Polyps and Polyposis Syndromes in Children: Novel Endoscopic Considerations.

Creator(s)

Thomas M. Attard, Children's Mercy HospitalFollow
Shlomi Cohen
Carol Durno

Document Type

Article

Publication Date

4-2023

Identifier

DOI: 10.1016/j.giec.2022.11.001

Abstract

Polypectomy is the most common therapeutic endoscopic intervention in children. Management of sporadic juvenile polyps is limited to polypectomy to resolve symptoms, whereas polyposis syndromes pose a multidisciplinary challenge with broader ramifications. In preparation for polypectomy, there are key patient, polyp, endoscopy unit, and provider characteristics that factor into the likelihood of success. Younger age and multiple medical comorbidities increase the risk of adverse outcomes, classified as intraoperative, immediate postoperative, and delayed postoperative complications. Novel techniques, including cold snare polypectomy, can significantly decrease adverse events but a more structured training process for polypectomy in pediatric gastroenterology is needed.

Journal Title

Gastrointestinal endoscopy clinics of North America

Volume

33

Issue

2

First Page

463

Last Page

486

MeSH Keywords

Humans; Child; Colonic Polyps; Colonoscopy; Syndrome; Colorectal Neoplasms; Intestinal Polyps

Keywords

Cancer predisposition; Colonoscopy; Polyposis syndromes; Upper endoscopy

Recommended Citation

Attard TM, Cohen S, Durno C. Polyps and Polyposis Syndromes in Children: Novel Endoscopic Considerations. Gastrointest Endosc Clin N Am. 2023;33(2):463-486. doi:10.1016/j.giec.2022.11.001