Polyps and Polyposis Syndromes in Children: Novel Endoscopic Considerations.
Gastrointest Endosc Clin N Am
; 33(2): 463-486, 2023 Apr.
Article
in English
| MEDLINE | ID: covidwho-2291617
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.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Colorectal Neoplasms
/
Colonic Polyps
Type of study:
Prognostic study
Limits:
Child
/
Humans
Language:
English
Journal:
Gastrointest Endosc Clin N Am
Journal subject:
Diagnostic Imaging
/
Gastroenterology
/
Therapeutics
Year:
2023
Document Type:
Article
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