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Colorectal polyps: an important cause of rectal bleeding
Archives of Disease in Childhood
|February 1, 1987
Insights
Pediatric rectal bleeding often stems from juvenile polyps. Colonoscopy effectively removed these polyps in children, with a low recurrence rate and no complications.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Background:
- Rectal bleeding is a common pediatric concern.
- Large bowel polyps can cause rectal bleeding in children.
Purpose of the Study:
- To evaluate the efficacy and safety of colonoscopic polypectomy in children with rectal bleeding.
- To determine the types and prevalence of polyps found in pediatric patients.
Main Methods:
- Seventy-one children with rectal bleeding underwent total fiberoptic colonoscopy.
- Polyps were resected during the colonoscopic procedure.
- Follow-up assessments were conducted to monitor for polyp recurrence.
Main Results:
- Large bowel polyps were identified in 45 children (63%).
- Solitary rectal polyps were present in 27 children (60% of those with polyps).
- Juvenile polyps constituted 83% of all resected polyps. Colonoscopic polypectomy resulted in no complications.
- Recurrence of new polyps was observed in 4 children (9%) post-treatment.
Conclusions:
- Total fiberoptic colonoscopy is a safe and effective method for diagnosing and treating large bowel polyps in children presenting with rectal bleeding.
- Juvenile polyps are the predominant type found in this pediatric population.
- Colonoscopic polypectomy demonstrates a low complication rate and manageable recurrence for pediatric colorectal polyps.
Abstract:
Seventy one children with rectal bleeding were examined by total fibreoptic colonoscopy. Large bowel polyps were found in 45; 27 (60%) had solitary rectal polyps. Altogether, 83% of resected polyps were juvenile. No complication of colonoscopic polypectomy occurred. New polyps reoccurred in four (9%) treated children.