The Role of Colonoscopy in Children with Hematochezia

We, Ju Hee; Park, Hyun Suk; Park, Jae Hong

doi:10.5223/kjpgn.2011.14.2.155

Cited by 6 publications

(9 citation statements)

References 19 publications

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“…The benefits of colonoscopy in hematochezia are identification of the site and cause of bleeding, and the possibility of endoscopic intervention. In the author’s previous study [ 15 ], the major causes of hematochezia in children were juvenile polyp (26.4%), food protein-induced proctocolitis (6.9%), infectious colitis (5.4%), and vascular ectasia (5.1%) ( Table 6 ).…”

Section: Specific Diagnostic and Therapeutic Applicationsmentioning

confidence: 99%

Pediatric Colonoscopy: The Changing Patterns and Single Institutional Experience Over a Decade

Park

2018

Clin Endosc

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The safety and effectiveness of pediatric colonoscopy for lower gastrointestinal tract diseases have been established in Korea for about 30 years. Both diagnostic and therapeutic colonoscopies have had many advances in terms of operator skill and experience and are now being performed by most pediatric gastroenterologists. Pediatric colonoscopy is different in many aspects from that of adults, such as expected diagnoses, patient management, bowel preparation, selection criteria for sedation, and instrument selection. In this review, the author presents practical information on pediatric colonoscopy, the author’s experiences, and the changes in colonoscopy practices over a decade in a tertiary hospital in Korea.

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Section: Specific Diagnostic and Therapeutic Applicationsmentioning

confidence: 99%

Pediatric Colonoscopy: The Changing Patterns and Single Institutional Experience Over a Decade

Park

2018

Clin Endosc

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“…Polyps are the most common causes of colorectal bleeding in children [1,2]. Polyps occur in as many as 1% of children and 90% of these are juvenile polyps [1].…”

Section: Introductionmentioning

confidence: 99%

“…They have been reported to be solitary and rectosigmoid in location in 80-90% of cases [3,4]. However, some of recent studies demonstrated that a significant number of cases of polyps are multiple and proximally located, which suggests the need for total colonoscopy [2,5]. …”

Section: Introductionmentioning

confidence: 99%

Juvenile Polyp and Colonoscopic Polypectomy in Childhood

Lee¹,

Shin

Lee³

et al. 2012

Pediatr Gastroenterol Hepatol Nutr

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PurposeThis study aimed to evaluate the clinical features of juvenile polyp and the usefulness of polypectomy with entire colonoscopy in children.MethodsWe retrospectively reviewed the medical records of 83 children who were diagnosed with having juvenile polyps.ResultsThe 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.ConclusionJuvenile 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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“…Rectal and/or lower gastrointestinal (GI) bleeding in school-age or younger children is usually caused by infection, gastroenteritis, anal fistula, intussusception, and Meckel's diverticulum. Juvenile polyps are the second most common noninfectious cause of rectal bleeding after anal fistula [1]. Polyps are suspected in a healthy-looking child who frequently passes small amounts of bright red stool, unaccompanied by pain.…”

Section: Introductionmentioning

confidence: 99%

Juvenile Polyp associated with Hypovolemic Shock Due to Massive Lower Gastrointestinal Bleeding

Kim

Bae

et al. 2019

Pediatr Gastroenterol Hepatol Nutr

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Juvenile polyps are the most common types of polyps in children, and patients usually present with lower gastrointestinal (GI) bleeding as the predominant symptom. These lesions, which are referred to as hamartomas, usually measure approximately 2 cm in size and are benign tumors located mainly in the rectum and sigmoid colon. The most common symptom of a juvenile polyp is mild intermittent rectal bleeding. It is rare for anemic patients because the amount of blood loss is small and often not diagnosed immediately. We present the case of a 6-year-old girl with a juvenile polyp in the distal transverse colon, who developed hypovolemic shock due to massive lower GI bleeding. Pediatricians must perform colonoscopy for thorough evaluation of polyps, because their location and size can vary and they can cause massive bleeding.

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The Role of Colonoscopy in Children with Hematochezia

Cited by 6 publications

References 19 publications

Pediatric Colonoscopy: The Changing Patterns and Single Institutional Experience Over a Decade

Pediatric Colonoscopy: The Changing Patterns and Single Institutional Experience Over a Decade

Juvenile Polyp and Colonoscopic Polypectomy in Childhood

Juvenile Polyp associated with Hypovolemic Shock Due to Massive Lower Gastrointestinal Bleeding

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