From the Department of Gastroenterology, Imam Khomeini Medical Center, Tehran University of Medical Sciences ,Tehran, Islamic Republic of Iran
Abstract: (4169 Views)
34 children aged 9 months to 12 years presenting with chronic and intermittent
rectal bleeding were diagnosed as having colorectal polyps by fiberoptic
colonoscopy performed under sedation. Bleeding per rectum (mean duration, 15
months) was the chief presenting symptom and was present in 97% of these
patients. In 85% of patients polypectomy was carried out without using general
anesthesia. 7R% of patients had juvenile polyps and 22% had solitary adenomatous
polyps. Two children had two polyps. The majority (33%) of the polyps were
located in the rectosigmoid. Polypectomy was performed on all patients, and no
case of massive bleeding, bacterial infection or perforation occurred post-operatively.
Therefore, it seems that colonoscopic snare polypectomy is an effective and
safe procedure for the treatment of colorectal polyps in children.