Pediatrics & Neonatology
Volume 50, Issue 5 , Pages 196-201, October 2009

Gastrointestinal Polyps in Children

  • Li-Chun Wang

      Affiliations

    • Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Hung-Chang Lee

      Affiliations

    • Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan
    • Departments of Pediatrics, Taipei Medical University, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Pediatrics, Mackay Memorial Hospital, 92 Chun-Shan North Road, Section 2, Taipei 10449, Taiwan
    • ,
  • Chun-Yan Yeung

      Affiliations

    • Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Wai-Tao Chan

      Affiliations

    • Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan
    • ,
  • Chuen-Bin Jiang

      Affiliations

    • Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan

Received 28 January 2008; received in revised form 1 October 2008; accepted 6 January 2009.

Article Outline

Background

Gastrointestinal polyps are common in children. The purpose of this study was to review the clinical manifestations, diagnostic procedures, endoscopic findings, management, pathology, and recurrence of gastrointestinal polyps in children at Mackay Memorial Hospital.

Methods

We retrospectively reviewed the charts of 50 children with a diagnosis of gastrointestinal polyps managed at Mackay Memorial Hospital between January 1984 and April 2007. Demographic data; clinical features; polyp size, number and location; endoscopic findings; management; pathology; and information on recurrences were extracted from the clinical records.

Results

The distribution of polyps in the 50 patients included gastric (4 patients), duodenal (2), ileocecal (4) and colorectal polyps (40). All patients with gastric polyps presented with vomiting, and three of the four patients with ileocecal polyps presented with intussusception. The mean age of the 40 patients with colorectal polyps was 6.8 years. The majority of those polyps were in the rectosigmoid colon; 36 patients presented with hematochezia. Solitary polyps were identified in 33 patients and multiple polyps were identified in seven patients. Most of the colorectal polyps were less than 2 cm in diameter. Histologically, the most frequent type was juvenile polyp.

Conclusion

Gastrointestinal polyps in children are usually benign. Pediatricians treating a child with a gastrointestinal polyp should pay attention to the immediate complications of the polyps, such as intussusception or bleeding, the extraintestinal manifestations and long-term risk for malignancy.

Key Words:  familial adenomatous polyposis , juvenile polyp , juvenile polyposis

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References 

  1. Erdman SH , Barnard JA . Gastrointestinal polyps and polyposis syndromes in children . Curr Opin Pediatr . 2002;14:576–582
  2. Koay LB , Sun CS , Lin CN , Lin CY , Chen JJ . Elimination of multiple hyperplastic polyps by eradication of Helicobacter pylori: report of a case . Gastroenterol J Taiwan . 2001;18:167–175
  3. Ginsberg GG , Al-Kawas FH , Fleischer DE , Reilly HF , Benjamin SB . Gastric polyps: relationship of size and histology to cancer risk . Am J Gastroenterol . 1996;91:714–717
  4. Deppish LM , Rona VT . Gastric epithelial polyps: a 10-year study . J Clin Gastroenterol . 1989;11:110–115
  5. Snover D . Benign epithelial polyps of the stomach . Pathol Annu . 1985;20:303–329
  6. Seifert E , Gail K , Weismuller J . Gastric polypectomy: longterm results (survey of 23 centers in Germany) . Endoscopy . 1983;15:8–11
  7. Nakamura T , Nakano G . Histopathological classification and malignant change in gastric polyps . J Clin Pathol . 1985;38:754–764
  8. Daibo M , Itabashi M , Hirota T . Malignant transformation of gastric hyperplastic polyps . Am J Gastroenterol . 1987;82:1016–1025
  9. Harju E . Gastric polyposis and malignancy . Br J Surg . 1986;73:532–533
  10. Suzuki S , Ohkusa T , Skimoi K , et al.   Disappearance of multiple hyperplastic polyps after the eradication of Helicobacter pylori . Gastrointest Endosc . 1997;6:566–568
  11. Ljubicic N , Banic M , Kujundzic M , et al.   The effect of eradicating Helicobacter pylori infection on the course of adenomatous and hyperplastic gastric polyps . Eur J Gastroenterol Hepatol . 1999;11:727–730
  12. Attard TM , Abraham SC , Cuffari C . The clinical spectrum of duodenal polyps in pediatrics . J Pediatr Gastroenterol Nutr . 2003;36:116–119
  13. Shteyer E , Koplewitz BZ , Gross E , Granot E . Medical treatment of recurrent intussusception associated with intestinal lymphoid hyperplasia . Pediatrics . 2003;111:682–685
  14. Jaremko JL , Rawat B . Colo-colonic intussusception caused by a solitary Peutz-Jeghers polyp . Br J Radiol . 2005;78:1047–1049
  15. Yalamarthi S , Smith RC . Adult intussusception: case reports and review of literature . Postgrad Med J . 2005;81:174–177
  16. Kim JH , Lee KM , Yun SH , et al.   Ileocecal intussusception in an adult: a case report . Turk J Gastroenterol . 2007;18:50–52
  17. Colon AR , DiPlama JS , Leftridge CA . Intestinal lymphonodular hyperplasia of childhood: patterns of presentation . J Clin Gastroenterol . 1991;13:163–166
  18. Dorazio RA , Whelan TJ . Lymphoid hyperplasia of the terminal ileum associated with familial polyposis coli . Ann Surg . 1970;171:300–302
  19. Redkar RG , Sathe SS , Dalvi AN , et al.   Ileo-caeco-colic intussusception due to extensive benign lymphoid hyperplasia of the ileo-caecal region (a case report) . J Postgrad Med . 1991;37:176–178
  20. Hardin DM . Acute appendicitis: review and update . Am Fam Physician . 1999;60:2027–2034
  21. Chung CH . Juvenile polyp: an overview . Hong Kong Practitioner . 1994;16:252–253
  22. Corredor J , Wambach J , Barnard J . Gastrointestinal polyps in children: advances in molecular genetics, diagnosis, and management . J Pediatr . 2001;138:621–628
  23. Hyer W , Beveridge I , Domizio P , Phillips R . Clinical management and genetics of gastrointestinal polyps in children . J Pediatr Gastroenterol Nutr . 2000;31:469–479
  24. Hoffenberg EJ , Sauaia A , Maltzman T , et al.   Symptomatic colonic polyps in childhood: not so benign . J Pediatr Gastroenterol Nutr . 1999;28:175–181

PII: S1875-9572(09)60063-2

doi:10.1016/S1875-9572(09)60063-2

Pediatrics & Neonatology
Volume 50, Issue 5 , Pages 196-201, October 2009

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