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Juvenile polyp in Thai children--clinical and colonoscopic presentation

Nuthapong Ukarapol1, Jesda Singhavejakul, Nirush Lertprasertsuk

  • 1Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand. nukarapo@chiangmai.ac.th

World Journal of Surgery
|January 20, 2007
PubMed

Insights

This study describes colorectal polyps in Thai children, finding juvenile polyps are common. Colonoscopy is recommended for rectal bleeding due to right-sided polyp prevalence and potential malignant changes.

Area of Science:

  • Pediatric Gastroenterology
  • Colorectal Surgery

Background:

  • Colorectal polyps present a diagnostic challenge in pediatric populations.
  • Understanding the clinical characteristics of colorectal polyps in children is crucial for appropriate management.

Purpose of the Study:

  • To characterize the clinical presentation and histopathology of colorectal polyps in Thai children.
  • To identify factors associated with polyp distribution and number.

Main Methods:

  • A prospective study enrolled 32 children under 15 with rectal bleeding from 2002-2005.
  • Data collected included demographics, clinical symptoms, and polyp characteristics (location, number, histology).

Main Results:

  • The most common symptoms were hematochezia and prolapsing rectal mass.
  • Juvenile polyps were prevalent, with no adenomatous changes observed.
  • Polyposis coli cases showed a higher incidence of right-sided polyps and rectal prolapse history.

Conclusions:

  • Colonoscopy is recommended as an initial evaluation for pediatric rectal bleeding.
  • This approach addresses the high prevalence of right-sided polyps and concerns regarding malignant transformation.
Abstract

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