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  • Monday, April 1, 1996
  • COLD SNARE POLYPECTOMY; OUT PATIENT TREATMENT OF JUVENILE RECTAL POLYP
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    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
    Gastrointestinal Endoscopy..
    April 1996 (Vol. 43, Issue 4, Page 374) Presented as a poster in DDW in SF, California.

     

     

     

     

     
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Yasser Abu Safieh
Cosultant Physician, Gastroenterologist
 
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