KMID : 0816120120150040250
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Korean Journal of Pediatric Gastroenterolology and Nutrition 2012 Volume.15 No. 4 p.250 ~ p.255
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Juvenile Polyp and Colonoscopic Polypectomy in Childhood
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Lee Byung-Gee
Lee Young-Ah Shin Sung-Hyun Wi Joo-Hee Lee Yeoun-Joo Park Jae-Hong
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Abstract
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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¡¾3.7 (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¡¾20.4 (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.
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KEYWORD
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Juvenile polyp, Colonoscopy, Polypectomy, Child
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