Diagnosis and treatment of colorectal polyps in pediatric patients in a northwest area of China
10.3969/j.issn.1007-1989.2018.05.017
- VernacularTitle:西北某地内镜下诊治小儿结直肠息肉的临床研究
- Author:
Wei-Ping TAI
1
;
Guo-Ji NIE
;
Meng-Jie CHEN
;
Tajigu
;
Arjiguli
;
Qing-Qing HUANG
;
Zhi-Gang LIN
;
Jing WU
Author Information
1. 首都医科大学附属北京世纪坛医院 消化内科
- Keywords:
endoscopy;
colorectal polyps;
diagnosis and treatment;
northwest China
- From:
China Journal of Endoscopy
2018;24(5):95-98
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the characteristics of the colon polyp in a northwest district of China. Methods 112 cases of patients from 1~18 years old, diagnosed with polyps by means of colonoscopies reference centers were followed-up from January 2015 to December 2016. The clinical variables evaluated in this study included: gender, age, symptoms, age at onset of symptoms, age at identification of the polyp, interval of time between the onset of symptoms and the endoscopic diagnosis of colonic polyps, and family history of colon polyp and/or colorectal cancer. The characteristics of the polyps also included: number, morphological type, diameter, histology, and distribution. The case records of these patients were reviewed. The demographics, clinical course, laboratory results, endoscopic and histopathological features, treatments, and outcomes were analyzed. Results In the 112 patients, the median age was 6.9 years, of which 64.3% (72/112) were male. All the patient had the symptom of hematochezia and just a little of the patients have the symptoms of abdominal pain, prolapse of anal polyp and diarrhea. 9.8% (11/112) was mild anemia and the anemia patient all had the symptom of hematochezia of more than 6 months and have no connection with the polyp location. Juvenile polyps were identified in 91.9% (103/112) patients, inflammatory polyp were identified in 7.1% (8/112) and 0.9% (1/112) were identified with adenoma. 1.8% (2/112) of the patient had the family history of colorectal polyp. Conclusions The morbidity of colorectal polyp in children and adolescents in our region is high. The male was significantly more common seen than female. A little proportion of the patient had the family history of colorectal polyp. The hematochezia could be seen in all patients A little proportion of the patient was mild anemia and the anemia patient all had the symptom of hematochezia of more than 6 months. Mainly the polyp was located in the rectum and sigmoid. Juvenile polyps were the major pathologic type and then the inflammatory polyp and adenoma. The adenoma may located in other place than rectum and sigmoid.
