Sigmoidoscopy in children with chronic lower gastrointestinal bleeding

Journal of Paediatrics and Child Health
Parkash Mandhan

Abstract

This study was done to assess the role of rigid sigmoidoscopy in diagnosis and prognosis of children with chronic and minor lower gastrointestinal bleeding. Retrospective review of the clinical notes of children under 15 years of age with minor and chronic lower gastrointestinal bleeding who had rigid sigmoidoscopy and biopsy between October 1998 and April 2002 at Liaquat Medical College Hospital, Hyderabad, Pakistan. Demographic data, clinical presentation, morbidity, sigmoidoscopic and histopathological findings were analysed to determine the role of rigid sigmoidoscopy in the management of rectal bleeding in children. A total of 229 sigmoidoscopic examinations were carried out in 207 children with a mean age of 6 years. Seventy-seven per cent (160) of children were symptomatic for a year or more. Causes of bleeding were juvenile colorectal polyps (155 cases; 75%), non-specific proctitis (38 cases; 18%), solitary rectal ulcer (seven cases; 3.5%), lymphoid nodular hyperplasia (six cases, 3%) and foreign body (betel nuts) impaction (one case; 0.5%). Polyps were mostly in the rectosigmoid region and solitary in 136 (88%) children. All polyps were removed by rigid sigmoidoscopy. Histological examination of 137 polyps revealed juv...Continue Reading

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Citations

Dec 8, 2011·Digestive Diseases and Sciences·Kalpesh ThakkarHashem B El Serag
Jan 29, 2013·Indian Journal of Pediatrics·Binesh Balachandran, Sunit Singhi
Mar 14, 2007·European Journal of Gastroenterology & Hepatology·Lissy de RidderMarc A Benninga
Jul 26, 2011·Annals of Tropical Paediatrics·M H F El-ShabrawiA El-Hennawy
Feb 17, 2015·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Sandra LucarelliTullio Frediani
Dec 13, 2005·Journal of Pediatric Surgery·Glen ClarkeWilliam A McCallion
Nov 30, 2006·Annals of Tropical Paediatrics·Hamed A El-KhayatAhmed M Hamdy
May 16, 2019·Clinical Endoscopy·Ari SilbermintzRaanan Shamir

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