“It is rare to see such a large polyp, a hemispherical pedunculated polyp, about 3.5*4.0cm in size, which grows in the intestine of a 5-year-old child, no wonder it caused intussusception “Professor Gao Yu, director of the Gastrointestinal Endoscopy Center of Shandong Maternal and Child Health Hospital, sighed when he saw a huge polyp during a colonoscopy on a 5-year-old child.
5-year-old boy seeks medical attention with repeated blood in stools
The child’s name is Kai Kai (pseudonym), and he is 5 years old this year. From the description of his parents, we can tell that he is lively, cheerful, smart, and very popular. Half a month ago, there was blood in the stool for no reason, it was dark red, and the amount was not large. At first, the parents thought it was the child’s anal fissure bleeding and didn’t care. Later, Kaikai suddenly had abdominal pain while playing, and he cried out in pain. His family quickly took him to the local hospital. The ultrasound examination showed that the child had colon polyps in the intestines, and the polyps were too large, which caused intussusception, requiring surgery. , When she heard that she was going to have an operation, her mother was so nervous that she found Gao Yu, director of the Gastrointestinal Endoscopy Center of Shandong Maternal and Child Health Hospital.
Pediatric colonoscopy, minimally invasive removal of giant polyps
Director Gao’s team arranged another ultrasound examination for Kaikai and found that there was indeed a large polyp in the bowel, which should be the cause of intussusception, but due to the degree of intussusception Lighter, the bowel has been reset automatically. In order to prevent irreversible outcomes such as intestinal necrosis from recurring intussusception, this polyp must be removed as soon as possible. Director Gao’s team quickly prepared Kaikai for bowel cleansing, and the next day, a pediatric colonoscopy was performed. The colonoscopy was traveling in a relatively narrow intestinal cavity, and suddenly a large polyp appeared in the transverse colon near the splenic flexure. On the computer screen, carefully observe the polyp, it is hemispherical, with a long pedicle at the root, the size is about 3.5*4.0cm, and the surface is congested and eroded.
“Polyps need to be removed endoscopically. There are many polyps, abundant blood vessels at the root, and the risk of postoperative bleeding is also relatively high.” Director Gao Yu told the parents of the child, and then began to subtly mirror operation.
Polyps removed
The operation was completed soon. After three days of observation, there was no discomfort such as bleeding and abdominal pain. Kaikai recovered and was discharged from the hospital. The postoperative pathology confirmed that it was a juvenile polyp.
Blood in the stool in children, beware of colon polyps
Director Gao introduced that, as the first provincial hospital in Shandong Province to carry out pediatric digestive endoscopy, it has treated a large number of children with blood in the stool. Colonoscopy was used to finally diagnose colon polyps. There are not a few children, let’s get to know the colon polyps in children again.
Colon polyp is a morphological term that refers to a protruding or bulging lesion of the intestinal mucosa into the lumen.
Children’s colon polyps mostly occur between 2-8 years old. Generally, the polyps are larger, with a diameter of 0.5-3.0cm. In our case, the polyps grew relatively large. The main symptom is blood in the stool, followed by abdominal pain, diarrhea, long-term blood in the stool can also lead to malnutrition in children.
Children’s colon polyps are mainly juvenile polyps in pathology, and their histological manifestations are hamartomas, which are tumor-like changes formed by abnormal proliferation of normal tissues. The capillaries are dilated and the surface epithelium is easy to fall off, so the most common clinical manifestation is blood in the stool, and endoscopically, it is also manifested as a hyperemic and red polyp. Other pathological types include tubular adenomas, inflammatory polyps, and hyperplastic polyps, among which tubular adenomas have the risk of canceration, so once colon polyps are found, endoscopic treatment should be performed promptly.
Therefore, Director Gao reminded everyone once again that once blood in the stool is found, a colonoscopy should be carried out in time, and colon polyps should be detected and treated as soon as possible to prevent malnutrition in children. , growth retardation and even cancer.
Original author: Kou Luan