Research Article

Colonoscopic polypectomy in children.

Br Med J 1980; 281 doi: http://dx.doi.org/10.1136/bmj.281.6252.1386 (Published 22 November 1980) Cite this as: Br Med J 1980;281:1386
  1. J R Douglas,
  2. C A Campbell,
  3. D M Salisbury,
  4. J A Walker-Smith,
  5. C B Williams

    Abstract

    Five children presenting with chronic and intermittent rectal bleeding were diagnosed as having colorectal polyps by fibreoptic colonoscopy performed under sedation. Three of the children had had barium-enema films reported on as normal. Eight polyps were seen, of which six were proximal to the sigmoid colon. All were removed endoscopically (one by proctoscopy, one by snare-intussusception) without complication. Colonoscopic polypectomy is a safe and efficient procedure in children, and colonoscopy may be regarded as first-line management in those with rectal bleeding.