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[Colonic polyps in children. Experience with polypectomy]
1Depto. de Endoscopia Digestiva, Hospital de Especialidades No 71, Centro Médico Nacional Torreón, Coahuila.
Insights
Pediatric colonic polyps, a common cause of rectal bleeding, are effectively diagnosed and treated with colonoscopy. This endoscopic examination is highly useful for identifying and managing these gastrointestinal tumors in children.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Endoscopy
- Pediatric Oncology
Background:
- Colonic polyps are the most frequent gastrointestinal tumors in children.
- Rectal bleeding is a common symptom in pediatric patients with colonic polyps.
- Colonoscopy is the established gold standard for diagnosing and treating colonic polyps.
Purpose of the Study:
- To determine the incidence and symptoms of colonic polyps in children.
- To evaluate the effectiveness of endoscopic examinations for pediatric colonic polyps.
- To highlight the diagnostic and therapeutic utility of colonoscopy in pediatric patients.
Main Methods:
- A retrospective analysis of over 1,000 colonoscopies performed between 1985 and 1996.
- Study included 50 pediatric patients (8 months to 14 years old) presenting with colonic polyps and lower gastrointestinal bleeding.
- Data collected on polyp characteristics, location, and procedural outcomes.
Main Results:
- In 40 cases, polyps were solitary, with 82% located in the rectosigmoid region.
- Juvenile (retention) polyps constituted 80% of the identified polyps.
- Diagnostic and therapeutic endoscopy procedures were performed without complications.
Conclusions:
- Endoscopic examination is a highly valuable tool for the diagnosis of colonic polyps in children.
- Colonoscopy provides effective therapeutic intervention for pediatric colonic polyps.
- The study confirms the utility of endoscopy in managing pediatric gastrointestinal bleeding due to polyps.
Background:
Colonic polyp, the most common gastrointestinal tumor in children, is considered a cause of rectal bleeding in the pediatric population. Colonoscopy is the "gold standard" procedure in diagnosis and therapeutic.
Objective:
To know the incidence and symptomatology of colonic polyps in children to remark on the usefulness of the endoscopic examination. PATIENTS-METHODS AND RESULTS: Between 1985 and 1996, over 1,000 colonoscopies were performed on 50 children between 8 months and 14 years old. The patients had colonic polyps and lower gastrointestinal bleeding. In 40 cases polyps were solitary, 82% were located in rectum sigmoid, and 80% of polyps were found to be juvenile (retention). There were no complications associated with diagnostic and therapeutic endoscopy.
Conclusions:
The endoscopic method was shown to be very useful for diagnosis as well as treatment of the colonic polyps in children.