大腸若年性ポリープの検討

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  • A STUDY ON JUVENILE COLORECTAL POLYP

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This study enrolled 25 lesions of 23 cases of juvenile polyp removed surgically or endoscopically at the department in a 30-year period from 1975 to 2004. Their ages ranged from 11 months to 12 years. The male-to-female ratio was 15:8. Twenty patients presented with bloody stool; seven patients, with prolapse of a polyp through the anus; two patients, with intussusception caused by a polyp; and the remaining patient, with anemia. As for treatment, we performed transanal polypectomy for 12 polyps of 11 cases; endoscopic polypectomy for 10 cases; laparotomic removal for one case; and hemostatic procedure after manual removal by the patient's mother for one case. The most common site of the disease was the rectum (15 polyps), followed by the sigmoid colon (5). There were two metachronous cases and one synchronous case.<br> Since juvenile polyp can cause intussusception or anemia and cancer change of the lesion has been reported in some cases, surgical resection is required as early as possible after making the diagnosis.

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