Treatment of childhood intestinal polyps

I believe that everyone is familiar with symptoms such as intestinal polyps. Intestinal polyps are a common symptom. The appearance of intestinal polyps not only easily brings discomfort to patients but also brings great psychological pressure to patients. Therefore, we recommend that our readers pay attention to symptoms such as intestinal polyps. Once the symptoms of intestinal polyps appear, they should be treated in time. Below we will introduce to you the treatment methods of childhood intestinal polyps.

Feature Status

The polyp itself is a cell and vascular tissue with infiltration of acute and chronic inflammatory cells. It also has cystic cavities of varying sizes, and the wall cavity is a columnar epithelium that secretes mucus. Therefore, based on its morphological characteristics, it is not a tumor pathologically, but a hamartoma. Since hamartoma is not necessarily congenital, it can occur at any age but is more common in young people.

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 for substrate cutting. For higher-positioned polyps with broad base, the laser knife is 2 to 3 mm 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.

In the above article, we introduced a common symptom, that is, intestinal polyps. We know that intestinal polyps are very harmful, so everyone should pay attention to this symptom. The above article has introduced the treatment methods of childhood intestinal polyps in detail. I believe everyone has mastered it.