Is Colonoscopy Necessary in Children Suspected of Having Colonic Polyps?

Lee, Hye Jin; Lee, Ji Hyuk; Lee, Jong Seung; Choe, Yon Ho

doi:10.5009/gnl.2010.4.3.326

Cited by 21 publications

(25 citation statements)

References 29 publications

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“…3,5 However, in this study, only 43.6% of the polyps are at the rectosigmoid colon, which is similar to the report by Gupta et al 24 Although most pediatric colon polyps are juvenile polyps, some are potentially premalignant. 25 This highlights the importance of colonoscopy rather than sigmoidoscopy for the diagnosis and treatment of pediatric colon polyps.…”

Section: Discussionmentioning

confidence: 96%

Characteristics and Diagnostic Yield of Pediatric Colonoscopy in Taiwan

Chen

Yang

2015

Pediatrics & Neonatology

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Section: Discussionmentioning

confidence: 96%

Characteristics and Diagnostic Yield of Pediatric Colonoscopy in Taiwan

Chen

Yang

2015

Pediatrics & Neonatology

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“…Therefore, rectal hemorrhage in children must always be taken seriously, and the possibility of polyposis syndromes should only be ruled out after careful study. Otherwise, the patient could have prophylactic therapies, such as colonoscopy [13]. …”

Section: Introductionmentioning

confidence: 99%

Adenomatous Polyps in Adolescent Girl and Boy: A Report of Two Cases

Larijani

Ghasemi

Karami

2016

Case Reports in Pathology

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A polyp is defined as a mass of the mucosal surface that protrudes into the lumen of the gastrointestinal tract. Neoplastic epithelial polyps are classified histologically as either benign adenoma or malignant carcinoma. The colonic polyps that most commonly present in children occur sporadically and individually and are of the juvenile type; they are most frequently associated with painless rectal hemorrhage (which is the most common symptom). Adenomatous polyps are similar to other nontumoral polyps, and it is very rare for children to have symptoms other than rectal bleeding. This report describes two rare cases of polyps in pediatric patients. An 11-year-old girl presented with tubulovillous adenoma and a 13-year-old boy with tubular adenoma; both patients complained of rectal hemorrhage as well as anemia and abdominal pain. Epithelial adenoma is a tumor that is rarely found in adults or children. Colonoscopic perforation and biopsy are mandatory for establishing a definitive diagnosis and avoiding medical mismanagement.

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“…Lorsque le diagnostic est connu, l'endoscopie a peu de place, l'échographie permet alors un bilan lésionnel non invasif [9]. Les rectorragies isolées sont, chez le jeune enfant, le symptôme principal révélateur de polype juvénile, 66 fois sur 76 cas dans l'étude de Lee et al [10]. Dans cette situation, la coloscopie diagnostique est souvent dans un premier temps limitée au rectosigmoïde, examen ne nécessi-tant alors ni préparation colique par voie haute ni anesthésie générale (AG).…”

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“…Le plus fréquemment, il s'agit d'un polype juvénile rectosigmoïdien. La question restant discutée est la nécessité de compléter l'examen par une coloscopie sous AG en cas de découverte de polype [10] et pour réaliser la polypectomie. Cette attitude est préférée en France.…”

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