Mougenot J F, Baldassarre M E, Mashako L M, Hanteclair G C, Dupont C, Leluyer B
Service de Gastroentérologie, Hôpital Robert Debré, Paris.
Arch Fr Pediatr. 1989 Apr;46(4):245-8.
Between January 1974 and April 1988, 1,533 colonoscopy were carried out in children less than 15 years old. Two hundred and seventy-four polyps were demonstrated in 183 children (106 boys, 77 girls, mean age: 6 years). The main symptom in most cases was rectal bleeding during defecation. A family history of polyps or digestive cancer was found in 6% of all patients. Two hundred and thirty-nine polyps were removed by endoscopic resection, 232 of them by the diathermic snare and 7 by William's hot biopsy technique. Histological examination of 129 polyps revealed a juvenile polyp in 125 cases, an hyperplastic polyp in 2 cases, a lymphoid polyp in 1 case and an adenoma in 1 case. No complications were observed except for one case each of hemorrhage and perforation following endoscopic polypectomy.
1974年1月至1988年4月期间，对15岁以下儿童进行了1533例结肠镜检查。在183名儿童（106名男孩，77名女孩，平均年龄：6岁）中发现了274个息肉。大多数病例的主要症状是排便时直肠出血。在所有患者中，6%有息肉或消化道癌家族史。239个息肉通过内镜切除，其中232个通过电圈套器切除，7个通过威廉热活检技术切除。对129个息肉的组织学检查显示，125例为幼年性息肉，2例为增生性息肉，1例为淋巴样息肉，1例为腺瘤。除内镜下息肉切除术后各有1例出血和穿孔外，未观察到其他并发症。
