The management of colonic polyps in children: a 13-year retrospective study
| Autor: | Socrate Pallio, Alessandro Princiotta, Giuseppinella Melita, Mauro Iannelli, Valeria Dipasquale, Andrea Tortora, Marco Ventimiglia, Claudio Romano |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Lower gastrointestinal bleeding Colon Colonoscopy Children Colonic polyps Colonoscopy Lower gastrointestinal bleeding Colonic polyps Gastroenterology Cohort Studies 03 medical and health sciences Total colonoscopy 0302 clinical medicine 030225 pediatrics Internal medicine Chart review otorhinolaryngologic diseases medicine Humans 030212 general & internal medicine Family history Child Children neoplasms Retrospective Studies medicine.diagnostic_test business.industry Retrospective cohort study pathological conditions signs and symptoms Colonic Polyp medicine.disease digestive system diseases surgical procedures operative Pediatrics Perinatology and Child Health Cohort Female business |
| Zdroj: | European Journal of Pediatrics. 180:2281-2286 |
| ISSN: | 1432-1076 0340-6199 |
| DOI: | 10.1007/s00431-021-04017-y |
| Popis: | The aim of this study was to describe the frequency, major symptoms, and characteristics of colonic polyps in a cohort of children. A retrospective chart review of patients aged ≤ 18 years who were diagnosed with colonic polyp(s) from 2006 to 2019 in a tertiary hospital was included. Data collected included demographics, clinical presentation, interval of time between the onset of symptoms and the endoscopic diagnosis of colonic polyps, family history, characteristics of the polyp, and associated lesions. Over the study period, 35 Caucasian children were diagnosed with juvenile colonic polyps. Twenty-three patients (65.7%) were males. Lower gastrointestinal bleeding of a mean duration of 5.3 ± 4.9 months was the presenting symptom in nearly all cases (n = 34, 97%), and it was isolated in 17 patients. Clinical presentation did not significantly vary according to the age or the location or size of the polyp (p = 0.262, p = 1.000, and p = 0.149, respectively). The polyps were mainly located in the left colon (n = 29, 83%). Right colonic polyps were significantly larger than left colonic polyps (p = 0.037).Conclusion: Lower gastrointestinal bleeding represents the most common presentation of colonic polyps in children. Right-sided colonic polyps occur and may be even larger than left-sided ones. A total colonoscopy is therefore mandatory for all cases of suspected colonic polyps. This study represents a real-life contribution, and it can help improve the management strategies of this condition in childhood. What is Known: • Colonic polyps are quite common in children. • The majority of pediatric colonic polyps are solitary, benign, and located in the left colon. What is New: • Right-sided colonic polyps occur and may be even larger than left-sided ones. • A total colonoscopy is mandatory for all cases of suspected colonic polyps. |
| Databáze: | OpenAIRE |
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