Clinical features of children with colorectal polyps and the efficacy of endoscopic treatment: an analysis of 1 351 cases.
10.7499/j.issn.1008-8830.2111125
- Author:
Bo LIU
1
;
Hui-Hua ZHANG
1
;
Hui-Hui ZHANG
1
;
Hao-Ran FANG
1
;
Hua-Jian HU
1
;
Zhong-Yue LI
1
Author Information
1. Department of Gastroenterology/Ministry of Education Key Laboratory of Child Development and Disorders/National Clinical Research Center for Child Health and Disorders/China International Science and Technology Cooperation Base of Child Development and Critical Disorders/Chongqing Key Laboratory of Pediatrics/Children's Hospital of Chongqing Medical University, Chongqing 400014, China.
- Publication Type:Journal Article
- Keywords:
Child;
Colorectal polyp;
Hematochezia;
Juvenile polyp
- MeSH:
Child;
Colonic Polyps/surgery*;
Colonoscopy;
Female;
Humans;
Intestinal Polyps/surgery*;
Male;
Retrospective Studies;
Vomiting
- From:
Chinese Journal of Contemporary Pediatrics
2022;24(4):354-359
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:To study the clinical features of children with colorectal polyps and the efficacy of endoscopic treatment.
METHODS:A retrospective analysis was performed on the medical data of 1 351 children with colorectal polyps who were admitted and received colonoscopy and treatment in the past 8 years, including clinical features and the pattern and outcomes of endoscopic treatment.
RESULTS:Among the 1 351 children, 893 (66.10%) were boys and 981 (72.61%) had an age of 2-<7 years, and hematochezia (1 307, 96.74%) was the most common clinical manifestation. Of all the children, 89.27% (1 206/1 351) had solitary polyps, and 95.77% (1 290/1 347) had juvenile polyps. The polyps were removed by electric cauterization with hot biopsy forceps (6 cases) or high-frequency electrotomy and electrocoagulation after snare ligation (1 345 cases). A total of 1 758 polyps were resected, among which 1 593 (90.61%) were pedunculated and 1 349 (76.73%) had a diameter of <2 cm. Postoperative complications included bleeding in 51 children (3.77%), vomiting in 87 children (6.44%), abdominal pain in 14 children (1.04%), and fever in 39 children (2.89%), while no perforation was observed. The children aged <3 years had the highest incidence rates of postoperative bleeding and fever (P<0.0125), and the children with a polyp diameter of ≥2 cm had significantly higher incidence rates of postoperative bleeding, vomiting, and fever (P<0.05).
CONCLUSIONS:Solitary polyps, pedunculated polyps, and juvenile polyps are common types of pediatric colorectal polyps. Electric cauterization with hot biopsy forceps or high-frequency electrotomy and electrocoagulation after snare ligation can effectively remove colorectal polyps in children, with good efficacy and few complications. Younger age and larger polyp diameter are associated with a higher risk of postoperative bleeding.
