Karakus Suleyman Cuneyt, Sarsu Sevgi Buyukbese, Celtık Coskun, Gokce Selim, Koku Naim
Department of Pediatric Surgery, Gaziantep Children's Hospital, Sehitkamil, Gaziantep.
Pediatr Int. 2015 Apr;57(2):304-7. doi: 10.1111/ped.12452.
Gastrointestinal hemorrhage in children is a critical condition that demands quick and effective management. The differential diagnosis of gastrointestinal hemorrhage is wide. Heterotopic pancreas is a rare congenital anomaly and usually discovered incidentally. It is generally asymptomatic, but symptoms may occur when complicated by inflammation, bleeding, obstruction or malign transformation. Heterotopic pancreas may present throughout the gastrointestinal tract, but it is most commonly found in the stomach, duodenum and proximal jejunum. Juvenile polyps are common during childhood and present most often with painless rectal hemorrhage. They remain the most common colonic polyps in children. Colonoscopic polypectomy is the most effective procedure in the treatment of juvenile polyps. In this study, we describe rare causes of gastrointestinal system hemorrhage in infancy and discuss some diagnostic and therapeutic approaches.
儿童胃肠道出血是一种危急情况，需要迅速而有效的处理。胃肠道出血的鉴别诊断范围很广。异位胰腺是一种罕见的先天性异常，通常是偶然发现的。它一般无症状，但在并发炎症、出血、梗阻或恶变时可能出现症状。异位胰腺可出现在整个胃肠道，但最常见于胃、十二指肠和空肠近端。幼年性息肉在儿童期很常见，最常表现为无痛性直肠出血。它们仍然是儿童中最常见的结肠息肉。结肠镜下息肉切除术是治疗幼年性息肉最有效的方法。在本研究中，我们描述了婴儿期胃肠道系统出血的罕见原因，并讨论了一些诊断和治疗方法。
