Juvenile Polyp and Colonoscopic Polypectomy in Childhood.
10.5223/pghn.2012.15.4.250
- Author:
Byung Gee LEE
1
;
Sung Hyun SHIN
;
Young Ah LEE
;
Joo Hee WI
;
Yeoun Joo LEE
;
Jae Hong PARK
Author Information
1. Department of Pediatrics, Pusan National University School of Medicine, Busan, Korea. jhongpark@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Juvenile polyp;
Colonoscopy;
Polypectomy;
Child
- MeSH:
Child;
Colon;
Colon, Sigmoid;
Colonoscopy;
Female;
Gastrointestinal Hemorrhage;
Hemorrhage;
Hemostasis, Endoscopic;
Humans;
Ileum;
Male;
Medical Records;
Polyps;
Rectum;
Retrospective Studies
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2012;15(4):250-255
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study aimed to evaluate the clinical features of juvenile polyp and the usefulness of polypectomy with entire colonoscopy in children. METHODS: We retrospectively reviewed the medical records of 83 children who were diagnosed with having juvenile polyps. RESULTS: The mean age of the patients was 6.5+/-3.7 (range 1.3-14.5 years) years. The male to female ratio was 2.1 : 1. Eighty one patients (97.6%) had hematochezia, of which the observed characteristics included red stool (74.1%), blood on wipe (13.6%). The time interval between the 1st episode of hematochezia and colonoscopy was 8.9+/-20.4 (ranged 0.1-48.0) months. The most proximal regions of colonoscopic approach were terminal ileum (96.4%). Sixty three patients (75.9%) had a solitary polyp and 20 patients (24.1%) had multiple polyps. The sites of the polyps were rectum (61.4%), sigmoid colon (23.5%). Eighteen polyps (15.1%) were found more proximal locations than rectosigmoid. The polyp size ranged from 0.3 to 5 cm. After the polypectomy, hematochezia recurred in 9 patients. Endoscopic hemostasis was performed in 2 patients due to severe bleeding. All procedures were carried out without using general anesthesia. CONCLUSION: Juvenile polyp occurred in a wide range locations and had variable sizes and numbers, suggesting that colonoscopy on the entire colon is necessary. Colonoscopic polypectomy is a simple and useful therapeutic method in children with juvenile polyp.
