Colonoscopy for rectal bleeding in childhood

Role of colonoscopy in the diagnosis and treatment of pediatric lower gastrointestinal disorders

“…The first report of clinical experience in pediatric colonoscopic polypectomy was made by Gans et al36) in 1975. Colonoscopic polypectomy is now an established therapeutic modality for the treatment of colorectal polyps37). In the author's study9), hematochezia was the first main cause (56.0%) leading to colonoscopy (Table 3) and juvenile polyp was the most common endoscopic diagnosis (Table 4).…”

Juvenile Polyps and Juvenile Polyp Syndromes in Children

“…1 Historically, the vast majority of childhood polyps are solitary, located in the distal colon, and are histologically classified as juvenile polyps with negligible risk for malignant transformation. [1][2][3][4] However, advances in colonoscopic techniques have changed our understanding of childhood colonic polyps. Employment of pancolonoscopy has revealed that, while more commonly located in the restosigmoid, polyps are distributed throughout the colon, are often multiple, recur in some children, and may be associated with premalignant changes.…”

Total colonoscopy in children

“…Most patients required additional sedation before the procedure. The combination of the sedative or amnesic effects of diazepam with the analgesic effect of pethidine using the intravenous route, for a duration of effect of [10][11][12][13][14][15][16][17][18][19][20] minutes, proved to be ideal for colonoscopy.…”

“…[9][10][11][12][13][14][15][16][17][18][19][20][21][22] Most paediatric reports refer to limited examinations and stress the technical difficulty of the procedure.…”