Abstract

CAZARES-MENDEZ, Josefina Monserrat et al. Gastrointestinal polyps in pediatrics. Acta pediatr. Méx [online]. 2015, vol.36, n.3, pp.158-163. ISSN 2395-8235.

Background: Gastrointestinal polyp refers to a localized tumor or growth that protrudes through the lumen of the gastrointestinal tract. The most common clinical presentation is recurrent rectal bleeding; as well it could be associated with abdominal pain, prolapsed polyp, pruritus, pain after defecation or constipation. Colonoscopy is the procedure of choice for diagnosis and treatment. Objective: Describe clinical manifestations colonoscopy and histological characteristics in pediatric population with colonic polyps, studied at the Department of Gastroenterology and Nutrition of our institution. Methods: A retrospective observational, descriptive, cross-sectional study was conducted. We reviewed the case records of all the patients that were submitted to endoscopic procedures between June 4, 2010 to December 31, 2013. Results: We reviewed 56 clinical records, 49 met the inclusion criteria. Male patients (59.2%); the main symptom was lower intestinal hemorrhage (83.7%); the most common site was rectal in 51%. Conclusions: In pre-school and school-age patients with non anemic lower intestine hemorrhage, the main diagnose is an intestinal polyp, which should be treated and followed as long as necessary.

Keywords : Intestinal polyp; Lower intestinal hemorrhage; Colonoscopy.

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