Endoscopic Polypectomy for Bleeding Solitary Juvenile Polyp in Children

Kim, Jun Ki; Cho, Sang Wook; Shin, Seong Ha; Go, Young Chun; Choi, Jeong Young; Seo, Gang Seog; Kang, Myung Weon; Lim, Yeun Keun; Yeo, Hyang Soon; Kim, Kyung Soo

Abstract

Juvenile polyps are quite common in preschool children and most of them are found in the rectosigmoid colon. They vary in size from a few millimeters to 3 cm in diameter and are pedunculated, so that endoscopic polypectomy is easily carried out. Seven cases of bleeding juvenile polyp were diagnosed and removed endoscopically. The object of this study is to evaluate clinical, pathological findings of polyps and usefulness, safety of polypectomy. The age of seven patients ranged 3 to 8 years. Endoscopic polypectomy was performed without general anesthesia. All seven patients had a single polyp in the rectosigmoid area. Bloody stool were found in all cases, the duration of symptoms being less than 5 months. The size of the polyps was usually within 2.5 cm in diameter and the majority were pedunculated. The locations were 3 in the rectum, 3 in the sigmoid colon, and one in the middle descending colon. Five of seven cases were detected in the barium enema study. Histologically, all seven cases were the juvenile polyps and adenomatous component was not found. No complication following polypectomy was found except transient mild bloody oozing in one case. All seven bleeding polyps in children were juvenile polyps and most of them were located at the rectosigmoid region. Endoscopic polypectomy is a useful, simple and safe procedure for treating colorectal polyps in children.