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[普外] 非家族性幼年性结肠息肉,息肉,多发性息肉,肠镜检查

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发表于 2013-5-26 07:55:05 | 显示全部楼层 |阅读模式

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Non-Familial Juvenile Polyposis, Polypectomy of Multiple Polyps, Second Colonoscopy

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发布时间:2013-04-21
Non-Familial Juvenile Polyposis, Polypectomy of Multiple Polyps
Second Therapeutic Colonoscopy




8 year-old male who suffers from non-familial juvenile polyposis

At the colonoscopy we found hundreds of polyps.

He had been in a public hospital ready for a colectomy, but we
opposed to the surgery because with an endoscopy it can be handled
thus, preventing this child's colon to be mutilated. It will also help him grow properly.

It should be noted that in most cases, other colleagues
recommend surgery because many endoscopists do not have enough
skills to practice multiple therapeutic polypectomy in the same endoscopic session.

In this patient multiple polypectomies have been practiced in two
sessions. In here, second therapeutic colonoscopy is shown,

And also. The first colonoscopy is also uploaded to YouTube.

So far 87 polyps have been resected, then been managed
with oral "sulindac". Still, there are multiple polyps waiting to be removed.

The patient has improved and maintained it's hemoglobin stable.
Bleeding has been scarce in the last six months.

Another colonoscopy is scheduled for next month, we hope to upload
it to this website.

also described in the literature as juvenile polyposis, is characterized by multiple inflammatory polyps throughout the colon that are associated with painless rectal bleeding (rare serious hemorrhage), rectal prolapse, and failure to thrive. This entity is different than solitary juvenile polyps, which are common in children and do not have the lifetime risk of malignancy.

Juvenile polyposis coli (JPC) is an uncommon condition, manifesting as hamartomatous gastrointestinal polyposis.
The diagnosis of nonfamilial juvenile polyposis was based on the histological findings and the absence of a family history.
Juvenile polyps are common and cause painless hematochezia in preschool and school-aged children. Juvenile polyps of the colon are usually solitary and considered to be inflammatory of hamatomatous in nature without malignant potential. Multiple juvenile polyposis is characterized by large numbers withch is spread to the colon or throughout the gastrointestinal tract.

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非家族性幼年性结肠息肉,息肉的
第二治疗多发性息肉结肠镜检查8岁的男性患有非家族性幼年性结肠息肉 ,结肠镜检查,我们发现了数百息肉。他一直在公立医院准备了结肠切除,但我们反对内窥镜检查手术,因为它可以被处理,从而防止这个孩子的结肠被肢解。它也将帮助他正常生长。应该指出的是,在大多数情况下,其他同事建议手术治疗,因为很多内镜医师没有足够的技能练习多个治疗息肉在相同的内镜会议在这名病人的多个息肉切除术已实行两个会话。在这里,第二治疗结肠镜检查显示,并且也。第一次结肠镜检查也被上传到YouTube。到目前为止已经87息肉切除,然后进行管理与口服“舒林”。尽管如此,有有多个待删除的息肉。病人已经改善,并保持它的血红蛋白稳定。出血已被稀缺在过去六个月。下月另一个大肠镜检查计划,我们希望将其上传到这个网站。也描述在文献中,其特点是由多种炎性息肉幼年性结肠息肉(罕见的严重出血)无痛性便血,脱肛,未能茁壮成长,都与整个结肠。这个实体是不同的比孤幼年性息肉,没有一生中患恶性肿瘤,多见于儿童少年息肉病(JPC)是一种少见的情况下,表现为错构瘤胃肠道息肉,非家族性幼年性结肠息肉的诊断是基于病理检查结果和家族病史的情况下,幼年性息肉是常见的,在学龄前和学龄儿童引起无痛性便血。少年的结肠息肉通常是孤独的,并且被认为是炎症hamatomatous的性质,并无恶性潜能。多少年息肉病的特点是大量为ch结肠或蔓延到整个胃肠道。


 楼主| 发表于 2013-5-26 07:56:20 | 显示全部楼层
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