welcome to oneFAPvoice
- a positively charged Familial Adenomatous Polyposis community.- join today!
- login
Is Colonoscopy Necessary in Children Suspected of Having Colonic Polyps?
source: Gut and liver
year: 2010
authors: Lee H J, Lee J H, Lee J S, Choe Y H
summary/abstract:BACKGROUND/AIMS : The clinical spectrum, histology, and endoscopic features of colonic polyps in the pediatric age group were studied to evaluate the role of colonoscopy in children suspected of having colonic polyps.
METHODS : Seventy-six patients with colorectal polyps were studied. Investigations included barium enema (n=6), sigmoidoscopy (n=17), and colonoscopy (n=53) at the initial visit. Colonoscopy was also performed in 23 patients who received barium enema or sigmoidoscopy. Data related to age, gender, family history, signs, symptoms, size, location, polyp types, and associated diseases were collected and analyzed.
RESULTS : Among the 76 patients, juvenile polyps were detected in 58 (76.3%), potentially premalignant polyposis in 17 (22.4%), familial adenomatous polyposis in 11 (14.5%), Peutz-Jegher syndrome in 4 (5.3%), and juvenile polyposis syndrome in 2 (2.6%). Twenty-two patients (28.9%) had polyps in the upper colon. All patients with potentially malignant polyps had polyps in both the upper colon and rectosigmoid colon.
CONCLUSIONS : Although most of the children with colorectal polyps had juvenile polyps, a significant number of cases showed multiple premalignant and proximally located polyps. This finding emphasizes the need for a colonoscopy in such patients. Thus, the risk of malignant change, particularly in children with multiple polyps, makes surveillance colonoscopy necessary.
organization: Sungkyunkwan University School of MedicineDOI: 10.5009/gnl.2010.4.3.326
read more full text source
expertly curated content related to this topic
-
Progression to Advanced Neoplasia is Infrequent in Post Colectomy Familial Adenomatous Polyposis Patients Under Endo...BACKGROUND AND STUDY AIMS : Advanced neo...
-
Searchable Interface for Patient Education Information – Familial Adenomatous Polyposis (FAP)Familial Adenomatous Polyposis (FAP) is ...
-
Colorectal Cancer in Familial Adenomatous Polyposis: Are there Clinical Predictive Factors?BACKGROUND : Familial Adenomatous Polypo...
-
Hereditary Colon Cancer Syndromes (Source: Seminars in Oncology)Colon cancer is associated with a family...
-
Guide to Endoscopy of the Ileo-anal Pouch Following Restorative Proctocolectomy with Ileal Pouch-Anal Anastomosis; I...Restorative proctocolectomy (RPC) with i...
-
Cancer Genetics and Prevention: MUTYH Associated Polyposis (MAP)MUTYH-Associated Polyposis or MAP is a g...
-
Papillary Thyroid Cancer in a Patient with MUTYH-Associated Polyposis (MAP)We describe a patient with MUTYH-associa...