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KMID : 1188320230170030441
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Gut and Liver
2023 Volume.17 No. 3 p.441 ~ p.448
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Associations of Polyp Characteristics in Children and Adolescents Presenting with Less Than Five Colorectal Polyps: A Full Colonoscopy Is Still Required
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Kim Ju-Young
Kim Yu-Bin
Choi Su-Jin
Lee Yoo-Min
Kim Hyun-Jin
Kim Soon-Chul
Jang Hyo-Jeong
Choi So-Yoon
Yi Dae-Yong
Lee Yoon
Choi You-Jin
Kang Yun-Koo
Lee Kyung-Jae
Hong Suk-Jin
Hwang Jun-Hyun
Kwak Sang-Gyu
Choe Byung-Ho
Kang Ben
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Abstract
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Background/Aims: A full colonoscopy is currently required in children and adolescents with colorectal polyps, because of their potential of neoplastic transformation and complications such as intussusception. We aimed to analyze the associations of polyp characteristics in children and adolescents with colorectal polyps. Based on these findings, we also aimed to reevaluate the necessity of conducting a full colonoscopy.
Methods: Pediatric patients <18 years of age who had undergone a colonoscopic polypectomy and those with <5 colorectal polyps were included in this multicenter, retrospective study. Baseline clinicodemographics, colonoscopic and histologic findings were investigated.
Results: A total of 91 patients were included. Multivariate logistic regression analysis showed that polyp size was the only factor associated with the presence of any polyps located proximal to the splenic flexure (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.28 to 4.28; p=0.007). Furthermore, polyp location proximal to the splenic flexure and sessile morphology were associated with the presence of any adenomatous polyp (OR, 8.51; 95% CI, 1.43 to 68.65; p=0.023; OR, 18.41; 95% CI, 3.45 to 173.81; p=0.002, respectively).
Conclusions: In children and adolescents presenting with <5 colorectal polyps, polyp size and the presence of any adenomatous polyp were positively associated with polyp location proximal to the splenic flexure. This finding supports the necessity of a full colonoscopic exam in pediatric patients with colorectal polyps for the detection of polyps before the occurrence of complications such as intussusception or neoplastic transformation.
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KEYWORD
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Colonic polyps, Adenoma, Splenic flexure, Sessile, Size
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