Colonic Polyps: Experience of 236 Indian Children

Abstract

Juvenile polyps remain the most common colonic polyps in children. A significant number of cases of polyps are multiple and proximally located, which emphasizes the need for total colonoscopy in all. Juvenile polyps should be removed even if asymptomatic because of their neoplastic potential. Colonoscopic polypectomy is effective even in juvenile polyposis. Surveillance colonoscopy is required in juvenile polyposis only.

Endoscopic Profile of Children with Colorectal Polyps Attending a Tertiary Centre

“…The clinical spectrum of our children with polyps differs from other series 5,14,15 . All 35(100%) children had haematochezia with or without other symptoms, the mean duration of bleeding per rectum (13 months) was much higher than reported previously by Cynamon and Pillai 6,15 .…”

“…Juvenile polyps are generally thought to be hamartomatous lesion with little malignant potential. They have been reported to be solitary and recto-sigmoid in location in 80-90% of cases 4,5 . It is diffi cult to differentiate the hyperplastic polyps and adenomatous ones without histological examinations.…”

“…Fiberoptic colonoscopy is a routine modality for the diagnosis and treatment of colorectal polyps in paediatric population 8 . Although there have been clinical studies on colonic polyps in children in India 5 , there is dearth of data because of lack of paediatric colonoscopy facility in Nepal. The aim of this study was to describe the endoscopic profi le of children with colorectal polyps at Nepal Medical College and Teaching Hospital.…”

Minimal access surgical management of large juvenile polyps in children

“…These polyps are more prevalent in males than females by a ratio of 2:1 and are detected at a mean age of 5.0 to 7.4 years [12][13][14][15][16]. Although previous reports localize these lesions to the rectosigmoid area in 80% to 90% of patients [12,14,15], others have challenged these findings, reporting significant incidence of isolated and synchronous proximal polyps [8,13,16]. Although not universally applied, current recommendations are to perform pancolonoscopy on any child with a JP [4].…”

“…The epidemiologic situation, clinical presentation, and management of JP have been discussed in multiple large series in the literature [12][13][14][15][16]. These polyps are more prevalent in males than females by a ratio of 2:1 and are detected at a mean age of 5.0 to 7.4 years [12][13][14][15][16].…”