Polypoid disease of colon in children.

Abstract:

:Polyps in gastrointestinal tract are mostly benign and result from hamartomas or lymphoid hyperplasia of submucosa. They usually occur as isolated lesions in children and are referred to as juvenile polyps. Multiple polyps with inherited origin are called polyposis and can be seen as a part of the syndrome. The polyps with adenomatous histopathology have malignant potential and necessitate genetic testing and colonoscopy to define the risk of cancer. Although simple endoscopic removal is adequate in the treatment of juvenile polyps, children with familial adenomatous polyposis (FAP) need total colectomy with ileorectal anastomosis (IRA) or ileal pouch-anal anastomosis (IPAA). The timing of prophylactic colectomy and the type of surgical treatment are controversial in children. The clinical features, the assessment of cancer risk, and the alternatives of the surgical treatment of polyps are reviewed in this paper.

journal_name

Pediatr Surg Int

authors

Soyer T

doi

10.1007/s00383-020-04621-3

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

447-455

issue

4

eissn

0179-0358

issn

1437-9813

pii

10.1007/s00383-020-04621-3

journal_volume

36

pub_type

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