What are the clinical manifestations and treatments of colorectal polyps in children?

Polyps have always been a rather troublesome disease. Many people have realized the seriousness of this disease and know that if it is not treated in time, it is likely to lead to cancer. Especially when children develop this disease, it always makes parents anxious. So what symptoms will children have when they develop this disease? How to treat it? Let’s see what the editor has introduced to you!

Clinical manifestations:

The main clinical manifestations are blood in the stool or blood dripping after defecation. The blood is bright red in color and adheres to the surface of the stool without mixing with the stool. The amount of bleeding is often not large, but it is very similar to internal hemorrhoid bleeding. Therefore, when there are symptoms similar to internal hemorrhoid bleeding in children, the possibility of rectal polyposis should be considered first. When the polyp stalk is long, it may fall out of the anus during forceful defecation and then retract after defecation. Some high-positioned polyps may prolapse back and forth and cause colon intussusception. In addition to the above symptoms, clinical diagnosis mainly relies on digital rectal examination. After the child empties the stool, the examiner wears gloves and applies lubricant, slowly inserts the index finger or middle finger into the anus and carefully palpates. Often, a long-pedunculated, slightly hard, movable and smooth spherical polyp can be felt. No polyps were found after repeated palpation. Use a pediatric colonoscope to slowly insert it into the rectum for examination in the same way. The method is to observe and rotate it to see if the scope is inserted into the intestinal cavity. Do not insert the scope blindly, otherwise the slightest force can cause damage to the intestinal wall and bleeding, or even rupture and perforation. When stool blocks the colonoscope, use long forceps to remove it and suck it out with a large cotton ball. You can also use the mirror withdrawal method to observe while withdrawing the mirror.

Treatment:

Once diagnosed, treatment should be given as soon as possible. For higher intestinal polyps, follow the above-mentioned operation to insert the endoscope to locate the polyp and fix it in place, and use Nd:YAG laser to enter through the endoscope hole and cut directly at the base. Since Nd:YAG optical fiber is relatively long and the optical cutter head swings widely, cutting is difficult. Therefore, a fiber optic cutter handle can be made of 0.1~0.2mm thin steel metal. The optical fiber is fixed on the metal handle with 3mm of the cutter head exposed. It can be used directly like a knife to cut the substrate. For higher-positioned polyps with broad base, the laser knife is 2-3mm away from the polyp, and a 40W laser is used for irradiation until the polyp turns grayish white. It does not need to be peeled off immediately, but can be left to fall off and repair naturally. This is fast, safe and effective. Low-lying intestinal polyps can be removed at the base using a laser under an anoscope. The laser knife must be used with caution when cutting, and should not damage the intestinal wall or cause perforation.

When a child develops colon polyps, do not delay and take the child to the hospital for diagnosis in time. Once the doctor determines that it is colon polyps, the most correct choice is to take the correct approach to treat it according to the condition in a timely manner. Do not hesitate, so as not to delay the child's treatment and cause serious illness. It will be too late to regret then!