Original communication| Volume 69, ISSUE 2, P288-293, February 1971

Juvenile polyps of the colon

      This paper is only available as a PDF. To read, Please Download here.


      Our experience with 89 juvenile polyps in 55 patients over a thirty-year period is presented. The juvenile polyp has a distinct histologic appearance, is not synonymous with the adenomatous polyp, and has no proved malignant potential. Bleeding was the most common symptom and was present in 53 of the 55 patients and was not severe in any of the cases.
      Whereas significantly symptomatic polyps should be removed, laparotomy for removal of colonic polyps in order to prevent bleeding or intussusception is not indicated. Because the co-association of a juvenile polyp and an adenomatous polyp in the same patient has not been recorded, laparotomy should not be performed for removal of a colonic polyp in a patient with documented juvenile polyps of the rectum. In the absence of a rectal polyp for biopsy, laparotomy for removal of proximal colon polyps is not recommended in the first decade of life and is only recommended in the second decade of life if there is a history of familial polyposis or multiple polyps beyond the reach of the sigmoidoscope.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Arcari F.A.
        Observations on the handling of colonic polyps in children.
        Amer. J. Surg. 1965; 109: 182
        • Ariel I.M.
        • Pack G.T.
        Cancer and allied diseases of infancy and childhood.
        Little, Brown & Company, Boston1960
        • Benson C.D.
        • Lloyd J.R.
        • Fischer H.
        Intussusception in infants and children. An analysis of 300 cases.
        Arch. Surg. 1963; 86: 745
        • Gelb A.
        • Minkowitz S.
        • Tresser M.
        Rectal and colonic polyps occurring in younger people.
        New York J. Med. 1962; 62: 513
        • Harris J.W.
        Polyps of the colon and rectum in children.
        Dis. Colon Rectum. 1967; 10: 267
        • Kerr J.G.
        Polyposis of the colon in children.
        Amer. J. Surg. 1948; 76: 667
        • Knox W.G.
        • Miller R.E.
        • Begg C.F.
        • Zintel H.A.
        Juvenile polyps of the colon: A clinicopathologic analysis of 75 polyps in 43 patients.
        Surgery. 1960; 48: 201
        • Kottmeier P.K.
        • Clatworthy H.W.
        Intestinal polyps and associated carcinoma in childhood.
        Amer. J. Surg. 1965; 110: 709
        • MacEwan D.W.
        Radiologic diagnosis of polyps of the colon in children.
        Radiology. 1961; 77: 196
        • Mallam A.S.
        • Thomson S.A.
        Polyps of the rectum and colon in children. A ten year review at the hospital for sick children.
        Canad. J. Surg. 1959; 3: 17
        • Middlekamp J.N.
        • Haffner H.
        Carcinoma of the colon in children.
        Pediatrics. 1963; 32: 558
        • Roth S.I.
        • Helwig E.B.
        Juvenile polyps of the colon and rectum.
        Cancer. 1963; 16: 468
        • Shermeta A.W.
        • Morgan W.W.
        • Eggleston J.
        • White J.J.
        • Haller J.A.
        Juvenile retention polyps.
        J. Pediat. Surg. 1969; 4: 211
        • Spencer R.
        Gastrointestinal hemorrhage in infancy and childhood.
        Surgery. 1964; 55: 718
        • Turrell R.
        • Maynard A.
        Adenomas of the rectum and colon in juvenile patients.
        J. A. M. A. 1956; 161: 57
        • Weakley F.L.
        • Hawk W.A.
        • Turnbull Jr., R.B.
        What about large bowel polyps in children?.
        Cleveland Clin. Quart. 1963; 30: 199
        • Weller R.O.
        • McColl I.
        Electron microscope appearances of juvenile and Peutz-Jeghers polyps.
        Gut. 1966; 7: 285