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Updated: Jul 17, 2026

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5
05:45

Diagnosis of Hirschsprung's Disease by Immunostaining Rectal Suction Biopsies for Calretinin, S100 Protein and Protein Gene Product 9.5

Published on: April 26, 2019

[Rates and histological characteristics of rectal polyps in childhood]

B Rousková1, P Kuklová, R Skába

  • 1Klinika detské chirurgie UK 2. LF a FN Motol, Praha. b.rouskova@post.cz

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|January 20, 2007
PubMed

Insights

Pediatric rectosigmoideal polyps are rare and typically juvenile. Surgical removal is safe with minimal complications, and long-term follow-up is generally not required for these common childhood polyps.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Pathology
  • Clinical Pediatrics

Context:

  • Rectosigmoideal polyps in children are uncommon, necessitating a review of their characteristics and outcomes.
  • Understanding the incidence and histological subtypes is crucial for appropriate management.
  • Previous literature has not extensively detailed the seasonal presentation of these polyps.

Purpose:

  • To determine the incidence, complications, and histological features of solitary rectosigmoideal polyps in children.
  • To evaluate early and late postoperative outcomes following polyp removal.
  • To identify any unique demographic or seasonal patterns associated with pediatric polyps.

Summary:

  • A retrospective analysis of 20 children operated for rectosigmoideal polyps (1995-2005) revealed a 75% incidence of juvenile polyps.
  • The primary symptom was rectal bleeding (14/20), with polyps located 3-15 cm from the anal verge.
  • Postoperative bleeding occurred in one patient; no recurrences were observed, suggesting a favorable prognosis.

Impact:

  • Surgical excision of pediatric rectosigmoideal polyps is a low-risk procedure with minimal morbidity.
  • The findings suggest that routine long-term follow-up may not be necessary for most cases.
  • A novel observation of predominantly autumn/winter symptom onset in 19/20 patients warrants further investigation.
Abstract

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