Lehmann C U, Elitsur Y
Department of Pediatrics, Marshall University School of Medicine, Huntington.
W V Med J. 1996 May-Jun;92(3):133-5.
Juvenile polyps (JPs) are the most common colonic tumor in childhood. The total number and anatomical distribution have changed significantly since the introduction of flexible colonoscopy. This article reviews our experiences treating 29 pediatric patients with JPs, and evaluates the 66 polyps we removed and their distribution in the colon. Thirteen patients (45%) had multiple polyps and 35% of all polyps were found proximal to the sigmoid colon. In the 14 patients who underwent a complete colonoscopy, eight had multiple polyps and 55% of these polyps were found proximal to the sigmoid colon. As a result, we conclude that there is a trend toward more polyps per patient and a more distal colonic distribution in children with JPs than previously reported. We recommend that a complete colonoscopy and possible polypectomy be performed on all children with unexplained rectal bleeding.
幼年性息肉（JPs）是儿童期最常见的结肠肿瘤。自软性结肠镜检查引入以来，其总数和解剖分布发生了显著变化。本文回顾了我们治疗29例患有JPs的儿科患者的经验，并评估了我们切除的66个息肉及其在结肠中的分布。13例患者（45%）有多个息肉，所有息肉的35%位于乙状结肠近端。在接受全结肠镜检查的14例患者中，8例有多个息肉，其中55%的息肉位于乙状结肠近端。因此，我们得出结论，与之前报道相比，患有JPs的儿童患者息肉数量有增多趋势，且结肠分布更靠远端。我们建议对所有不明原因直肠出血的儿童进行全结肠镜检查及可能的息肉切除术。
