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01-04-2020 | Colectomy | Review Article

Polypoid disease of colon in children

Author: Tutku Soyer

Published in: Pediatric Surgery International | Issue 4/2020

Abstract

Polyps in gastrointestinal tract are mostly benign and result from hamartomas or lymphoid hyperplasia of submucosa. They usually occur as isolated lesions in children and are referred to as juvenile polyps. Multiple polyps with inherited origin are called polyposis and can be seen as a part of the syndrome. The polyps with adenomatous histopathology have malignant potential and necessitate genetic testing and colonoscopy to define the risk of cancer. Although simple endoscopic removal is adequate in the treatment of juvenile polyps, children with familial adenomatous polyposis (FAP) need total colectomy with ileorectal anastomosis (IRA) or ileal pouch-anal anastomosis (IPAA). The timing of prophylactic colectomy and the type of surgical treatment are controversial in children. The clinical features, the assessment of cancer risk, and the alternatives of the surgical treatment of polyps are reviewed in this paper.

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Title: Polypoid disease of colon in children
Author: Tutku Soyer
Publication date: 01-04-2020
Publisher: Springer Berlin Heidelberg
Keywords: Colectomy
Colectomy
Colonoscopy
Familial Adenomatous Polyposis
Published in: Pediatric Surgery International / Issue 4/2020
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-020-04621-3

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Polypoid disease of colon in children

Abstract

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Abstract

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