Colonic polyps and polyposis syndromes in pediatric patients

Kay, Marsha; Eng, Katharine; Wyllie, Robert

doi:10.1097/mop.0000000000000265

Cited by 33 publications

(42 citation statements)

References 26 publications

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“…Many researchers stated that rectal polyps are common in children with a 1-14 years age group, and this almost similar to our results 24,25 . The standard management for all of our cases is polypectomy, a generally acceptable procedure 26 with minor postoperative bleeding.…”

Section: Resultssupporting

confidence: 93%

Acquired Ano Rectal Conditions (AARC) in Children Seen at Gezira National Center for Pediatric Surgery (GNCPS-Sudan), Epidemiology, Management, and Outcome

2021

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The study's main objective is to determine the epidemiology, treatment, and outcome of the acquired anorectal conditions seen at the GNCPS. This study was a retrospective and prospective descriptive hospital-based study involving (131) child with Acquired anorectal conditions (AARC) who presented to GNCPS during the two-year study period. Data regarding the presentation, management, and post-operative course to look after complications and outcomes were collected. Data were collected using a formulated questionnaire and analyzed using (SPSS 17). Data considered statistically significant when P-value is less than 0.05. The study involved a total number of 131 children with AACS. The mean age of presentation is (5.78 years) with an overall 1.4:1 male to female ratio. Most of the study subjects are from rural areas, 66.4 percent. Most of them treated surgically, 83.2 percent, and 16.8 percent medically, with an overall complication rate of 24.4 percent. Conclusion Acquired Ano Rectal Conditions commonly seen at the preschooler age, mean (5.78 years). Rectal polyps and rectal prolapse were among the most frequently seen acquired anorectal conditions in children. Most of the cases treated surgically with an overall complication rate of 24.4 percent.

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Section: Resultssupporting

confidence: 93%

Acquired Ano Rectal Conditions (AARC) in Children Seen at Gezira National Center for Pediatric Surgery (GNCPS-Sudan), Epidemiology, Management, and Outcome

2021

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“…Occurring in about 1% of children, polyps are the leading cause of lower intestinal bleeding in children [1]. Up to 90% of colorectal polyps that arise in children are of the juvenile subtype, and 80%-90% of these exist in either the sigmoid colon or rectum [2]. Given the risk of being associated with cancerous polyposis syndromes (Familial adenomatous polyposis, Gardner's, Turcot's, to name a few), colonoscopy and polypectomy have increasingly been used in managing children with recurrent bleeding, pain, or other symptoms associated with colorectal polyps [3,4].…”

Section: Introductionmentioning

confidence: 99%

Juvenile Retention Polyp in a Teenager

McClanahan

Palomo

Burleson

et al. 2021

Cureus

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The proper management of a prolapsed rectal mass in a child or teenager is challenging. Given that the underlying etiology of a prolapsed rectal mass in this population is not always immediately clear, interdisciplinary assessment is often required. Juvenile polyps, more commonly presenting with bleeding than a prolapsed mass, can mimic the appearance of both hemorrhoids and the rectum itself -making a purely clinical diagnosis difficult. Presented here is a case of a prolapsed colorectal polyp in a teenage boy, who underwent manual reduction of the mass, followed by colonoscopy and endoscopic ligation. Further histological evaluation revealed it to be a juvenile retention polyp. Despite the rarity of polyp prolapse as a presenting symptom, this case underscores the importance of considering colonic polyps as the etiology of a prolapsed anorectal mass in a teenager.

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“…Kay et al [ 18 ] reported that genetic testing was key in the identification, screening, and follow-up of children and adolescents with polyposis syndromes. Hood et al [ 19 ] studied the clinical features and colonoscopic findings in children with solitary juvenile polyps, multiple juvenile polyps, and juvenile polyposis syndrome.…”

Section: Discussionmentioning

confidence: 99%

Sonographic diagnosis of colorectal polyps in children

Liu

Shi

et al. 2018

Medicine

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This study was established to evaluate the diagnostic value of ultrasonography in screening colorectal polyps in children and to discuss the necessity of colonic preparation before an ultrasonic examination.In this study, 288 children with colorectal polyps managed at our hospital between January 2007 and December 2016 were retrospectively reviewed. All patients were examined before and after basic colon preparation. The colorectal polyps were confirmed by colonoscopy/laparotomy and histopathology. Among all 288 patients, solitary polyps were identified in 278 patients (96.52%), and multiple polyps were identified in 10 patients (43 polyps) (3.48%) by colonoscopy/laparotomy and histopathology.By ultrasonic examination, 264 cases (264/278) were detected as solitary polyp and 9 cases (9/10) as multiple polyps (31 polyps). In 278 solitary polyps, 180 (64.74%) were detected by ultrasonic examination without a colon preparation. Following glycerine enema (10–20 mL) treatment, 264 (94.96%) cases were detected by ultrasonic examination. The sensitivity and specificity of ultrasonography with glycerine enema for the detection of colorectal polyps were 94.96% and 100%, respectively. Colon preparation significantly increased the proportion of polyps identified by ultrasonography (P < .0001), as well as the diagnostic rate of polyps in rectum, sigmoid colon and descending colon (P < .05).Ultrasonography can be the primary diagnostic method for screening colorectal polyps in children on the strength of its safety, validity, and accuracy. Basic colon preparation with glycerine enema is recommended for children, which enable the detection of intraluminal lesions before ultrasonic examination.

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Colonic polyps and polyposis syndromes in pediatric patients

Cited by 33 publications

References 26 publications

Acquired Ano Rectal Conditions (AARC) in Children Seen at Gezira National Center for Pediatric Surgery (GNCPS-Sudan), Epidemiology, Management, and Outcome

Acquired Ano Rectal Conditions (AARC) in Children Seen at Gezira National Center for Pediatric Surgery (GNCPS-Sudan), Epidemiology, Management, and Outcome

Juvenile Retention Polyp in a Teenager

Sonographic diagnosis of colorectal polyps in children

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