Clinical characteristics and incidence of colonical polyps in children during a decade

Authors

  • Genesis Rojas Unidad de Gastroenterología y Nutrición Pediátrica Dra. Georgette Daoud. Hospital Dr. Miguel Pérez Carreño, IVSS, Caracas, Venezuela.
  • Dianora Navarro Unidad de Gastroenterología y Nutrición Pediátrica Dra. Georgette Daoud. Hospital Dr. Miguel Pérez Carreño, IVSS, Caracas, Venezuela.
  • Karolina López Unidad de Gastroenterología y Nutrición Pediátrica Dra. Georgette Daoud. Hospital Dr. Miguel Pérez Carreño, IVSS, Caracas, Venezuela.
  • Katiuska Belandria Unidad de Gastroenterología y Nutrición Pediátrica Dra. Georgette Daoud. Hospital Dr. Miguel Pérez Carreño, IVSS, Caracas, Venezuela.
  • Elennys Moya Unidad de Gastroenterología y Nutrición Pediátrica Dra. Georgette Daoud. Hospital Dr. Miguel Pérez Carreño, IVSS, Caracas, Venezuela.
  • Libia Alonso Unidad de Gastroenterología y Nutrición Pediátrica Dra. Georgette Daoud. Hospital Dr. Miguel Pérez Carreño, IVSS, Caracas, Venezuela.
  • Christian Nuñez Unidad de Gastroenterología y Nutrición Pediátrica Dra. Georgette Daoud. Hospital Dr. Miguel Pérez Carreño, IVSS, Caracas, Venezuela.
  • Deivis Maury Unidad de Gastroenterología y Nutrición Pediátrica Dra. Georgette Daoud. Hospital Dr. Miguel Pérez Carreño, IVSS, Caracas, Venezuela.
  • Gleidys Villaroel Unidad de Gastroenterología y Nutrición Pediátrica Dra. Georgette Daoud. Hospital Dr. Miguel Pérez Carreño, IVSS, Caracas, Venezuela.

Keywords:

colonic polyp, rectal bleeding, hematochezia, polyposis syndrome, multiple polyps, incidence of polyps

Abstract

Introduction: Colonic polyps are present in 1% of the preschool and school population, being the most frequent cause of non-anemic lower gastrointestinal bleeding (DBI). Objective: to analyze the clinical characteristics and incidence of colonic polyps in children during the period 2012-2022 in a pediatric gastroenterology clinic. Methods: observational, descriptive and retrospective study. Variables: age, sex, clinic, endoscopic findings, histology and record per year. Results: 256 children in a decade with 302 identified polyps; preschoolers the most prevalent group 185/256(72.27%), followed by school children in 58/256(22.66%). Rectal bleeding was the predominant clinic 88.67%. The most frequent associated comorbidity was constipation 188 (73.44%). In the study period, pedunculated polyps were found in 200/302 (66.23%), rectal located in 69.59% and size between 1-2.9 cm 59.93%. A single polyp was observed in 85.93%, multiple polyps in 10.93%, and polyposis syndrome in 3.12%. Histology revealed a non-adenomatous (hamartomatous) polyp in 220 (84.76%), hyperplastic 44 (17.18%) and adenomatous 2 (0.66%). The average cumulative incidence (AI) between 2012-2019 was 0.62% and from 2020-2022 it increased to 3.97%. In general, AI 1.04% (1 per 100 children). Discussion: polyps are a frequent cause of HDB, especially in male preschoolers and schoolchildren. The incidence of polyps in children has increased, colonoscopy allows the detection of colonic polyps and excision for histological analysis, thus knowing the scope of the pathology. Clinically and endoscopically characterizing the presence of colonic polyps, and determining the incidence in children allows early intervention, planning follow-up and health resources.

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Published

2024-03-27

How to Cite

Rojas, G., Navarro, D., López, K., Belandria, K., Moya, E., Alonso, L., Nuñez, C., Maury, D., & Villaroel, G. (2024). Clinical characteristics and incidence of colonical polyps in children during a decade. Revista GEN, 77(4), 174–182. Retrieved from http://saber.ucv.ve/ojs/index.php/rev_gen/article/view/28202

Issue

Vol. 77 No. 4 (2023): October - December

Section

ORIGINAL ARTICLE

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