Rectal polyps in children Is it really a benign disease? Five year experience in the children’s hospital in Morelia, Mexico with two surgical techniques ( simple polypectomy and endoscopic polypectomy)

Alma Dinorah González-Castillo; Araceli Leyva; Juan Pablo Castañeda-Saldivar

2005, Number 3

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Rev Mex Cir Pediatr 2005; 12 (3)

Rectal polyps in children Is it really a benign disease? Five year experience in the children’s hospital in Morelia, Mexico with two surgical techniques ( simple polypectomy and endoscopic polypectomy)

González-Castillo AD, Leyva A, Castañeda-Saldivar JP

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Language: Spanish
References: 14
Page: 162-165
PDF size: 45.21 Kb.

ABSTRACT

Introduction: Rectal polyps has been considered a benign disease, just in recent yearsby de introduction of endoscopy it has been discovered adenomatous lesiones over therectosigmoid union. In some hospitals it is yet controversial.
Material and methods: retrospective study since 1999-2004 including 28 patients with rectalpolyps.Group 1 endoscopic polypectomy. Group 2 simple polypectomy. Variablesincluded: age,sex,clinical symptoms,tecnic,histology,colonic patology associated. We useddispersion lenght and central tendency for ordinal variables and proportion lenght fornominal variables.
RESULTS: media (5 years),sex (masculin 2/1),bleeding,rectal protrusion, abdominal pain are the more frecuent symptoms. Group 1: 27% have poliposis multiple, 7%adenomatous, one patient with chronic inespecific ulcerative colitis. Group 2: 5 patients required postoperative colonoscopy by bleeding, 3 of them bleeding by the pedicule, 1 of them with nodular linfoid hiperplasia and otherone with multiple polyps.
Conclusions: Endoscopic polypectomy should being considered the optimal method for rectal polyps just that 1)is diagnostic and therapeutic 2)is useful for diagnosis and treatment of lesions over the rectosigmoid union 3)hemostasia with asa 4)is done in one anestesic time.

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