Wang Li-Chun, Lee Hung-Chang, Yeung Chun-Yan, Chan Wai-Tao, Jiang Chuen-Bin
Department of Pediatrics, Mackay Memorial Hospital, Taiwan.
Pediatr Neonatol. 2009 Oct;50(5):196-201. doi: 10.1016/S1875-9572(09)60063-2.
Gastrointestinal polyps are common in children. The purpose of this study was to review the clinical manifestations, diagnostic procedures, endoscopic findings, management, pathology, and recurrence of gastrointestinal polyps in children at Mackay Memorial Hospital.
We retrospectively reviewed the charts of 50 children with a diagnosis of gastrointestinal polyps managed at Mackay Memorial Hospital between January 1984 and April 2007. Demographic data; clinical features; polyp size, number and location; endoscopic findings; management; pathology; and information on recurrences were extracted from the clinical records.
The distribution of polyps in the 50 patients included gastric (4 patients), duodenal (2), ileocecal (4) and colorectal polyps (40). All patients with gastric polyps presented with vomiting, and three of the four patients with ileocecal polyps presented with intussusception. The mean age of the 40 patients with colorectal polyps was 6.8 years. The majority of those polyps were in the rectosigmoid colon; 36 patients presented with hematochezia. Solitary polyps were identified in 33 patients and multiple polyps were identified in seven patients. Most of the colorectal polyps were less than 2cm in diameter. Histologically, the most frequent type was juvenile polyp.
Gastrointestinal polyps in children are usually benign. Pediatricians treating a child with a gastrointestinal polyp should pay attention to the immediate complications of the polyps, such as intussusception or bleeding, the extraintestinal manifestations and long-term risk for malignancy.
胃肠道息肉在儿童中很常见。本研究的目的是回顾台北市立马偕医院儿童胃肠道息肉的临床表现、诊断方法、内镜检查结果、治疗、病理及复发情况。
我们回顾性分析了1984年1月至2007年4月间在台北市立马偕医院接受治疗的50例诊断为胃肠道息肉患儿的病历。从临床记录中提取人口统计学数据、临床特征、息肉大小、数量和位置、内镜检查结果、治疗、病理以及复发信息。
50例患者息肉分布情况包括胃息肉（4例）、十二指肠息肉（2例）、回盲部息肉（4例）和结直肠息肉（40例）。所有胃息肉患者均有呕吐症状，4例回盲部息肉患者中有3例出现肠套叠。40例结直肠息肉患者的平均年龄为6.8岁。这些息肉大多位于直肠乙状结肠；36例患者出现便血。33例患者为单发息肉，7例患者为多发息肉。大多数结直肠息肉直径小于2cm。组织学上，最常见的类型是幼年性息肉。
儿童胃肠道息肉通常为良性。治疗患有胃肠道息肉儿童的儿科医生应注意息肉的直接并发症，如肠套叠或出血、肠外表现以及恶性肿瘤的长期风险。
