Endoscopic Findings in Children with Isolated Lower Gastrointestinal Bleeding
| Autor: | Manar Matar, Yael Mozer Glassberg, Ari Silbermintz, Amit Assa, Noam Zevit, Raanan Shamir |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
lcsh:Internal medicine
medicine.medical_specialty Lower gastrointestinal bleeding Significant group Medicine (miscellaneous) Colonoscopy Gastroenterology Colonic polyps Rectal bleeding Internal medicine medicine otorhinolaryngologic diseases Radiology Nuclear Medicine and imaging lcsh:RC799-869 Colitis lcsh:RC31-1245 neoplasms Acute colitis Splenic flexure medicine.diagnostic_test Juvenile Polyp business.industry pathological conditions signs and symptoms medicine.disease digestive system diseases surgical procedures operative Cohort lcsh:Diseases of the digestive system. Gastroenterology Original Article business Juvenile polyps |
| Zdroj: | Clinical Endoscopy Clinical Endoscopy, Vol 52, Iss 3, Pp 258-261 (2019) |
| ISSN: | 2234-2443 2234-2400 |
| Popis: | Background/Aims Colorectal polyps are a common cause of lower gastrointestinal bleeding in children. Our aim was to study the causes of isolated lower gastrointestinal bleeding and to analyze the characteristics of the colorectal polyps found in our cohort. Methods We retrospectively reviewed colonoscopic procedures performed between 2007 and 2015. Children with isolated lower gastrointestinal bleeding were included in the study. Results A total of 185 colonoscopies were performed for isolated lower gastrointestinal bleeding. The median patient age was 8 years, and 77 patients (41.6%) were found to have colonic polyps. Normal colonoscopy findings were observed and acute colitis was detected in 77 (41.6%) and 14 (7.4%) patients, respectively. Single colonic polyps and 2–3 polyps were detected in 73 (94.8%) and 4 (5.2%) patients with polyps, respectively. Of the single polyps, 69 (94.5%) were juvenile polyps, among which 65 (94.2%) were located in the left colon. Conclusions Single left-sided juvenile polyps were the most common cause of isolated lower gastrointestinal bleeding in our study. It was rare to find multiple polyps and polyps proximal to the splenic flexure in our cohort. A full colonoscopy is still recommended in all patients in order to properly diagnose the small but significant group of patients with pathologies found proximal to the splenic flexure. |
| Databáze: | OpenAIRE |
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