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Prevalence of colorectal polyps in pediatric colonoscopy

Kalpesh Thakkar1, Abeer Alsarraj, Emily Fong

  • 1The Section of Pediatric Gastroenterology, Hepatology and Nutrition, Texas Children's Hospital and Baylor College of Medicine, 6621 Fannin St CCC 1010, Houston, TX 77030, USA. kthakkar@bcm.tmc.edu

Digestive Diseases and Sciences
|December 8, 2011
PubMed

Insights

Colorectal polyps are found in 6.1% of pediatric colonoscopies, and in 12% of children with lower gastrointestinal bleeding. Juvenile polyps and adenomas constitute about 26% of these cases.

Area of Science:

  • Pediatric Gastroenterology
  • Colorectal Health
  • Endoscopic Diagnostics

Background:

  • Limited data exists on the prevalence, types, and clinical factors associated with colonic polyps in pediatric populations.
  • Understanding these aspects is crucial for accurate diagnosis and management.

Purpose of the Study:

  • To determine the prevalence of colorectal polyps in a large cohort of children undergoing colonoscopy.
  • To identify associated demographic and clinical factors.

Main Methods:

  • A cross-sectional study analyzed 13,115 colonoscopies in children (0-20 years) from January 2000 to December 2007.
  • Data from the Pediatric Endoscopy Database System Clinical Outcomes Research Initiative (PEDS-CORI) was used, comparing polyp cases with non-polyp cases.
  • Histopathologic reports from a subset of patients were reviewed.

Main Results:

  • Colorectal polyps were identified in 6.1% of procedures (810/13,115) and in 12% of patients with lower gastrointestinal bleeding.
  • Children with polyps were younger, more likely to be male, non-white, and presented with lower GI bleeding compared to those without polyps.
  • Histological analysis revealed juvenile polyps (solitary or multiple) as the most common type (86%), followed by adenomas (10.9%).

Conclusions:

  • Colorectal polyps are a significant finding in pediatric colonoscopies, occurring in 6.1% overall and 12% of those with lower GI bleeding.
  • Juvenile polyps and adenomas comprise a substantial proportion (approximately 26%) of pediatric colorectal polyps.
  • Further research into clinical determinants and long-term outcomes is warranted.
Abstract

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