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Juvenile polyp and polyposis syndrome: Experience at a tertiary hospital of Bangladesh

Authors:

Md Benzamin ,

Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, BD
About Md
Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh 
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Maimuna Sayeed,

Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, BD
About Maimuna
Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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Md Rukunuzzaman,

Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, BD
About Md
Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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Md Wahiduzzaman Mazumder,

Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, BD
About Md
Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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Fahmida Begum,

Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, BD
About Fahmida
Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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Khan Lamia Nahid,

Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, BD
About Khan
Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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Afsana Yasmin,

Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, BD
About Afsana
Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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Kaniz Fathema,

Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, BD
About Kaniz
Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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Mukesh Khadga,

Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, BD
About Mukesh
Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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A S M Bazlul Karim

Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, BD
About A S M
Department of Paediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh
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Abstract

Objectives: Evaluation of clinical spectrum, laboratory profile, histology and colonoscopic features of juvenile polyp and polyposis syndrome.

Method: This is a retrospective observational study and we reviewed medical records of 77 children who were diagnosed as juvenile polyp and polyposis syndrome.

Results: Mean age of study subjects was 5.6±2.4 years. The male to female ratio was 1.75: 1.0. Among a total of 77 patients, juvenile polyp was present in 71 (92%) and polyposis syndrome in 6 (8%). Peak age of presentation was from 2 to 5 years. Main presenting complaints were per rectal bleeding (100%), pallor (37.7%), prolapsed polyp (6.5%), abdominal pain (9.1%) and fever (2.6%). About 38% children had low haemoglobin and 25% had high erythrocyte sedimentation rate. Histopathologically, 98.8% had hamartomatous polyps and 1.2% had adenomatous polyps. In the juvenile polyp group, male-female ratio was 2.1:1 and mean age was 5.5±2.3 years. Mean duration of bleeding 6.4±3.4 months. Solitary polyp was found in 73.2% and multiple polyps in 26.8%. About 83.5% of polyps were in the recto-sigmoidal region. None of the patients had any serious post-colonoscopy and polypectomy complications.

Conclusions:In this study of 77 patients, 92% had juvenile polyp and 8% had polyposis syndrome. Commonest presenting complaint was per rectal bleeding (100%). Histopathologically, 98.8% had hamartomatous polyp. Solitary polyp was found in 73.2% and 83.5% of polyps were in the recto-sigmoidal region.

How to Cite: Benzamin, M., Sayeed, M., Rukunuzzaman, M., Mazumder, M.W., Begum, F., Nahid, K.L., Yasmin, A., Fathema, K., Khadga, M. and Karim, A.S.M.B., 2020. Juvenile polyp and polyposis syndrome: Experience at a tertiary hospital of Bangladesh. Sri Lanka Journal of Child Health, 49(1), pp.35–40. DOI: http://doi.org/10.4038/sljch.v49i1.8896
Published on 05 Mar 2020.
Peer Reviewed

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