::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

FREQUENCY OF POLYP IN CHILDREN PRESENTED WITH BLEEDING PER RECTUM

AUTHORS:

Syed Rafi Ud din, Meena Hayat, Zainab Manan, Shafique-ur-Rehman, Naila Batool, Muhammad Kamran

ABSTRACT:

Caring for children with gastrointestinal bleeding requires a thorough understanding of the possible etiology and symptoms. Gastrointestinal bleeding is usually classified based on the anatomical relationship between the suspected bleeding site and the Treitz ligament. Bleeding around the Treitz ligament is considered upper GI bleeding and bleeding around the Treitz ligament is considered lower GI bleeding. Pediatric rectal bleeding (RP) is common in operating theaters. There are many causes of PR bleeding such as polyps, hemorrhoids, anal fissures, and angiodysplasia. Among all causes, the rectal polyp is the most common cause of PR bleeding. About 1-2% of children have polyps in the large intestine. Purpose: This study was conducted to determine the prevalence of polyps in children who were examined under anesthesia for PR bleeding at the Surgical Unit "B" of Abbottabad Ayub University Hospital. Study design: cross-sectional (descriptive) study. Place and Duration: The study was conducted in September 2017 in the Ayub Abbottabad Training Hospital general surgery ward. Until February 2018. Materials and methods: The study population included all children participating in the operational OPD. Spontaneous rectal bleeding in both sexes lasting less than 6 months. The researcher himself collected all the data and analyzed them in SPSS 17. Results: The mean age of the patients was 5.056 ± 2.2611 from 6 months to 10 years, and the mean duration of rectal bleeding was 3.50 ± 1.581 from 1 to 6 years. months. While polyps and polypectomy were found in 79 (57.2%) patients, 59 (42.8%) patients had no polyps detected during the study. Conclusion: The study concluded that the etiology, diagnosis, clinical picture, and management of these intestinal polyps depend on the type of polyp or polyp syndrome. In children, the first symptom may be changes in bowel habits, abdominal pain, rectal bleeding, rectal prolapse, and even intussusception. Keywords Polypectomy, examination under anesthesia, children with rectal bleeding