Colonoscopy in Hong Kong Chinese children

Tam, Yuk Him; Lee, Kim Hung; Chan, Kin Wai; Sihoe, Jennifer Dart Yin; Cheung, Siu Tim; Mou, Jennifer Wai Cheung

doi:10.3748/wjg.v16.i9.1119

Cited by 25 publications

(43 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5,12,15,24 Most reports showed that 80e90% of polyps were located at the rectosigmoid colon. 3,5 However, in this study, only 43.6% of the polyps are at the rectosigmoid colon, which is similar to the report by Gupta et al 24 Although most pediatric colon polyps are juvenile polyps, some are potentially premalignant. 25 This highlights the importance of colonoscopy rather than sigmoidoscopy for the diagnosis and treatment of pediatric colon polyps.…”

Section: Discussionsupporting

confidence: 84%

“…3,7,21 However, there is a lower rate (8.3%) of IBD in this study than that reported in The Netherlands. 14 Furthermore, 6.7% of 192 children with indications for colonoscopy have eosinophilic colitis (including cow's milk protein allergy).…”

Section: Discussioncontrasting

confidence: 73%

“…As in other reports, there are no major procedure-related complications in the patients here. 3,7 Minor complications like cough with transient desaturation, intravenous fluid extravasation, and occasional slight oozing after polypectomy also occurred.…”

Section: Discussionmentioning

confidence: 94%

“…This may be one of the reasons for the slightly lower success rate of reaching the cecum or terminal ileum (77.5%) in the present study compared to the series with full sedation (84e97.6%). 2,3,19 Another reason may be that while the pathologic lesions identified in other images were reached, the procedures were terminated in some patients before the endoscope reached the cecum. Although the terminal ileum approach is not necessary in each colonoscopy, previous study revealed that up to 85% of patients with Crohn's disease had a terminal ileum lesion, which was confirmed using colonoscopy and ileum biopsy.…”

Section: Discussionmentioning

confidence: 98%

See 3 more Smart Citations

Characteristics and Diagnostic Yield of Pediatric Colonoscopy in Taiwan

Chen

Yang

2015

Pediatrics & Neonatology

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 84%

Section: Discussioncontrasting

confidence: 73%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 98%

See 2 more Smart Citations

Characteristics and Diagnostic Yield of Pediatric Colonoscopy in Taiwan

Chen

Yang

2015

Pediatrics & Neonatology

View full text Add to dashboard Cite

show abstract

“…A single adenomatous polyp is a neoplastic polyp that occurs very rarely in children. Pathologically, it is classified as tubular adenoma, tubulovillous adenoma, and villous adenoma [1, 5, 10]. …”

Section: Introductionmentioning

confidence: 99%

Adenomatous Polyps in Adolescent Girl and Boy: A Report of Two Cases

Larijani

Ghasemi

Karami

2016

Case Reports in Pathology

View full text Add to dashboard Cite

A polyp is defined as a mass of the mucosal surface that protrudes into the lumen of the gastrointestinal tract. Neoplastic epithelial polyps are classified histologically as either benign adenoma or malignant carcinoma. The colonic polyps that most commonly present in children occur sporadically and individually and are of the juvenile type; they are most frequently associated with painless rectal hemorrhage (which is the most common symptom). Adenomatous polyps are similar to other nontumoral polyps, and it is very rare for children to have symptoms other than rectal bleeding. This report describes two rare cases of polyps in pediatric patients. An 11-year-old girl presented with tubulovillous adenoma and a 13-year-old boy with tubular adenoma; both patients complained of rectal hemorrhage as well as anemia and abdominal pain. Epithelial adenoma is a tumor that is rarely found in adults or children. Colonoscopic perforation and biopsy are mandatory for establishing a definitive diagnosis and avoiding medical mismanagement.

show abstract

Colonoscopic finding in children with lower gastrointestinal complaints

Abdullah Jan,

Ajmal,

Naimatullah

2023

JGH Open

View full text Add to dashboard Cite

Background and AimColonoscopy is an important tool for the diagnosis and treatment of lower gastrointestinal (LGI) diseases in both children and adults. This study describes an endoscopic profile of children at the Shinnwari Gastroenterology Diagnostic Clinic in Jalalabad, Afghanistan.MethodsThis is a cross‐sectional descriptive study conducted in children ≤16 years, taken from recorded colonoscopy reports from 1 January 2021 to 30 December 2022.ResultsOf the 672 colonoscopy procedures, 250 were diagnostic in children (7.41 years median age; 2.5:1 male/female ratio) without serious complications. Abnormal findings were recorded in 201 (81.2%) procedures; the most common presentation was hematochezia, which was higher in 5–8‐year‐olds. More frequent findings were colorectal polyps (50%), infection (16.4%), internal hemorrhoid (IH; 10%), and inflammatory bowel disease (IBD; 1.2%). Incidences of colorectal polyps were higher in those aged <9 years (37.2% vs 12.8%; P < 0.001). Conversely, internal IH and IBD tended to be higher in older children (aged ≥9 years) (IH: 6.8% vs 3.2%; P < 0.005; IBD: 1.2% vs 0%; P < 0.02). Colonoscopy procedures were completed without major complications.ConclusionColonoscopy is an important and safe procedure for the diagnosis of LGI compliants, especially hematochezia, which is frequently accompanied by colorectal polyps.

show abstract

Colonoscopy in Hong Kong Chinese children

Abstract: Colonoscopy is a safe procedure in our Chinese children. The increasing diagnosis of IBD in recent decades may reflect a rising incidence of the disease in our children.

Cited by 25 publications

References 23 publications

Characteristics and Diagnostic Yield of Pediatric Colonoscopy in Taiwan

Characteristics and Diagnostic Yield of Pediatric Colonoscopy in Taiwan

Adenomatous Polyps in Adolescent Girl and Boy: A Report of Two Cases

Colonoscopic finding in children with lower gastrointestinal complaints

Contact Info

Product

Resources

About