Colorectal polyps in children: a retrospective study of clinical features and the value of ultrasonography in their diagnosis

Journal of Pediatric Surgery
Chen WeiQiu Xiaohong

Abstract

Colorectal polyps are common in children. The purpose of this report was to describe a clinical experience with colorectal polyps at the Beijing Children's Hospital and to evaluate the diagnostic value of ultrasonography in screening colorectal polyps in children. This was a retrospective medical record review of 487 children with colorectal polyps managed at the Beijing Children's Hospital between August 2003 and April 2010. The mean age at presentation was 4.7 ± 2.5 years, with a male predominance (M/F ratio, 1.9:1). Most children (n = 458, 94%) presented with hematochezia associated with other symptoms, such as recurrent abdominal pain (n = 42, 8.6%), prolapse of the polyp from the anus (n = 43, 8.8%), and diarrhea (n = 10, 2.1%). Anemia was observed in 33 (6.8%) children, 4 of whom required a blood transfusion before the colonoscopy. Among the 487 patients, 352 (72.3%) patients underwent ultrasonography before the colonoscopy. Polyps were detected on 345 of 352 ultrasonographic examinations in which patients subsequently underwent colonoscopy and were found to have colonic polyps. The most common polyp locations were the sigmoid colon (n = 212, 46.1%) and the rectum (n = 174, 37.8%). Solitary polyps were identified in 421 p...Continue Reading

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Citations

Mar 5, 2016·Journal of Ultrasound·Valerio VitaleGianfranco Vallone
Nov 26, 2019·Journal of Pediatric Gastroenterology and Nutrition·Nadia IbrahimiThomas M Attard
Jul 7, 2015·Journal of Pediatric Gastroenterology and Nutrition·Ingunn OlafsdottirDaniel Agardh
Jun 17, 2020·Journal of Pediatric Gastroenterology and Nutrition·Amornluck KrasaelapAnkur Chugh
Jul 8, 2016·Diseases of the Colon and Rectum·Anne Marie JelsigNiels Qvist
Jul 25, 2015·Current Opinion in Pediatrics·Marsha KayRobert Wyllie
Mar 7, 2021·Journal of Clinical Ultrasound : JCU·Min ZhangHai Lin

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