Gastrointestinal Polyps in Children
Gastrointestinal polyps are common in children. The purpose of this study was to review the clinical manifestations, diagnostic procedures, endoscopic findings, management, pathology, and recurrence of gastrointestinal polyps in children at Mackay Memorial Hospital. Methods: We retrospectively revie...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2009-10-01
|
| Series: | Pediatrics and Neonatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957209600632 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850165813580922880 |
|---|---|
| author | Li-Chun Wang Hung-Chang Lee Chun-Yan Yeung Wai-Tao Chan Chuen-Bin Jiang |
| author_facet | Li-Chun Wang Hung-Chang Lee Chun-Yan Yeung Wai-Tao Chan Chuen-Bin Jiang |
| author_sort | Li-Chun Wang |
| collection | DOAJ |
| description | Gastrointestinal polyps are common in children. The purpose of this study was to review the clinical manifestations, diagnostic procedures, endoscopic findings, management, pathology, and recurrence of gastrointestinal polyps in children at Mackay Memorial Hospital.
Methods: We retrospectively reviewed the charts of 50 children with a diagnosis of gastrointestinal polyps managed at Mackay Memorial Hospital between January 1984 and April 2007. Demographic data; clinical features; polyp size, number and location; endoscopic findings; management; pathology; and information on recurrences were extracted from the clinical records.
Results: The distribution of polyps in the 50 patients included gastric (4 patients), duodenal (2), ileocecal (4) and colorectal polyps (40). All patients with gastric polyps presented with vomiting, and three of the four patients with ileocecal polyps presented with intussusception. The mean age of the 40 patients with colorectal polyps was 6.8 years. The majority of those polyps were in the rectosigmoid colon; 36 patients presented with hematochezia. Solitary polyps were identified in 33 patients and multiple polyps were identified in seven patients. Most of the colorectal polyps were less than 2 cm in diameter. Histologically, the most frequent type was juvenile polyp.
Conclusion: Gastrointestinal polyps in children are usually benign. Pediatricians treating a child with a gastrointestinal polyp should pay attention to the immediate complications of the polyps, such as intussusception or bleeding, the extraintestinal manifestations and long-term risk for malignancy. |
| format | Article |
| id | doaj-art-e1922cf99ea5482f849c6909186cabc6 |
| institution | OA Journals |
| issn | 1875-9572 |
| language | English |
| publishDate | 2009-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-e1922cf99ea5482f849c6909186cabc62025-08-20T02:21:38ZengElsevierPediatrics and Neonatology1875-95722009-10-0150519620110.1016/S1875-9572(09)60063-2Gastrointestinal Polyps in ChildrenLi-Chun Wang0Hung-Chang Lee1Chun-Yan Yeung2Wai-Tao Chan3Chuen-Bin Jiang4Department of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, TaiwanGastrointestinal polyps are common in children. The purpose of this study was to review the clinical manifestations, diagnostic procedures, endoscopic findings, management, pathology, and recurrence of gastrointestinal polyps in children at Mackay Memorial Hospital. Methods: We retrospectively reviewed the charts of 50 children with a diagnosis of gastrointestinal polyps managed at Mackay Memorial Hospital between January 1984 and April 2007. Demographic data; clinical features; polyp size, number and location; endoscopic findings; management; pathology; and information on recurrences were extracted from the clinical records. Results: The distribution of polyps in the 50 patients included gastric (4 patients), duodenal (2), ileocecal (4) and colorectal polyps (40). All patients with gastric polyps presented with vomiting, and three of the four patients with ileocecal polyps presented with intussusception. The mean age of the 40 patients with colorectal polyps was 6.8 years. The majority of those polyps were in the rectosigmoid colon; 36 patients presented with hematochezia. Solitary polyps were identified in 33 patients and multiple polyps were identified in seven patients. Most of the colorectal polyps were less than 2 cm in diameter. Histologically, the most frequent type was juvenile polyp. Conclusion: Gastrointestinal polyps in children are usually benign. Pediatricians treating a child with a gastrointestinal polyp should pay attention to the immediate complications of the polyps, such as intussusception or bleeding, the extraintestinal manifestations and long-term risk for malignancy.http://www.sciencedirect.com/science/article/pii/S1875957209600632familial adenomatous polyposisjuvenile polypjuvenile polyposis |
| spellingShingle | Li-Chun Wang Hung-Chang Lee Chun-Yan Yeung Wai-Tao Chan Chuen-Bin Jiang Gastrointestinal Polyps in Children Pediatrics and Neonatology familial adenomatous polyposis juvenile polyp juvenile polyposis |
| title | Gastrointestinal Polyps in Children |
| title_full | Gastrointestinal Polyps in Children |
| title_fullStr | Gastrointestinal Polyps in Children |
| title_full_unstemmed | Gastrointestinal Polyps in Children |
| title_short | Gastrointestinal Polyps in Children |
| title_sort | gastrointestinal polyps in children |
| topic | familial adenomatous polyposis juvenile polyp juvenile polyposis |
| url | http://www.sciencedirect.com/science/article/pii/S1875957209600632 |
| work_keys_str_mv | AT lichunwang gastrointestinalpolypsinchildren AT hungchanglee gastrointestinalpolypsinchildren AT chunyanyeung gastrointestinalpolypsinchildren AT waitaochan gastrointestinalpolypsinchildren AT chuenbinjiang gastrointestinalpolypsinchildren |