{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:50:26Z","timestamp":1760151026914,"version":"build-2065373602"},"reference-count":10,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T00:00:00Z","timestamp":1644192000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Colonic polyps are a common cause of persistent bloody stools in pediatric patients. Such polyps are easily diagnosed by a barium study of the lower gastrointestinal tract or by colonoscopy. Polypectomies utilizing electric ligators are generally performed on pediatric patients, and such patients can be easily operated on. However, giant colonic polyps have been reported in pediatric patients. In the past, a laparotomy or laparoscopy would have been performed in some pediatric patients diagnosed with a giant colonic polyp; however, the large size, location, or position of the polyp would sometimes be too large or the location or position of the polyp would make successful operation difficult. In general, larger stumps with large feeding arteries are associated with larger colonic polyps. Therefore, if such a polyp is removed via electric polypectomy alone, there may be a higher risk of post-polypectomy bleeding from its stump. We report a case of a 14-year-old male patient who presented with a 2-month history of bloody stools. A giant juvenile colonic polyp was detected by colonoscopy in the transverse colon. Finally, we successfully removed the giant polyp by using endoloop-assisted polypectomy.<\/jats:p>","DOI":"10.3390\/children9020222","type":"journal-article","created":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T20:36:42Z","timestamp":1644266202000},"page":"222","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoloop-Assisted Polypectomy for a Symptomatic Giant Colonic Polyp in a Pediatric Patient"],"prefix":"10.3390","volume":"9","author":[{"given":"Yen-Chung","family":"Lin","sequence":"first","affiliation":[{"name":"Division of Pediatric Gastroenterology, China Medical University Children\u2019s Hospital, Taichung 404327, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jen-Wei","family":"Chou","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Internal Medicine, China Medical University Hospital, Taichung 404327, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"An-Chyi","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, China Medical University Children\u2019s Hospital, Taichung 404327, Taiwan"},{"name":"School of Medicine, China Medical University, Taichung 404328, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu-Fen","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, China Medical University Children\u2019s Hospital, Taichung 404327, Taiwan"},{"name":"School of Medicine, China Medical University, Taichung 404328, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching-Tien","family":"Peng","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hemato-Oncology, China Medical University Hospital, Taichung 404327, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology, China Medical University Children\u2019s Hospital, Taichung 404327, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chien-Heng","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology, China Medical University Hospital, Taichung 404327, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1252","DOI":"10.1016\/S0196-0644(94)70350-7","article-title":"Rectal bleeding in the pediatric emergency department","volume":"23","author":"Teach","year":"1994","journal-title":"Ann. Emerg. Med."},{"key":"ref_2","first-page":"667","article-title":"Sigmoidoscopy, colonoscopy, and radiology in the evaluation of children with rectal bleeding","volume":"2","author":"Cucchiara","year":"1983","journal-title":"J. Pediatr. Gastroenterol. Nutr."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/S0022-3468(78)80217-6","article-title":"Colonoscopy for rectal bleeding in childhood","volume":"13","author":"Holgersen","year":"1978","journal-title":"J. Pediatr. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1007\/s00464-005-0713-5","article-title":"Endoloop-assisted polypectomy for large pedunculated colorectal polyps","volume":"20","author":"Katsinelos","year":"2006","journal-title":"Surg. Endosc."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1007\/BF00316840","article-title":"A new detachable snare for hemostasis in the removal of large polyps or other elevated lesions","volume":"5","author":"Hachisu","year":"1991","journal-title":"Surg. Endosc."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1726","DOI":"10.1007\/s10620-009-0905-2","article-title":"Endoclip-assisted resection of large pedunculated colorectal polyps: Technical aspects and outcome","volume":"55","author":"Luigiano","year":"2010","journal-title":"Dig. Dis. Sci."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1055\/s-2004-825801","article-title":"Detachable snare versus epinephrine injection in the prevention of postpolypectomy bleeding: A randomized and controlled study","volume":"36","author":"Calcagno","year":"2004","journal-title":"Endoscopy"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2805","DOI":"10.1111\/j.1572-0241.2006.00855.x","article-title":"A prospective, randomized comparison of adrenaline injection in combination with detachable snare versus adrenaline injection alone in the prevention of postpolypectomy bleeding in large colonic polyps","volume":"101","author":"Paspatis","year":"2006","journal-title":"Am. J. Gastroenterol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2732","DOI":"10.1007\/s00464-009-0478-3","article-title":"Endoscopic resection of large pedunculated colonic polyps and risk of postpolypectomy bleeding with adrenaline injection versus endoloop and hemoclip: A prospective, randomized study","volume":"23","author":"Kouklakis","year":"2009","journal-title":"Surg. Endosc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1055\/s-2007-1010277","article-title":"Endoscopic hemoclip treatment for gastrointestinal bleeding","volume":"25","author":"Binmoeller","year":"1993","journal-title":"Endoscopy"}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/9\/2\/222\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:15:37Z","timestamp":1760134537000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/9\/2\/222"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,7]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,2]]}},"alternative-id":["children9020222"],"URL":"https:\/\/doi.org\/10.3390\/children9020222","relation":{},"ISSN":["2227-9067"],"issn-type":[{"type":"electronic","value":"2227-9067"}],"subject":[],"published":{"date-parts":[[2022,2,7]]}}}