Serrated Polyposis Syndrome in a Young Adolescent Patient
Victor L Fox1, Inbar S Spofford2, Brian D Crompton3
1From the Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA.
Journal of Pediatric Gastroenterology and Nutrition
|August 19, 2022
Summary
Serrated polyps, often missed in children, can lead to serrated polyposis syndrome. Early recognition and management are crucial for preventing colorectal cancer in pediatric patients.
Area of Science:
- Gastroenterology
- Pediatric Gastroenterology
- Colorectal Cancer Prevention
Background:
- Serrated polyps are neoplastic colonic lesions with subtle morphology, often underreported during colonoscopy.
- While detection is increasing in adults, serrated polyp detection rates in pediatric colonoscopy remain unknown.
- Serrated polyposis syndrome involves multiple colonic serrated polyps, increasing colorectal cancer risk.
Purpose of the Study:
- To report the diagnosis and management of serrated polyposis syndrome in a pediatric patient.
- To highlight the subtle features of serrated polyps that may lead to underreporting in childhood.
Main Methods:
- Case report of a young adolescent diagnosed with serrated polyposis syndrome.
- Review of colonoscopy findings and management strategies.
Main Results:
- Diagnosis and management of serrated polyposis syndrome in a pediatric case.
- Highlighting subtle features of serrated polyps in a pediatric context.
Conclusions:
- Early recognition and endoscopic management of serrated polyps are vital for cancer prevention in children.
- Underreporting of subtle serrated polyps in pediatric colonoscopy requires further attention.
- Management includes polyp clearance and surveillance or colectomy for serrated polyposis syndrome.
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