Rectal bleeding and polyps.
TL;DR: A 10 year audit of polyps diagnosed and treated endoscopically in the children's endoscopy unit indicates that total colonoscopy is wise and rewarding in any child with persistent and intermittent rectal bleeding.
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Abstract: Colorectal polyps are an important albeit uncommon cause of rectal bleeding in children. Colonoscopy promotes both rapid and accurate diagnosis and the opportunity for immediate therapeutic polypectomy. A 10 year audit of polyps diagnosed and treated endoscopically has been undertaken in the children's endoscopy unit. Twenty nine polyps were diagnosed from 730 colonoscopies; 24 were juvenile, two inflammatory, two Peutz-Jeghers, and one an adenomatous polyp. All but one of the juvenile polyps were solitary. All children had bleeding per rectum as one of the major presenting features. About two thirds of the patients were under the age of 5 years; the mean age was 5.6 years. Most of the juvenile polyps were on the left side of the colon; 41% were distal to the sigmoid colon. However polyps were found throughout the colon, indicating that total colonoscopy is wise and rewarding in any child with persistent and intermittent rectal bleeding.
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Citations
Colonic Polyps: Experience of 236 Indian Children
TL;DR: A significant number of cases of polyps are multiple and proximally located, which emphasizes the need for total colonoscopy in all children even if asymptomatic because of their neoplastic potential.
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Prevalence of colorectal polyps in pediatric colonoscopy.
Kalpesh Thakkar,Abeer Alsarraj,Emily Fong,Jennifer L. Holub,Mark A. Gilger,Hashem B. El–Serag +5 more
TL;DR: Colorectal polyps are detected in 6.1% overall and in 12.0% among those with lower gastrointestinal bleeding during pediatric colonoscopy, and approximately 26% are multiple juvenile or adenoma.
Symptomatic colonic polyps in childhood : Not so benign
TL;DR: Juvenile polyposis coli is common in children with symptomatic polyps, and is associated with anemia, right-colon polyPS, and adenomas, and the risk of polyps and of colorectal cancer in relatives of persons with JPC requires further study.
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Clinical management and genetics of gastrointestinal polyps in children
TL;DR: The polyposis syndromes, their malignant potential, and their management algorithms are reviewed; the genetics of these syndrome and future advances are discussed.
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Sigmoidoscopy in children with chronic lower gastrointestinal bleeding
TL;DR: The role of rigid sigmoidoscopy in diagnosis and prognosis of children with chronic and minor lower gastrointestinal bleeding is assessed.
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References
Colorectal neoplasia in juvenile polyposis or juvenile polyps.
Francis M. Giardiello,Stanley R. Hamilton,Scott E. Kern,G. J. A. Offerhaus,Pearl A Green,Paul Celano,Anne J. Krush,Susan V. Booker +7 more
TL;DR: It is suggested that patients with juvenile polyps who have three or more juvenilePolyps or a family history of juvenile Polyps should undergo surveillance for colorectal neoplasia.
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•Journal Article
Total colonoscopy in children.
C. B. Williams,N. J. Laage,C A Campbell,J. R. Douglas,John A. Walker-Smith,I. W. Booth,J. T. Harries +6 more
TL;DR: Total colonoscopy in this paediatric series proved to be at least as easy, rapid, well-tolerated, and safe as in adults.
93
Fiberendoscopy of the Gastrointestinal Tract in Children-Experience with Newly Designed Fiberscopes
Abstract: Summary Fiberendoscopy in children has classical indications: gastrointestinal bleeding, mucosal lesions and doubtful radiological pictures, foreign body removal, etc. Utilization of small caliber fiberscopes is a necessity in endoscopy of children; when these fiberscopes are provided with almost all the technical achievements of bigger instruments
55
Colonoscopy for rectal bleeding in childhood.
TL;DR: It is the impression that the addition of colonscopy in carefully selected patients will decrease the number of children with undiagnosed significant rectal bleeding.
36
Treatment of colonic polyps--practical considerations.
Lawrence B. Cohen,Jerome D. Waye +1 more
TL;DR: Management of the malignant colonic polyp remains controversial and surgery is not necessary for the majority of patients whose pedunculated adenomas contain invasive cancer, unless the malignancy is poorly differentiated, the cancer invades lymphatics or vascular channels, or tumour is seen at or near the resection margin.
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