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Endoscopy in pediatric polyposis syndromes: why, when and how
Shlomi Cohen1, Warren Hyer2, Thomas Attard3
1Pediatric Gastroenterology Institute, Dana-Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, affiliated to the Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
European Journal of Gastroenterology & Hepatology
|January 22, 2024
Summary
Hereditary polyposis syndrome (HPS) in children requires careful endoscopic management. Early diagnosis and surveillance using therapeutic endoscopy help prevent complications and malignancies.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Oncology
Background:
- Colonic polyps in children can indicate hereditary polyposis syndrome (HPS).
- HPS poses a high risk for intestinal and extra-intestinal malignancies.
- Effective management is crucial to prevent serious complications.
Purpose of the Study:
- To outline the management strategy for children diagnosed with HPS.
- To emphasize the role of therapeutic endoscopy in HPS care.
- To highlight the importance of a multidisciplinary approach.
Main Methods:
- Colonoscopy for polyp detection and characterization.
- Histological examination of polyps.
- Therapeutic endoscopy, including polypectomies with advanced techniques.
- Multidisciplinary team approach for comprehensive care.
Main Results:
- Management decisions are based on polyp number, distribution, and histology.
- Surveillance aims to manage symptoms, monitor polyp burden, and prevent complications.
- Therapeutic endoscopy is central to HPS management in children.
Conclusions:
- Children with HPS require vigilant surveillance and management.
- Advanced endoscopic techniques and polypectomy are key interventions.
- A multidisciplinary strategy is essential for optimal outcomes in pediatric HPS.
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