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[Solitary rectal polyp and endoscopic polypectomy in a pediatric population: 3 years' experience]
B Villalta de Díaz1, M Delgado, D Russa de Corredor
1Hospital Elías Toro.
Insights
Rectal polyps cause bleeding in infants, but endoscopic polypectomy is a safe and effective treatment. This study shows it resolves chronic anemia linked to pediatric rectal polyps.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Endoscopy
Context:
- Rectal bleeding is a common concern in infants.
- Solitary rectal polyps are a frequent cause of this bleeding.
- Endoscopic polypectomy offers a treatment for these polyps.
Purpose:
- To evaluate the efficacy and safety of endoscopic polypectomy in children with rectal polyps.
- To investigate the association between rectal polyps, chronic anemia, and parasitic infections.
Summary:
- 16 children with solitary rectal polyps underwent colonoscopy and polypectomy.
- Juvenile polyps were the predominant histologic type (82%).
- Endoscopic polypectomy was found to be a simple, safe, and effective procedure with no complications.
Impact:
- Demonstrates that endoscopic polypectomy is a safe and effective treatment for pediatric rectal polyps.
- Highlights the link between rectal polyps and chronic anemia in children.
- Suggests parasitic infections may contribute to polyp-related inflammation.
Abstract:
During defecation, rectal polyps represent one most frequent causes of bleeding in infancy. The advent of endoscopic polypectomy has resulted very useful in their treatment. From January 1987 to March 1990, 113 children with rectal bleeding were evaluated; 22 of them had solitary rectal polyp, between 5 to 15 cm from anal margin at rectoscopy. 6 patients were excluded because they had autoamputation of the polyp, 16 patients, 9 girls and 6 boys between 2 and 11 years of age were studied with blood tests, series stools, contrast study with barium, colonoscopy with polypectomy and polyp histology investigation. 14 patients had chronic anemia, 10 had parasitic in stools. The barium enema identified rectal polyps in 14 patients (87.5%), colonoscopy and polypectomy was performed in every children. Juvenile histologic type predominated (82%). It is demonstrated that chronic anemia can follow rectal bleeding by polyps in children. Parasitic infections such as tricocephalous in conjunction with solid feces, may have a traumatic effect and produce chronic inflammation. Double contrast X-rays of the colon is useful to identify polyps. Non complications were observed during or after polypectomy. It is demonstrated that endoscopic polypectomy in children is a simple, safety and effective method.