Cázares-Méndez JM, Zamudio-Vázquez VP, Gómez-Morales E, Ortiz-Aguirre SG, Zadena-León JF, Toro-Monjaraz EM, Montijo-Barrios E, Zárate-Mondragón F, Cervantes-Bustamante R,Ramírez-Mayans JA, López-Ugalde MV

Language: Spanish
References: 12
Page: 158-163
PDF size: 557.51 Kb.

ABSTRACT

Background: Gastrointestinal polyp refers to a localized tumor or growth that protrudes through the lumen of the gastrointestinal tract. The most common clinical presentation is recurrent rectal bleeding; as well it could be associated with abdominal pain, prolapsed polyp, pruritus, pain after defecation or constipation. Colonoscopy is the procedure of choice for diagnosis and treatment.
Objective: Describe clinical manifestations colonoscopy and histological characteristics in pediatric population with colonic polyps, studied at the Department of Gastroenterology and Nutrition of our institution.
Methods: A retrospective observational, descriptive, cross-sectional study was conducted. We reviewed the case records of all the patients that were submitted to endoscopic procedures between June 4, 2010 to December 31, 2013.
Results: We reviewed 56 clinical records, 49 met the inclusion criteria. Male patients (59.2%); the main symptom was lower intestinal hemorrhage (83.7%); the most common site was rectal in 51%.
Conclusions: In pre-school and school-age patients with non anemic lower intestine hemorrhage, the main diagnose is an intestinal polyp, which should be treated and followed as long as necessary.

REFERENCES

1. Mougenot JF, Olshwang S, Peuchmar M. Intestinal Tumors: Intestinal Polyps and Polyposis. En Walker: Pediatric Gastrointestinal Disease: Pathology, Diagnosis, Management. Volume 1. 4th Edition. 2004. p.214-223

2. Andreu M. Pólipos colorrectales y poliposis intestinal. [Internet] España: Elsevier. [07 Abril 2015]. Disponible en: http://www.elsevierinstituciones.com/ficheros/booktemplate/ 9788475927220/files/Capitulo30.pdf

3. Gee Lee B. Juvenile Polyp and Colonoscopic Polypectomy in Childhood. J Pediatr Gastroenterol Nutr 2012;15(4):250– 255.

4. Livinstone EM, Troncale FJ, Sheahan DG. Value of a single fórceps biopsy of colonic polyps. Gastroenterology 1977;73:1296-8.

5. Cervantes–Bustamante R, Ramirez–Mayans J, Mata-Rivera N, Cuevas-Schat. Juvenile polyposis in Mexican children. Rev Gastroenterol Mex 2002;67:150-4.

6. Latt TT, Nichell R, Domizio P. Rectal bleeding and polyps. Arch Dis Child 1993;69:144-7.

7. Desai D, Murday V, Phillips R, Neale K, Milla P, Hudgson S. A survey phenotypic features in juvenile polyps. J Med Genet 1998;35:476-81.

8. Dean P. Hereditary intestinal polyposis syndromes. Rev Gastroenterol Mex 1996;61:100-11.

9. Winter HS. Intestinal polyps. In: Spiro H.M editor. Clinical gastroenterology. 5th ed. New York: McGraw-Hill; 1993, p. 777-9.

10. Ramírez MJ, Rivera EM. Coronado ME. Pólipos de recto y colon en niños. Bol Med Hosp Inf Mex 1984;41:437-41.

11. Li-Chun Wang. Gastrointestinal Polyps in Children. Pediatr Neonatol 2009;50(5):196−201.

12. Macrae FA, Tan KG, Willians CB. Towards safer colonoscopy: a report on the complications of 5000 diagnostic or therapeutic colonoscopies. Gut 1983;24:376-83.