Minimal access surgical management of large juvenile polyps in children

Wiseman, James E.; Emil, Sherif

doi:10.1016/j.jpedsurg.2009.06.001

Cited by 6 publications

(5 citation statements)

References 17 publications

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“…and the highest incidence of polyps was between ages 2 and 10 years (85.1% (6).Both of the patients were all under the age of 10 and rectal bleeding was one of the main symptom (100%) though non had any preoperative aneamia as evidenced by the CBC. Our two patients presented with per rectal bleeding and prolapse of a mass, but the pre-operative hemoglobin levels done showed no evidence of anemia [2][3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Solitary Juvenile Polyp at a Rural Ugandan Hospital Presenting with Recurrent Rectal Bleeding

Kurigamba¹,

Akello²,

Owamukama³

et al. 2021

J Sur Anesth Res

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Juvenile polyps (JP) are rare but important causes of acute gastrointestinal symptoms in children. They are a recognized cause of painless rectal bleeding in preschool age children and also the most common intraluminal disorder of the colon in children They are often solitary, pedunculated and small in size but may occasionally grow to large sizes or occur in great numbers, as in juvenile polyposis syndrome. Histologically juvenile polyps are similar to inflammatory polyps with irregular dilated glands, lamina propria expansion and granulation tissue expansion. Sporadic juvenile polyps of the colon occur in up to 2 percent of children under the age of 10 years, are usually solitary, and are not associated with an increased cancer risk. The etiology, diagnosis, clinical presentation, and management of these intestinal polyps depend on the type of polyp or polyposis syndrome. A change in bowel habits, abdominal pain, rectal bleeding, rectal prolapse, and even intussusception may be the initial presentation in children. In addition to a careful history, including a detailed family history, a physical examination, contrast studies, and endoscopic examination are vital diagnostic tools. Juvenile polyps may also present with prolapse of the polyp from the anus, abdominal pain due to intussusception or may even be asymptomatic. All such polyps should be removed by colonoscopy or transanal resection

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Section: Discussionmentioning

confidence: 99%

Solitary Juvenile Polyp at a Rural Ugandan Hospital Presenting with Recurrent Rectal Bleeding

Kurigamba¹,

Akello²,

Owamukama³

et al. 2021

J Sur Anesth Res

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“…JP is usually located in the distal portion of the colon with small dimensions (32). Colonoscopy is necessary to differentiate JP from IBD (17).…”

Section: Discussionmentioning

confidence: 99%

“…Although JP is considered to be benign, it needs prompt correction as there have been some reports of malignant transformation (30,31). JP is usually located in the distal portion of the colon with small dimensions (32). Colonoscopy is necessary to differentiate JP from IBD (17).…”

Section: Discussionmentioning

confidence: 99%

A survey on rectal bleeding in children, a report from Iran

2018

Turk J Med Sci

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Background/aim: Studies on the epidemiology of rectal bleeding in children are limited in Iran. Our aim was to assess etiologies of rectal bleeding in children in Iran. Materials and methods:We enrolled 730 children with rectal bleeding. All the patients underwent colonoscopy, and 457 were further evaluated with histopathology.Results: According to colonoscopy and histopathology, respectively, inflammatory bowel disease (IBD) (29.4%, 15.8%), nodular hyperplasia (NH) (24.9%, 10%), and juvenile polyposis (JP) (12.6%, 9.9%) were the most common causes of rectal bleeding. Other conditions were solitary rectal ulcer (5.3%), chronic colitis (4.6%), allergic colitis (3.3%), focal colitis (1.3%), and infectious colitis (1.1%). In colonoscopy, there were no significant differences in the distribution of pathologies regarding sex, while the youngest and oldest mean ages were found for patients with NH (4.6 ± 3.9 years, P < 0.0001) and those with normal appearance (8.1 ± 4.4 years, P < 0.0001) respectively. Based on histopathologic reports, the youngest patients were diagnosed with infectious colitis (4.6 ± 2.8 years), while patients with chronic colitis were the oldest (9.2 ± 4.6 years, P = 0.003). Conclusion:JP, NH, and IBD constituted the most common etiologies of rectal bleeding in our patients. It is recommended to perform a complete diagnostic approach to accurately assess rectal bleeding in children.

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“…Wiseman and Emil [8] reported laparoscopic-assisted resection of giant juvenile polyps of the proximal colon that were not amenable to colonoscopic removal. Likewise, laparoscopy has been successfully used to remove offending hamartomatous polyps of the small bowel in children with Peutz-Jeghers syndrome [9,10].…”

Section: Discussionmentioning

confidence: 99%