- Monday, April 1, 1996
- COLD SNARE POLYPECTOMY; OUT PATIENT TREATMENT OF JUVENILE RECTAL POLYP
- Published at:Not Found
COLD SNARE POLYPECTOMY; OUT PATIENT TREATMENT
OF JUVENILE RECTAL POLYP.
BY : M. YA$SER F. ABU SAFIEH. MD
NABLUS - WEST BANK
INTRODUCTION :- Juvenile rectal polyp (JRP): Considered as the
most common cause of rectal bleeding in children, cold snare
polypectomy can be used for small size polyp (< 0.5 cm ); but larger
polyps need electrocautery to be removed
METHODS: Twenty-eight (28) children were referred for sigmoidoscopy
because of rectal bleeding from ( Dec. 1993 - Jul. 1995 ) prepared
by Bisacodyl enema, Olympus OSF-2 sigomoidoscope was used, or
(XQ 10 ) gastroscopr when difficulty of introducing OSF-2
Olympus (SD-9L, 11L) snare used without sedation and a wtitten
consent was signed by one of the parents.
RESULTS: Out of the 28 patients 18, ( 13 male, 5 female ) were found
to have pedunculatcd rectal polyp, the mean age was ( 4.33 years ),
the diameter of the polyps ranged between ( 0.6 - 3 cm ) all the 18
had solitary polyp that was easily snared out with minimal bleeding
less than 5 mL came out with the polyp by defecation. No
coagulation or cutting current has been applied ( cold snare ).
All polyps were sent to histopathology and reported by the pathologist
as JRP. No complication reported in the group, and follow up from 6-
months to 2 years showed no single recurrence of rectal bleeding.
CONCLUSION:- Cold snare polypectomy is safe, easy, done in outpatient clinic, without sedation and no hazards of electrocautery
Cold snare polypectomy; Out patient treatment of juvenile rectal polyp
M Yasser, F. Abu Safieh
April 1996 (Vol. 43, Issue 4, Page 374) Presented as a poster in DDW in SF, California.