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Colonoscopic polypectomy in children.

A Jalihal1, S P Misra, A S Arvind

  • 1Department of Gastroenterology, St John's Medical College, Bangalore, India.

Journal of Pediatric Surgery
|September 1, 1992
PubMed
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Colonoscopic snare polypectomy effectively treats colorectal polyps in children. This safe and simple procedure, primarily for juvenile polyps, showed no deaths in a 1984-1990 study.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Surgery

Background:

  • Colorectal polyps are a concern in pediatric patients.
  • Rectal bleeding is a common presenting symptom in children with polyps.

Purpose of the Study:

  • To evaluate the safety and efficacy of colonoscopic snare polypectomy in children.
  • To assess the outcomes of treating pediatric colorectal polyps using this minimally invasive technique.

Main Methods:

  • A retrospective review of 129 colonoscopic snare polypectomies performed on 74 pediatric patients (aged 2-12 years) between 1984 and 1990.
  • Analysis of patient demographics, polyp types, locations, procedural details, and complications.
  • Most procedures were performed without general anesthesia.

Main Results:

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  • The study included 74 children, with 129 polypectomies performed.
  • Juvenile polyps were present in 96% of patients; most polyps were in the rectosigmoid region.
  • Four complications occurred, one requiring surgery; no deaths were reported.

Conclusions:

  • Colonoscopic snare polypectomy is a safe and effective treatment for colorectal polyps in children.
  • The procedure is well-tolerated, with a low complication rate and no mortality.
  • This technique offers a simple and effective solution for managing pediatric polyps.