摘要
Abstract
Objetive The purpose of this report was to describe a clinical experience with colorectal polyps and to evaluate the diagnostic and therapeutic value of full colonoscopy to colorectal polyps in children. Methods This was aretrospective medical record review of 590 children with colorectal polyps managed be-tween 2003 to 201 3.Results The mean age at presentation was 4.7 ±2.5 years,with a male predominance (M/F ratio,2 ∶1 ).Most children (n =554,94%)presented with hematochezia associated with other symp-toms,such asrecurrent abdominal pain (n =51 ,8.6%),prolapsed of the polyp from the anus (n =52, 8.8%),and diarrhea (n =1 2,2.1 %).Anemia was found in 40 (6.8%)children,4 of whom required a blood transfusion before the colonoscopy.The most Polyp was solitary(n =522,88.5%),and others were pi-losity (n =68,1 1 .5%).The most common polyp locations were the sigmoid colon (n =272,46.1 %)and the rectum (n =224,38.0%),others (n =94,1 6.0%).Colonoscopy complications were rare,with colonic perfo-ration found in 2 patients and postcolonoscopy hemorrhage found in 2 patients.The pathology records showed that the most frequent histological type was juvenile polyps (n =544,92.2%),Peutz-Jeghers polyps (n =20, 3.4%),juvenile polyposis (n =1 7,2.9%),hamartomas (n =7,1 .2%),familial adenomatous polyposis (n =1 ,0.1 7%),and inflammatory polyps (n =1 ,0.1 7%). Conclusions Colorectal polyp is one of the pathogenesis in children with hematochezia.The colorectal polyps can be everywhere in whole course of colon and rectum.It is necessary to get a full colonoscopy to diagnose and remove the polyps in the cases of hema-tochezia in children.As well,it is conducive to diagnose the inflammatory bowel disease (IBD)or others.关键词
结肠息肉/纤维结肠镜/儿童Key words
Colorectal polyps/Colonoscopy/Children
