OBJECTIVES@#To study the clinical features of
children with colorectal
polyps and the
efficacy of endoscopic
treatment.@*
METHODS@#A retrospective
analysis was performed on the medical data of 1 351
children with colorectal
polyps who were admitted and received
colonoscopy and
treatment in the past 8 years, including clinical features and the pattern and outcomes of endoscopic
treatment.@*RESULTS@#Among the 1 351
children, 893 (66.10%) were
boys and 981 (72.61%) had an age of 2-<7 years, and
hematochezia (1 307, 96.74%) was the most common clinical manifestation. Of all the
children, 89.27% (1 206/1 351) had solitary
polyps, and 95.77% (1 290/1 347) had juvenile
polyps. The
polyps were removed by electric
cauterization with hot
biopsy forceps (6 cases) or high-frequency electrotomy and
electrocoagulation after
snare ligation (1 345 cases). A total of 1 758
polyps were resected, among which 1 593 (90.61%) were pedunculated and 1 349 (76.73%) had a diameter of <2 cm.
Postoperative complications included
bleeding in 51
children (3.77%),
vomiting in 87
children (6.44%),
abdominal pain in 14
children (1.04%), and
fever in 39
children (2.89%), while no perforation was observed. The
children aged <3 years had the highest
incidence rates of postoperative
bleeding and
fever (P<0.0125), and the
children with a
polyp diameter of ≥2 cm had significantly higher
incidence rates of postoperative
bleeding,
vomiting, and
fever (P<0.05).@*CONCLUSIONS@#Solitary
polyps, pedunculated
polyps, and juvenile
polyps are common types of pediatric colorectal
polyps. Electric
cauterization with hot
biopsy forceps or high-frequency electrotomy and
electrocoagulation after
snare ligation can effectively remove colorectal
polyps in
children, with good
efficacy and few
complications. Younger age and larger
polyp diameter are associated with a higher
risk of postoperative
bleeding.