PAEDIATRIC COLONIC POLYPS: CLINICAL PROFILE
Jerryl M*, Krishnaveni J**, Venkatakrishnan L***
Department of Gastroenterology, PSG Institute of Medical Sciences and Research*, Department of Gastroenterology, PSG Institute of Medical Sciences and Research**, Department of Gastroenterology, PSG Institute of Medical Sciences and Research***
Aim: To study the clinical profile of colonic polyps in children.

Methods: All children with colonic polyps in our institute were studied during a period of 4 years from 1999 to 2004. The clinical profile, colonoscopic findings and histopathology were evaluated.

Results: We studied a total of 24 children with colonic polyps in which the number of boys were 13 and girls 11, showing male preponderance. The age group of occurrence ranged from 2 years to 11 years with mean age 6.2 years.

The commonest clinical presentation was bleeding per rectum which was seen in 96% of cases. Abdominal pain was seen in 29% of cases as associated symptoms, 25% had mass descending per rectum. The other associated symptoms like diarrhoea were seen in 12.5%, constipation in about 4%. Colonoscopy revealed 67% of polyps in rectum, 29% of polyps in rectosigmoid, 4% of polyps in sigmoid colon. 96% were solitary polyps. HPE results revealed juvenile polyps in all.

Conclusion: The commonest presenting symptom is bleeding per rectum. The commonest type of polyp is juvenile polyp. Colonoscopy and polypectomy is the accepted modality of treatment.
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