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[Juvenile polyps in childhood]
Insights
Colonic juvenile polyps in children were evaluated using endoscopy and radiology. Surgical excision without fulguration was effective, with no atypical cells found, indicating a favorable prognosis for these common pediatric polyps.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Context:
- Colonic juvenile polyps are common in children.
- Fecal blood loss is a primary symptom.
Purpose:
- To evaluate diagnostic methods for colonic juvenile polyps.
- To assess the efficacy of surgical excision without fulguration.
Summary:
- 61 children (12 months–14 years) with colonic juvenile polyps underwent evaluation via double contrast radiology and endoscopy.
- 43 polyps were rectal, 17 were colonic; one patient had four polyps.
- Surgical excision without fulguration was performed in all cases, with histologic examination revealing no atypical cells.
Impact:
- Demonstrates effective diagnostic and treatment strategies for pediatric colonic polyps.
- Highlights the benign nature of juvenile polyps, supporting conservative management.
Abstract:
61 children, from 12 months to 14 years old with colonic juvenile polyps were studied using double contrast radiology and conventional and fiber optic endoscopy. In all cases the tumor excision was performed without fulguration. 43 polyps were located within the rectal area and 17 in the colon. In one patient 4 polyps were found at different place in the colon. In 90 percent of the cases the symptom was fecal blood loss and spontaneous merging of the tumor across the anus in the remaining 10 percent. Histologic examination showed no atypic cell.