Abstract
Five children presenting with chronic and intermittent rectal bleeding were diagnosed as having colorectal polyps by fibreoptic colonoscopy performed under sedation. Three of the children had had barium-enema films reported on as normal. Eight polyps were seen, of which six were proximal to the sigmoid colon. All were removed endoscopically (one by proctoscopy, one by snare-intussusception) without complication. Colonoscopic polypectomy is a safe and efficient procedure in children, and colonoscopy may be regarded as first-line management in those with rectal bleeding.
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- Gillespie P. E., Nicholls R. J., Thomson J. P., Williams C. B. Snare polypectomy by sigmoid-rectal intussusception. Br Med J. 1978 May 27;1(6124):1395–1395. doi: 10.1136/bmj.1.6124.1395. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gleason W. A., Jr, Goldstein P. D., Shatz B. A., Tedesco F. J. Colonoscopic removal of juvenile colonic polyps. J Pediatr Surg. 1975 Aug;10(4):519–521. doi: 10.1016/0022-3468(75)90195-5. [DOI] [PubMed] [Google Scholar]
- Holgersen L. O., Miller R. E., Zintel H. A. Juvenile polyps of the colon. Surgery. 1971 Feb;69(2):288–293. [PubMed] [Google Scholar]
- Holgersen L. O., Mossberg S. M., Miller R. E. Colonoscopy for rectal bleeding in childhood. J Pediatr Surg. 1978 Feb;13(1):83–85. doi: 10.1016/s0022-3468(78)80217-6. [DOI] [PubMed] [Google Scholar]
- KNOX W. G., MILLER R. E., BEGG C. F., ZINTEL H. A. Juvenile polyps of the colon. A clinicopathologic analysis of 75 polyps in 43 patients. Surgery. 1960 Jul;48:201–210. [PubMed] [Google Scholar]
- Liebman W. M. Fiberoptic endoscopy of the gastrointestinal tract in infants and children. II. Fiberoptic colonoscopy and polypectomy in 15 children. Am J Gastroenterol. 1977 Nov;68(5):452–455. [PubMed] [Google Scholar]
- Livstone E. M., Cohen G. M., Troncale F. J., Touloukian R. J. Diastatic serosal lacerations: an unrecognized complication of colonoscopy. Gastroenterology. 1974 Dec;67(6):1245–1247. [PubMed] [Google Scholar]
- Smith L. E. Fiberoptic colonoscopy: complications of colonoscopy and polypectomy. Dis Colon Rectum. 1976 Jul-Aug;19(5):407–412. doi: 10.1007/BF02590825. [DOI] [PubMed] [Google Scholar]
- Swarbrick E. T., Fevre D. I., Hunt R. H., Thomas B. M., Williams C. B. Colonoscopy for unexplained rectal bleeding. Br Med J. 1978 Dec 16;2(6153):1685–1687. doi: 10.1136/bmj.2.6153.1685. [DOI] [PMC free article] [PubMed] [Google Scholar]