Do children's colon polyps need surgical treatment?
1. Colonoscopy electrocautery: Colonoscopy electrocautery has become a common method for surgical treatment of polyps. For pedicled polyps or smaller wide-base polyps, electrocautery can be performed from the pedicle of polyps with a snare under colonoscopy. However, extra care should be taken during the treatment, otherwise it may cause serious complications such as intestinal perforation.
2, surgical resection: colon polyps can be surgically removed through the pedicle of anal endoscope, pay attention to the pedicle of polyps must be clean and thorough resection, otherwise it will cause postoperative recurrence, usually after resection, the pedicle of polyps is ligated and left to fend for itself. Surgical resection is a common method to treat varus polyp.
3. Ligation treatment of colon polyps in children. For polyps with a diameter of about 1cm, put the apron on the pedicle with a ligator to make it fall off gradually.
4. The cure rate of high-frequency electrocoagulation under microscope is 100%, and the patient has no discomfort after operation. Endoscopic high-frequency electrocoagulation for resection of intestinal polyps has been widely used in clinic in China because of its advantages such as no need for laparotomy, little injury, simple operation, low cost, good curative effect and rapid postoperative recovery. Chengdu Dongda Anorectal Hospital performed endoscopic high-frequency electrocoagulation surgery to remove intestinal polyps, which filled the gap in endoscopic treatment of gastroenterology in our city.
Director Dongda advocates that when giving children a fibercolonoscopy, the small polyps found during entering the endoscope should be biopsied or removed immediately to avoid the disappearance of the target after moving the endoscope. All polyps, especially children over 10, should be removed as much as possible and followed up. In particular, adenomatous polyp and familial polyp with atypical hyperplasia or multiple or extensive basement after operation should be reexamined within 1 year. If the recheck is negative, it can be rechecked within 3 years, and occult blood in stool should be checked frequently.