[Pediatric colonoscopic polypectomy].
Colorectal polyps are relatively frequent in infancy and constitute one of the main causes of bleeding per rectum. Endoscopic polypectomy, with its lower morbidity and mortality, has revolutionized its treatment. Between October 1, 1985 and May 31, 1994, 122 polypectomies were done in 88 pediatric patients. Forty five patients (51.1%) were male and 43 female (48.9%). Forty four patients (50%) were between 1 and 5 years of age. Ninety five polyps (77.9%) were found more frequently in the rectum. Regarding the size, 63 polyps (51.6%) measured between 1 and 2 cm. Seventy three patients (83%) had a single polyp, 10 patients (11.4%) had 2 polyps and 1 patient had 12 polyps. Ninety six polyps (78.7%) were pedunculated, being this the more frequent form found. Histologically the most common was the juvenile polyp, found in 106 cases (87.6%). The polypectomies was carried out without using general anesthesia and is performed as an outpatient procedure. We had no experience of endoscopic complications. It is concluded that colonoscopy polypectomy is a useful, simple and safe procedure for treating colorectal polyps in children.
Huaroto
M
M
Servicio de Gastroenterología Dr. Meilach Burstein Pait, Hospital Nacional Daniel Alcides Carrión, Callao, Perú.
Lozano
R
R
Beteta
O
O
Huamán
C
C
Salazar
S
S
D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D003111:Colonic Polyps / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D020685:Colonoscopes; D003113:Colonoscopy / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010568:Peru / Q000453:epidemiology; D017678:Sex Distribution
Polipectomía colonoscópica pediátrica.