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[The usefulness of endoscopic polypectomy of rectosigmoid and colon in childhood]
P Torres1, A Rossomando, F Delpretti
1Servicio de Gastroenterología, Hospital de Niños J. M. de los Ríos, Caracas.
Insights
Rectal polyps in infants, primarily juvenile polyps, often cause rectal bleeding. Endoscopic polypectomy is a safe and effective treatment, avoiding surgery.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Endoscopy
Context:
- Rectal polyps are a common cause of hematoquezia (rectal bleeding) in infants.
- Diagnosis and treatment are often delayed or involve multiple medications before accurate identification.
- Rectosigmoid polyps are particularly frequent in children aged 3-6 years.
Purpose:
- To evaluate the diagnostic and therapeutic utility of rectoscopy and colonoscopy for rectosigmoid polyps in pediatric patients.
- To assess the efficacy and safety of endoscopic polypectomy in treating colon polyps in children.
Summary:
- A study of 214 pediatric patients (1982-1988) with rectosigmoid and colon polyps found juvenile polyps to be the most common type (99.7%).
- Endoscopic procedures, including rectoscopy and colonoscopy, were utilized for diagnosis and treatment.
- Endoscopic polypectomy was found to be a valuable, easily performed, and low-complication method for treating colon polyps.
Impact:
- Endoscopic polypectomy offers a minimally invasive alternative to surgical interventions for pediatric colon polyps.
- This approach facilitates accurate diagnosis and effective treatment, improving patient outcomes.
- Highlights the importance of endoscopic evaluation for pediatric rectal bleeding causes.
Abstract:
Rectal polyps are relatively frequent in infancy and constitute one of the main causes of hematoquezia during this time of life. They are usually treated with multiple drugs before the correct diagnosis is made. We report our experiences with the use of rectoscopy and colonoscopy for the diagnosis and treatment of 214 patients with rectosigmoid polyps, including other sites in the colon, studied between 1982-1988. The highest incidence was between 3 and 6 years of age (63.8%), and the most frequent location in 253 rectosigmoid polyps (91%) and histologically (99.7%) were juvenile polyps. Endoscopic polypectomy proved to be a valuable method, easy to perform and with few complications to treat colon polyps, thus eliminating the surgical interventions.