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Related Experiment Videos

Colonic polyps in children: frequently multiple and recurrent

R B Pillai1, V Tolia

  • 1Division of Gastroenterology, Wayne State University School of Medicine, Detroit, MI, USA.

Clinical Pediatrics
|June 6, 1998
PubMed
Summary

Colorectal polyps in children are often diagnosed via rectal bleeding and successfully removed endoscopically. Full colonoscopy is recommended due to potential for multiple polyps and recurrence, especially with a family history of juvenile polyposis.

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Area of Science:

  • Pediatric Gastroenterology
  • Colorectal Surgery
  • Diagnostic Imaging

Background:

  • Colorectal polyps in children are uncommon but require thorough investigation.
  • Understanding presenting symptoms and diagnostic methods is crucial for timely management.

Purpose of the Study:

  • To review the clinical presentation, diagnosis, and outcomes of colorectal polyps in pediatric patients.
  • To assess the efficacy of endoscopic removal and recurrence rates.
  • To inform diagnostic and management strategies for pediatric colorectal polyps.

Main Methods:

  • Retrospective chart review of 77 children and adolescents with colorectal polyps over 15 years (1980-1994).
  • Analysis of presenting symptoms, demographics, diagnostic methods (including air contrast barium enema and rectal examination), pathological findings, and treatment outcomes.

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  • Assessment of polyp location, number, and recurrence rates.

    • Main Results:

    • Rectal bleeding was the most common symptom (71/77 patients), with 66.2% presenting under age six.
    • Air contrast barium enema confirmed polyps in 76% of cases; 16% were palpable on rectal exam.
    • Endoscopic removal was successful in 97.3% of cases. 83.1% of polyps were in the rectosigmoid.
    • Recurrence was observed in 7.9% of juvenile polyps. Multiple polyps occurred in 35% of children without polyposis syndromes.

    Conclusions:

    • Full colonoscopic evaluation is recommended for all suspected pediatric colorectal polyps to identify multiple lesions.
    • Parents should be counseled on the potential for recurrence and increased malignancy risk in cases of multiple polyps or positive family history of juvenile polyposis.