Study on Colonoscopic Polypectomy in Children

Abstract

Colonoscopic polypectomy is one of the current methods in pediatric age group. The diagnosis and treatment of juvenile polyps requires a combination of obtaining accurate history, digital rectal examination and colonoscopy. Juvenile polyps can be due to hereditary, genetic, hamartomatous malformation.

Materials and Methods: From November 2008 to December 2010, 30 patients presenting with recurrent bleeding per rectum, underwent digital rectal examination, colonoscopy and colonoscopy removal of polyps using snare.  

Results: 26 cases showed solitary polyp. 4 children showed multiple polyps. In 14 cases polyp was found in the posterior wall within 8 cms of the anal verge (rectum).In 16 children it was found to be beyond 8 cms.

Conclusion: Colonoscopy in all children with h/o bleeding per rectum after DRE and proper preparation helps for resection of polyp and visualization of the proximal colon for its multiplicity.