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ORIGINAL ARTICLE
Year : 2016  |  Volume : 29  |  Issue : 2  |  Page : 247-251

Colonoscopic findings in children with lower gastrointestinal bleeding


1 Department of Pediatric, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Kafer Elsheikh Medical Center, Kafer Elsheikh, Egypt

Correspondence Address:
Heba A. Abd Elghany Abo El-Khair
Kafer Elsheikh Medical Center, Kafer Elsheikh, 33511
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-2098.192425

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Objective: The aim of our work was to assess the clinical manifestations and to determine the colonoscopic findings of children with lower gastrointestinal bleeding (LGIB) attending to hospital. Background: Colonoscopy is used for both diagnostic and therapeutic purposes in patients with lower gastrointestinal symptoms. LGIB in children has many different etiologies and is a serious problem that warrants careful diagnostic work-up. Patients and methods: This study was conducted on 75 patients (51 male and 24 female with age ranging from 3 to 12 years) presented with LGIB. We divided the patients into three age groups to find the relationship between the age and the causes of rectal bleeding in the studied patients. These groups were: group 1, which included patients from 3 to 6 years; group 2, which included patients from 6 to 9 years; and group 3, which included patients from 9 to 12 years. Results: Colon polyps were the most common colonoscopic finding among children (44%), followed by linear ulcerations and edema (25.3%), diffuse nonspecific inflammation (24%), and normal cases (6.6%). Juvenile polyps were the most common pathological finding among children. We found polyps common in patients between 3 and 6 years of age. Conclusion: Colonoscopy was performed for children with LGIB; we found that the most common causes of bleeding were polyps, ulcerative colitis, nonspecific colitis, and infectious colitis.


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