Cited 0 times in Scipus Cited Count

Associations of Polyp Characteristics in Children and Adolescents Presenting with Less Than Five Colorectal Polyps: A Full Colonoscopy Is Still Required

DC Field Value Language
dc.contributor.authorKim, JY-
dc.contributor.authorKim, YB-
dc.contributor.authorChoi, S-
dc.contributor.authorLee, YM-
dc.contributor.authorKim, HJ-
dc.contributor.authorKim, SC-
dc.contributor.authorJang, HJ-
dc.contributor.authorChoi, SY-
dc.contributor.authorYi, DY-
dc.contributor.authorLee, Y-
dc.contributor.authorChoi, YJ-
dc.contributor.authorKang, Y-
dc.contributor.authorLee, KJ-
dc.contributor.authorHong, SJ-
dc.contributor.authorHwang, JH-
dc.contributor.authorKwak, S-
dc.contributor.authorChoe, BH-
dc.contributor.authorKang, B-
dc.date.accessioned2023-06-14T02:52:37Z-
dc.date.available2023-06-14T02:52:37Z-
dc.date.issued2023-
dc.identifier.issn1976-2283-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/25970-
dc.description.abstractBackground/Aims: A full colonoscopy is currently required in children and adolescents with colorectal polyps, because of their potential of neoplastic transformation and complications such as intussusception. We aimed to analyze the associations of polyp characteristics in children and adolescents with colorectal polyps. Based on these findings, we also aimed to reevaluate the necessity of conducting a full colonoscopy. Methods: Pediatric patients <18 years of age who had undergone a colonoscopic polypectomy and those with <5 colorectal polyps were included in this multicenter, retrospective study. Baseline clinicodemographics, colonoscopic and histologic findings were investigated. Results: A total of 91 patients were included. Multivariate logistic regression analysis showed that polyp size was the only factor associated with the presence of any polyps located proximal to the splenic flexure (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.28 to 4.28; p=0.007). Furthermore, polyp location proximal to the splenic flexure and sessile morphology were associated with the presence of any adenomatous polyp (OR, 8.51; 95% CI, 1.43 to 68.65; p=0.023; OR, 18.41; 95% CI, 3.45 to 173.81; p=0.002, respectively). Conclusions: In children and adolescents presenting with <5 colorectal polyps, polyp size and the presence of any adenomatous polyp were positively associated with polyp location proximal to the splenic flexure. This finding supports the necessity of a full colonoscopic exam in pediatric patients with colorectal polyps for the detection of polyps before the occurrence of complications such as intussusception or neoplastic transformation.-
dc.language.isoen-
dc.subject.MESHAdenomatous Polyps-
dc.subject.MESHAdolescent-
dc.subject.MESHChild-
dc.subject.MESHColonic Polyps-
dc.subject.MESHColonoscopy-
dc.subject.MESHColorectal Neoplasms-
dc.subject.MESHHumans-
dc.subject.MESHIntussusception-
dc.subject.MESHRetrospective Studies-
dc.titleAssociations of Polyp Characteristics in Children and Adolescents Presenting with Less Than Five Colorectal Polyps: A Full Colonoscopy Is Still Required-
dc.typeArticle-
dc.identifier.pmid36052612-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10191782-
dc.subject.keywordAdenoma-
dc.subject.keywordColonic polyps-
dc.subject.keywordSessile-
dc.subject.keywordSize-
dc.subject.keywordSplenic flexure-
dc.contributor.affiliatedAuthorKim, YB-
dc.type.localJournal Papers-
dc.identifier.doi10.5009/gnl210404-
dc.citation.titleGut and liver-
dc.citation.volume17-
dc.citation.number3-
dc.citation.date2023-
dc.citation.startPage441-
dc.citation.endPage448-
dc.identifier.bibliographicCitationGut and liver, 17(3). : 441-448, 2023-
dc.identifier.eissn2005-1212-
dc.relation.journalidJ019762283-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Pediatrics & Adolescent Medicine
Files in This Item:
36052612.pdfDownload

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse