4.6 Review

Schistosomal (bilharzial) polyps: Travel through the colon and beyond

期刊

WORLD JOURNAL OF GASTROENTEROLOGY
卷 29, 期 26, 页码 4156-4165

出版社

BAISHIDENG PUBLISHING GROUP INC
DOI: 10.3748/wjg.v29.i26.4156

关键词

Schistosomiasis; Bilharziasis; Schistosomal polyps; Colon; Praziquantel

向作者/读者索取更多资源

Schistosomiasis is a neglected tropical disease, endemic in many tropical and subtropical communities. Schistosomal polyps (S. polyps) are a common presentation of this infection, affecting not only the colon but also other organs. This review aims to increase awareness among practitioners, especially gastroenterologists, about the clinical manifestations, diagnosis, and treatment of S. polyps, in order to improve patient outcomes.
Schistosomiasis (bilharziasis) is a major neglected tropical disease. It is endemic in many tropical and subtropical communities. Schistosomal polyps (S. polyps) are not uncommon presentation of this infection. Although the colon is the most commonly affected organ, many other organs are affected. S. polyps are associated with a variable range of morbidity independent of the Schistosomal infection. S. polyps are frequently described in endemic areas and increasingly reported in non-endemic areas mainly among immigrants and visitors to the endemic areas. This review aimed to increase awareness of practitioners, especially gastroenterologists, for this peculiar type of polyps caused by this neglected infection hence improving patient outcomes. Web-based search of different databases was conducted for the literature focusing the development of S. polyps in the colon and other organs with analysis of the clinical manifestations, diagnosis and treatment. The following key words were used in the search, Schistosomiasis OR Bilharziasis AND Polyps OR Polyp AND Colon OR Small intestine OR Duodenum OR Stomach OR Esophagus OR Gallbladder OR Pharynx OR Larynx OR Trachea OR Urinary bladder OR Ureter OR Renal Pelvis OR Urethra. All publication types including case reports, case series, original research, and review articles were retrieved and analyzed. S. polyps are not infrequent presentation of acute or chronic Schistosomal infection. S. polyps are described in many organs including the bowel, genitourinary tract, skin, gallbladder and the larynx. Presentation of S. polyps is variable and depends on the site, number as well as the polyp size. The relationship of S. polyps to malignant transformation is a matter of discussion. Presence of S. polyps is sometimes the only manifestation of Schistosomiasis. Small polyps can be treated medically with praziquantel, while large accessible polyps are amendable for endoscopic excision through different polyp resection techniques. However, huge, complicated, non-accessible and suspicious polyps are indicated for surgical management or advanced endoscopic resection when appropriate. Clinicians and endoscopists should be aware about these facts when treating patients living in, immigrated from or visiting endemic areas.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

暂无数据
暂无数据