Gastroenterological clinical case

Mariana Portela, C. Barroso, J. L. Carvalho, M.J.M. Gomes
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Abstract

Gastrointestinal polyps are frequent in children and represent the most common cause of colorectal bleeding in this age group. Among those, juvenile polyps are the most frequently found. Intermittent mild hematochezia is the main symptom of colon polyps. Most polyps are pedunculated and, when located in the rectum, may prolapse. In most cases, juvenile polyps are solitary and located in rectosigmoid. Although malignancy risk of a solitary juvenile polyp is very small, excision is recommended to confirm benign nature. Total colonoscopy should be considered to exclude multiple or proximal polyps.
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胃肠病学临床病例
胃肠道息肉在儿童中很常见,是该年龄组结直肠出血的最常见原因。其中,最常发现的是幼年珊瑚虫。间歇性轻度便血是结肠息肉的主要症状。大多数息肉是带梗的,当位于直肠时,可能脱垂。在大多数情况下,幼年息肉是孤立的,位于直肠乙状结肠。虽然孤立幼年息肉的恶性风险很小,但建议切除以确认其良性。全结肠镜检查应考虑排除多发或近端息肉。
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