Colonoscopic polypectomy in children

Jalihal, Anand; Misra, Sri Prakash; Arvind, Antony; Kamath, Patrick S.

doi:10.1016/0022-3468(92)90792-6

Cited by 56 publications

(44 citation statements)

References 12 publications

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“…In our study, neither perforation nor bleeding were recorded, while the study of Anand et al [10] reported perforation in one patient and bleeding in two patients during their study. They used general anesthesia only in 8 children aged <3 years, the remaining 66 patients received only sedation in the form of pethidine, prochlorperazine, and chlorpromazine.…”

Section: Discussioncontrasting

confidence: 67%

Colonoscopic polypectomy in Egyptian children: A single-center experience

Rashed¹

2017

Dig Sys

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Section: Discussioncontrasting

confidence: 67%

Colonoscopic polypectomy in Egyptian children: A single-center experience

Rashed¹

2017

Dig Sys

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“…10 Perforations encountered in smaller pediatric studies occurred at rates from 0.07% to 6.7%, with the majority associated with polypectomy. 1,13,15,27,28 Our study suggests that perforation is an extremely rare event, with a rate of approximately 0.01%. This study was limited by lack of specific details on reported complications such as hypoxia and bleeding.…”

Section: Discussionmentioning

confidence: 68%

“…In pediatric studies, rates of bleeding-related complications during polypectomy ranged from 0%-5.6%. [13][14][15][16] Juvenile polyps, the most frequent type of polyp identified in children, have peak prevalence in children ages 1-7 years. 17,18 However, the adjusted analysis showed that polypectomy is an independent predictor of bleeding-related complications.…”

Section: Discussionmentioning

confidence: 99%

Complications of Pediatric Colonoscopy: A Five-Year Multicenter Experience

Thakkar

El–Serag

Mattek

et al. 2008

Clinical Gastroenterology and Hepatology

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Colonoscopy has become a routine modality for the evaluation and treatment of colonic disorders in children. Although generally considered a safe procedure, colonoscopy has the potential for complications. Most informed consent forms describe adverse effects of sedative medicines, perforation, infection, and bleeding as possible risks of colonoscopy. However, the frequency of these complications remains unclear. There are limited pediatric data showing complication rates, and most prior studies involved small numbers of procedures. Furthermore, there might be additional complications that need to be added to consent protocols, because most current complication data are extrapolated from the much larger experience in adult populations.A review of pediatric literature demonstrated a wide array of potential complications and no large multicenter studies during the past 25 years. The largest study was conducted in [1978][1979] and included a survey of 1400 proctosigmoidoscopies performed during an 18-month period at 25 medical centers in the U.S. 1 This study was only published in abstract form and reported complications in 0.2% of all colonoscopy procedures. These complications included one hemorrhage requiring transfusion and one perforation. In the second largest study, Stringer et al 2 prospectively described a series of 250 flexible colonoscopies done in the United Kingdom during a 3.5-year period with no adverse events. Several other studies reported complications (Table 1) in pediatric colonoscopy, but the majority of these studies examined a small number of procedures.Determination of potential colonoscopy-related complications and their expected frequency in children can lead to enhanced risk-benefit analysis by physicians and patients and improved informed consent. There is a lack of systematic, multicenter studies in the pediatric population. Therefore, we conducted the current study to examine the frequency, type, and clinical determinants of immediate complications encountered during pediatric Address requests for reprints to: Kalpesh Thakkar, MD, 6621 Fannin St CCC 1010, Houston, TX 77030. kthakkar@bcm.tmc.edu; fax: 832-825-3633. Simple logistic regression was used to estimate the crude risk of cardiopulmonary events and gastrointestinal bleeding for variables that were identified as significantly associated with the outcomes during categorical analysis (P < .05). Multiple logistic regression models included all variables determined significant on univariate analysis. In constructing the models, we followed the commonly used heuristic of 10 outcome events for each explanatory variable. The adjusted risks estimate for each independent predictor variable was expressed as odds ratios. All analyses were performed by using SAS software (SAS Institute, Inc, Cary, NC). HHS Public Access ResultsDuring the study period, 8841 colonoscopies were recorded at 12 PEDS-CORI sites, and 1049 (11.9%) were excluded for incomplete procedure notes, duplicate records, or patient age older than 18 years. Thus, a total of 77...

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“…Patients with the following features should be evaluated endoscopically for polypoidal diseases: Patients with positive family history, symptomatic patients during follow up and patients with extraintestinal polyp related diseases. [6][7][8][9] Wireless capsule endoscopy is a technology developed recently for the endoscopic exploration of the small bowel which otherwise can not be visualized by conventional techniques. It is first and essential indication was occult gastrointestinal bleeding and intestinal polyp like diseases.…”

Section: Discussionmentioning

confidence: 99%

“…It's use has expanded progressively and is nowadays considered as an important diagnostic method in pediatric gastroenterology, although the literature on this topic is not as extensive as in adults. [8,10,13,14] The invaginations caused by ileal polyps are commonly ileoileal or jejunoileal in nature which do not act like the ileocecal ones. These intussusceptions cannot be treated with hydrostatic, pneumatic reductions or by milking maneuver.…”

Section: Discussionmentioning

confidence: 99%

An ileal hyperplastic polyp comorbidity in the case of acute appendicitis

İrşi

Karacay

2016

CRCP

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Introduction: We aimed to underline the importance of the covert comorbidities like ileal intestinal polyps in pediatric abdominal operations for appendicitis. Case: A 10-year-old girl was referred to us from the emergency ward with the complaints of abdominal pain and vomiting. After detailed examination, we decided to conduct an abdominal exploration in suspicion of potential acute appendicitis. During the laparotomy, an acute simple appendicitis was found and appendectomy was performed. We further explored the abdomen to rule out a possible Meckel diverticulitis, during which an ileal intraluminal mass was palpated about 10 cm proximal to the intestinal ileocecal valve. We performed enterotomy and resected the polypoid mass completely. The histopathological reports were lymphoid hyperplasia for the appendicitis and intestinal hyperplastic polyp for the polypoid mass. Follow up of the patient after 6 months was eventless. Conclusions: Comorbidities like intestinal polyps should be part of the considerations during the abdominal explorations for acute appendicitis. Missing an ileal polyp may lead to a second operation.

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Colonoscopic polypectomy in children

Cited by 56 publications

References 12 publications

Colonoscopic polypectomy in Egyptian children: A single-center experience

Colonoscopic polypectomy in Egyptian children: A single-center experience

Complications of Pediatric Colonoscopy: A Five-Year Multicenter Experience

An ileal hyperplastic polyp comorbidity in the case of acute appendicitis

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