"It is rare to see such a large polyp, hemispherical with a pedunculated polyp, about 3.5 * 4.0 cm in size, and it is surprising that it grows in the intestines of a 5-year-old child, no wonder it causes intussusception"Professor Gao Fengyu, director of the Digestive Endoscopy Center of Shandong Provincial Maternal and Child Health Hospital, sighed when performing a colonoscopy for a 5-year-old child and seeing a huge polyp.
The 5-year-old boy repeatedly bled in his stool and sought medical treatment
The child's name is Kai Kai (pseudonym), 5 years old this year, in the description of his parents can know that he is lively and cheerful, smart and clever, very popular with everyone. Half a month ago, for no reason, there was blood in the stool, dark red, not much, and the parents at first thought that the child was bleeding from an fissure, but did not care. Later, Kai Kai suddenly had abdominal pain during a play, the pain was so painful that he cried, the family quickly took him to the local hospital, ultrasonography considered that the child had colon polyps in the intestine, and the polyps were too large to cause intussusception, which required surgical treatment, and when she heard that she wanted to operate, her mother was nervous and broken, and she found Gao Fengyu, director of the Digestive Endoscopy Center of Shandong Provincial Maternal and Child Health Hospital.
Pediatric colonoscopy, minimally invasive removal of large polyps
Director Gao's team arranged an ultrasound examination for Kai Kai again, and found that there was indeed a large polyp in the intestinal tube, which should be the cause of intussusception, but due to the light degree of instilling, the intestinal tube has been automatically reduced. To prevent irreversible outcomes such as intestinal necrosis due to the recurrence of intussusception, the polyp must be removed as soon as possible. Director Gao's team quickly prepared for Kai Kai's intestinal cleansing, and the next day a pediatric colonoscopy was carried out, and the colonoscopy traveled in a relatively narrow intestinal cavity, and suddenly a large polyp flashed on the computer screen in the position of the transverse colon near the spleen curve, carefully observing the polyp, which was hemispherical in shape, with a long peduncle at the root, about 3.5 * 4.0 cm in size, and a hyperemia and erosion on the surface.
"Endoscopic excision of polyps is required, polyps are frequent, root blood vessels are abundant, and the risk of postoperative bleeding is relatively large," Director Gao Gao yu told the parents of the children, and then began a subtle endoscopic operation.
Cut the polyps
Soon the operation ended, three days after the operation, no bleeding abdominal pain and other discomfort, Kai Kai recovered and was discharged from the hospital, postoperative pathology confirmed as juvenile polyps.
Children have blood in the stool, be wary of colon polyps
Director Gao introduced that as the provincial hospital in Shandong Province to carry out pediatric digestive endoscopy, a large number of pediatric patients were treated because of blood in the stool, and there were not a few children who were diagnosed with colon polyps after colonoscopy, so we came to know children's colon polyps again.
Colon polyps are morphological terms for lesions in which the intestinal mucosa protrudes or bulges into the cavity.
Children's colon polyps mostly occur in 2-8 years old, generally large polyps, the diameter is mostly between 0.5-3.0cm, we have a case of children with polyps are relatively large. The main symptoms are blood in the stool, followed by abdominal pain, diarrhea, and long-term blood in the stool can also lead to malnutrition in the child.
The pathology of children's colon polyps is mainly juvenile polyps, and its histological manifestations are hamartomas, which are tumor-like changes formed by abnormal proliferation of normal tissues, and there is bleeding in the interstitium of the glandular ducts, telangiectasia, and superficial epithelium is easy to fall off, so it is most often clinically manifested as blood in the stool, and endoscopy is also manifested as hyperemic red polyps. Other pathological types include tubular adenomas, inflammatory polyps, and proliferative polyps, of which tubular adenomas are at risk of becoming cancerous, so once colon polyps are found, endoscopic therapy is required in time.
Therefore, Director Gao once again reminded everyone that once the blood in the stool is found, it is necessary to perform colonoscopy in time, find the colon polyps as early as possible and treat them to prevent malnutrition, stunting and even cancerous changes in the children.
Original author: Kou Luan