P1035 CLINICAL FEATURES AND FOLLOW UP OF POLYPS IN CHILDREN

Abstract

Introduction: Colonoscopy is frequently used in the diagnosis and treatment of children’s colon pathologies with specific indication in the case of rectal bleeding. This procedure allowed us to obtain endoscopic diagnoses and to perform therapeutic procedures like polypectomies. In these cases we were able to learn about the endoscopic and histological characteristics of polyps, get precise prognoses, and develop follow up procedures. Here, we present the results of our practical experience and the research carried out for more than 20 years. Methods: We studied 186 children with colonic polyps using endoscopic polypectomies. The variables recorded are: sex, age, reasons to indicate colonoscopy, distance reached in the colonoscopy. The information obtained for the polyps is: localization, number, size, type (pediculate or sessile), histological diagnosis. The patients were follow up during 3 years. Results: The range of age most effected was 5 – 8 years (39.24%) and 1 – 4 years (32.25%), and the sex most effected was male (64.5%). The indications for the colonoscopy were: intestinal bleeding (90.85%), rectal prolapses (11.29%), relapsing amoebiasis (4.83%), and family screening. We detected 272 polyps; the majority of them were localized in the rectum (49.63%) and were smaller than 1 cm (71.30%). Most were pediculate (69.11%) and unique (57.14%) and histologically corresponded to juvenile polyps (89.24%). In cases of multiple polyposis the majority of the polyps were adenomatous. Conclusion: In the follow up during 3 years we observed a clear relationship between the numbers of polyps in the first colonoscopy and the recurrence of polyps. The mean time of recurrence was 16.3 months. This clearly demonstrates the necessity of a complete exploration of the colon, and a follow up of patients during a period of at least 3 years.