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Abstract
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.
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Article info
Publication history
Accepted:
April 8,
1970
Identification
Copyright
© 1971 Published by Elsevier Inc.
