Display options
Cite
Lee BG, Shin SH, Lee YA, et al. Juvenile polyp and colonoscopic polypectomy in childhood. Pediatr Gastroenterol Hepatol Nutr. 2012;15(4):250-5doi: 10.5223/pghn.2012.15.4.250.
Lee, B. G., Shin, S. H., Lee, Y. A., Wi, J. H., Lee, Y. J., & Park, J. H. (2012). Juvenile polyp and colonoscopic polypectomy in childhood. Pediatric gastroenterology, hepatology & nutrition, 15(4), 250-5. https://doi.org/10.5223/pghn.2012.15.4.250
Lee, Byung Gee, et al. "Juvenile polyp and colonoscopic polypectomy in childhood." Pediatric gastroenterology, hepatology & nutrition vol. 15,4 (2012): 250-5. doi: https://doi.org/10.5223/pghn.2012.15.4.250
Lee BG, Shin SH, Lee YA, Wi JH, Lee YJ, Park JH. Juvenile polyp and colonoscopic polypectomy in childhood. Pediatr Gastroenterol Hepatol Nutr. 2012 Dec;15(4):250-5. doi: 10.5223/pghn.2012.15.4.250. Epub 2012 Dec 31. PMID: 24010095; PMCID: PMC3746052.
Copy Download .nbib Format: NLM
Share it on

Pediatr Gastroenterol Hepatol Nutr. 2012 Dec;15(4):250-5. doi: 10.5223/pghn.2012.15.4.250. Epub 2012 Dec 31.

Juvenile polyp and colonoscopic polypectomy in childhood.

Pediatric gastroenterology, hepatology & nutrition

Byung Gee Lee, Sung Hyun Shin, Young Ah Lee, Joo Hee Wi, Yeoun Joo Lee, Jae Hong Park

Affiliations

  1. Department of Pediatrics, Good Gang-An Hospital, Busan, Korea.

PMID: 24010095 PMCID: PMC3746052 DOI: 10.5223/pghn.2012.15.4.250

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.

Keywords: Child; Colonoscopy; Juvenile polyp; Polypectomy

References

  1. J Pediatr Gastroenterol Nutr. 1999 Feb;28(2):175-81 - PubMed
  2. J Pediatr Surg. 1992 Sep;27(9):1220-2 - PubMed
  3. Clin Pediatr (Phila). 1998 Apr;37(4):253-7 - PubMed
  4. Gastrointest Endosc. 1986 Dec;32(6):389-92 - PubMed
  5. Gastrointest Endosc. 1996 Nov;44(5):594-7 - PubMed
  6. Am J Gastroenterol. 1986 May;81(5):312-4 - PubMed
  7. Hepatogastroenterology. 2001 Sep-Oct;48(41):1379-82 - PubMed
  8. Am J Gastroenterol. 1998 Apr;93(4):619-22 - PubMed
  9. Arch Dis Child. 1991 Aug;66(8):971-5 - PubMed
  10. Can J Gastroenterol. 2007 Apr;21(4):233-9 - PubMed
  11. Korean J Gastroenterol. 2012 Jun 25;59(6):423-7 - PubMed
  12. J Pediatr. 1989 Apr;114(4 Pt 1):593-6 - PubMed
  13. Korean J Pediatr. 2010 Sep;53(9):824-9 - PubMed
  14. Gastrointest Endosc. 2000 Jan;51(1):37-41 - PubMed
  15. N Y State J Med. 1962 Feb 15;62:513-8 - PubMed
  16. Gastrointest Endosc. 2000 Jul;52(1):118-20 - PubMed
  17. Acta Paediatr Scand. 1973 Jul;62(4):337-40 - PubMed
  18. Endoscopy. 1984 Mar;16(2):79-80 - PubMed
  19. Gut Liver. 2010 Sep;4(3):326-31 - PubMed

Publication Types