Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 6, Number 5, May 2015, pages 188-193

Tubular Adenomatous Polyp in a Colon Interposition: A Case Report and Review of Literature

Figures

Figure 1.
Figure 1. Olympus video gastroscope shows a 0.8 cm polyp in the mid portion of the interposed colon.
Figure 2.
Figure 2. Hematoxylin and eosin (H&E) of tubular adenomatous polyp at × 40 magnification. Right lower piece of colonic mucosa shows a polyp containing tubular structures. The tubules are composed of columnar cells with hyperchromatic and basally located nuclei.
Figure 3.
Figure 3. Hematoxylin and eosin (H&E) of tubular adenomatous polyp at × 100 magnification which shows tubules that are composed of columnar cells with hyperchromatic and basally located nuclei.

Table

Table 1. Review of Literature of Tumors Arising from the Grafted Colon Interposition
 
ReferencesAgeGenderComorbiditiesIndication for esophagectomyHistologyTime from esophagectomy (years)TreatmentRecommendations post-treatment
GERD: gastroesophageal reflux disease; Htn: hypertension; DMII: diabetes mellitus type 2; SCC: small cell cancer; s/p: status post; EGD: esophagogastroduodenoscopy.
[2]80M-esophageal squamous cell carcinomaAdenocarcinoma in a tubular adenoma14Endoscopic submucosal dissectionUpper endoscopic screening within 1 year
[3]59FGastric ulcer perforationAnastomotic strictureAdenocarcinoma56Surgical resection-
[21]65MHiatal hernia, ulcerated esophagusRecurrent esophageal strictureTubular adenoma15PolypectomyRepeat EGD and colonoscopy
[22]64M-Benign esophageal strictureAdenocarcinoma from a villous adenoma20Surgery-
[23]60MGERD, Gastric ulcerBenign esophageal strictureAdenocarcinoma40Surgical resection-
[24]60MColorectal cancer, Inflammatory bowel diseaseEsophageal strictureInvasive adenocarcinoma30Chemotherapy with 5-fluorouracilUpper endoscopic screening every 5 years
[25]78MCarcinoma of the gastric cardia, prostate cancer, diverticulosisNecrosis and gangrene of the esophagogastric anastomosisAdenocarcinoma10Surgical resection-
[26]11M-Esophageal strictureJuvenile polyp8Polypectomy-
[27]68M--Adenocarcinoma12Surgical resection-
[28]63F-Esophageal perforationTubular adenoma with low grade dysplasia8PolypectomyRepeat EGD screening at 5 years
[28]65F-Persistent fistula following esophagectomy for carcinomaTubulovillous adenoma with low grade dysplasia3PolypectomyRepeat EGD at earlier stage due to high risk of malignancy
[29]64MHtn, DMII, GERDPersistent reflux symptoms post Roux-en-Y surgeryTubular adenoma7Polypectomy-
[30]72MGERDEpidermoid carcinoma of the esophagusAdenocarcinoma9Chemotherapy with 5-flourouracilPatient deceased due to progression of tumor
[31]65MPerforated duodenal ulcerEsophageal cancerSessile polyp/adenomatoid polpus6PolypectomyRepeat EGD 5 years later revealed malignant lesion
[32]48F-Epidermoid carcinomaAdenocarcinoma in a villous adenoma2Surgical resection and a new cologastrostomyEsophagram every 6 months
[33]75F-Posterior SCC s/p pharyngolaryngectomyAdenocarcinoma20Surgical resection of the colon graft-
[14]66MBarrett’s esophagusRecurrent esophageal adenocarcinoma s/p proximal gastrectomy and distal esophagectomyAdenocarcinoma2Surgical resectionRegular follow up
[34]51M-Benign esophageal strictureAdenocarcinoma11--
[35]79M-Esophageal cancerAdenocarcinoma30Chemotherapy-
[36]57M-Alkaline corrosive injury of the esophagusAdenocarcinoma37Surgical resection-
[37]79M-Esophageal adenocarcinomaAdenocarcinoma7Surgical resection-
[38]65M--Tubular adenoma1PolypectomyRoutine follow-up
Our case59MDiverticulitis, hypoglycemia, Barrett’s esophagusBarrett’s esophagus with high grade dysplasiaTubular adenoma6PolypectomyEGD survaillence in 3 yrs