Douglas J R, Campbell C A, Salisbury D M, Walker-Smith J A, Williams C B
Br Med J. 1980 Nov 22;281(6252):1386-7. doi: 10.1136/bmj.281.6252.1386.
Five children presenting with chronic and intermittent rectal bleeding were diagnosed as having colorectal polyps by fibreoptic colonoscopy performed under sedation. Three of the children had had barium-enema films reported on as normal. Eight polyps were seen, of which six were proximal to the sigmoid colon. All were removed endoscopically (one by proctoscopy, one by snare-intussusception) without complication. Colonoscopic polypectomy is a safe and efficient procedure in children, and colonoscopy may be regarded as first-line management in those with rectal bleeding.
5名表现为慢性间歇性直肠出血的儿童在镇静状态下接受纤维结肠镜检查，被诊断为患有结直肠息肉。其中3名儿童的钡灌肠检查报告显示正常。共发现8个息肉，其中6个位于乙状结肠近端。所有息肉均通过内镜切除（1个经直肠镜切除，1个经圈套器套扎-肠套叠法切除），无并发症发生。结肠镜下息肉切除术在儿童中是一种安全有效的手术，对于直肠出血的儿童，结肠镜检查可被视为一线治疗方法。
