Hospital Akron Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Khan","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashlie","family":"Rubrecht","sequence":"additional","affiliation":[{"name":"Pediatric Pathology Nationwide Children's Hospital Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8685-3730","authenticated-orcid":false,"given":"Kevin","family":"Watson","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology Akron Children's Hospital Akron Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000265"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002421"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2011.02.062"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2023.10.012"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2019.10.026"},{"key":"e_1_2_8_7_1","doi-asserted-by":"crossref","unstructured":"MohamedI Abosheaishaa H Salem A.Evolving trends in colorectal cancer incidence among young patients under 45: a 22\u2010year analysis of CDC Wonder database.Presented at: Digestive Disease Week; May 18\u201021 2024; Washington (hybrid).","DOI":"10.1016\/S0016-5085(24)02668-4"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.27941"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2019.0068"}],"container-title":["JPGN Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpr3.70044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T04:02:01Z","timestamp":1763006521000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpr3.70044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,9]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/jpr3.70044"],"URL":"https:\/\/doi.org\/10.1002\/jpr3.70044","archive":["Portico"],"relation":{},"ISSN":["2691-171X","2691-171X"],"issn-type":[{"type":"print","value":"2691-171X"},{"type":"electronic","value":"2691-171X"}],"subject":[],"published":{"date-parts":[[2025,6,9]]},"assertion":[{"value":"2024-10-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}