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Related Experiment Videos

Colonoscopy in children with bleeding per rectum.

S H Quak1, K Prabhakaran

  • 1Department of Paediatrics, National University of Singapore.

Singapore Medical Journal
|October 1, 1990
PubMed
Summary
This summary is machine-generated.

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Pediatric colonoscopy is a safe and effective diagnostic tool for evaluating rectal bleeding in children. This procedure helps identify causes like colitis and polyps, enabling timely treatment.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopy
  • Colorectal Diseases

Background:

  • Limited data exists on pediatric colonoscopy procedures.
  • Rectal bleeding is a common concern in pediatric patients.
  • Determining the etiology of bleeding is crucial for appropriate management.

Purpose of the Study:

  • To evaluate the safety and efficacy of colonoscopy in children presenting with bleeding per rectum.
  • To determine the diagnostic yield of colonoscopy in pediatric patients.
  • To assess the therapeutic potential of colonoscopy in managing pediatric colorectal conditions.

Main Methods:

  • Colonoscopy was performed on 26 children (mean age 63.5 months) with rectal bleeding.
  • Procedures were conducted under sedation (pethidine and diazepam) or general anesthesia.

Related Experiment Videos

  • Histopathological analysis was performed on tissue samples.

    • Main Results:

    • Colonoscopy identified the cause of bleeding in most pediatric patients.
    • Diagnoses included colitis (10 children), juvenile polyps (5 children), lymphoid hyperplasia (1 child), and solitary sigmoid ulcer (1 child).
    • Five children with bleeding polyps underwent successful endoscopic removal.

    Conclusions:

    • Colonoscopy is a safe and valuable diagnostic procedure for children with rectal bleeding.
    • It offers therapeutic benefits, such as polyp removal, in pediatric patients.
    • The study supports the routine use of colonoscopy in the pediatric population for evaluating lower gastrointestinal bleeding.