Endoscopic Findings in Children with Isolated Lower Gastrointestinal Bleeding.
Colitis
Colonic polyps
Colonoscopy
Juvenile polyps
Rectal bleeding
Journal
Clinical endoscopy
ISSN: 2234-2400
Titre abrégé: Clin Endosc
Pays: Korea (South)
ID NLM: 101576886
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
received:
11
02
2018
accepted:
17
12
2018
pubmed:
16
5
2019
medline:
16
5
2019
entrez:
16
5
2019
Statut:
ppublish
Résumé
Colorectal polyps are a common cause of lower gastrointestinal bleeding in children. Our aim was to study the causes of isolated lower gastrointestinal bleeding and to analyze the characteristics of the colorectal polyps found in our cohort. We retrospectively reviewed colonoscopic procedures performed between 2007 and 2015. Children with isolated lower gastrointestinal bleeding were included in the study. A total of 185 colonoscopies were performed for isolated lower gastrointestinal bleeding. The median patient age was 8 years, and 77 patients (41.6%) were found to have colonic polyps. Normal colonoscopy findings were observed and acute colitis was detected in 77 (41.6%) and 14 (7.4%) patients, respectively. Single colonic polyps and 2-3 polyps were detected in 73 (94.8%) and 4 (5.2%) patients with polyps, respectively. Of the single polyps, 69 (94.5%) were juvenile polyps, among which 65 (94.2%) were located in the left colon. Single left-sided juvenile polyps were the most common cause of isolated lower gastrointestinal bleeding in our study. It was rare to find multiple polyps and polyps proximal to the splenic flexure in our cohort. A full colonoscopy is still recommended in all patients in order to properly diagnose the small but significant group of patients with pathologies found proximal to the splenic flexure.
Sections du résumé
BACKGROUND/AIMS
OBJECTIVE
Colorectal polyps are a common cause of lower gastrointestinal bleeding in children. Our aim was to study the causes of isolated lower gastrointestinal bleeding and to analyze the characteristics of the colorectal polyps found in our cohort.
METHODS
METHODS
We retrospectively reviewed colonoscopic procedures performed between 2007 and 2015. Children with isolated lower gastrointestinal bleeding were included in the study.
RESULTS
RESULTS
A total of 185 colonoscopies were performed for isolated lower gastrointestinal bleeding. The median patient age was 8 years, and 77 patients (41.6%) were found to have colonic polyps. Normal colonoscopy findings were observed and acute colitis was detected in 77 (41.6%) and 14 (7.4%) patients, respectively. Single colonic polyps and 2-3 polyps were detected in 73 (94.8%) and 4 (5.2%) patients with polyps, respectively. Of the single polyps, 69 (94.5%) were juvenile polyps, among which 65 (94.2%) were located in the left colon.
CONCLUSION
CONCLUSIONS
Single left-sided juvenile polyps were the most common cause of isolated lower gastrointestinal bleeding in our study. It was rare to find multiple polyps and polyps proximal to the splenic flexure in our cohort. A full colonoscopy is still recommended in all patients in order to properly diagnose the small but significant group of patients with pathologies found proximal to the splenic flexure.
Identifiants
pubmed: 31085966
pii: ce.2018.046
doi: 10.5946/ce.2018.046
pmc: PMC6547347
doi:
Types de publication
Journal Article
Langues
eng
Pagination
258-261Références
J Paediatr Child Health. 2004 Jul;40(7):365-8
pubmed: 15228564
G E N. 1991 Jan-Mar;45(1):51-4
pubmed: 1843685
Med Princ Pract. 2009;18(1):53-6
pubmed: 19060492
Kaohsiung J Med Sci. 2009 Feb;25(2):70-6
pubmed: 19321409
World J Gastroenterol. 2010 Mar 7;16(9):1119-22
pubmed: 20205284
Clin Gastroenterol Hepatol. 2010 Sep;8(9):795-9
pubmed: 20580940
Gut Liver. 2010 Sep;4(3):326-31
pubmed: 20981208
Ann Trop Paediatr. 2011;31(3):213-8
pubmed: 21781415
Curr Opin Pediatr. 2012 Oct;24(5):632-7
pubmed: 22890064
Gastrointest Endosc Clin N Am. 2016 Jan;26(1):75-98
pubmed: 26616898
Arch Dis Child. 2017 Nov;102(11):1049-1051
pubmed: 28550146
Am J Gastroenterol. 1998 Apr;93(4):619-22
pubmed: 9576458