POLYP ĐẠI TRÀNG Ở TRẺ EM TẠI BỆNH VIỆN NHI ĐỒNG 2

Abstract

Objective: This study aimed to describe the clinical, paraclinical, and histopathological characteristics of colorectal polyps in children at Children’s Hospital 2 from January 2022 to July 2024. Method: Case-series study. Results: A total of 71 cases of colorectal polyps were recorded, with a male-to-female ratio of 1.7:1. Children aged 2 to under 10 years comprised 86% of cases. A history of colorectal polyps was observed in 2.8% of patients. Hematochezia was the most common symptom, occurring in 80.3% of cases, with a median duration of 3 months (IQR: 2–5 months). Anemia was observed in 33.8% of cases, and 5.6% required blood transfusion. Rectal examination identified rectal polyps in 48.8% of cases. Ultrasonography detected polyps was 44.4%. Solitary polyps were found in 77.5% of cases, while 15.5% had 2- 5 polyps, and 7.0% had more than 5 polyps. The most common sites were the rectum (51.5%) and sigmoid colon (16.2%). Pedunculated polyps accounted for 87.9% of cases. Polyps with diameters of 10- 19 mm were the most common, comprising 48.5% of cases. Juvenile polyps made up 95.5% of cases, followed by Peutz-Jeghers polyps (3.0%) and adenomatous polyps (1.5%). Conclusion: Colorectal polyps are frequently observed in male children aged 2- 10 years. Prolonged rectal bleeding is a characteristic symptom. Rectal examination and ultrasonography are useful initial diagnostic methods before confirmation through colonoscopy.