The Indian Journal of Pediatrics

, Volume 50, Issue 3, pp 329–332 | Cite as

Intermittent unexplained rectal bleeding in childhood

  • D. K. Bhargava
  • Y. Chawla
Symposium: Pediatric Gastroenterology


Nine children between the ages of 4 to 13 yr were investigated for unexplained intermittent lower gastrointestinal bleeding. Barium contrast studies could indentify a filling difeet in only a single patient while in two out of nine patients, source of bleeding could be identified with the help of a signioidoscope. The colonoscopy was most helpful, lacalising the cause of lower gastrointestinal bleeding in two-thirds of the patients (6 out of 9). Five of these had juvenile polyps and in the remaining one child, non specific colitis was diagnosed.

Key words

Lower gastrointestinal bleeding investigations barium studies sigmoidoscopy colonoscopy 


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  1. 1.
    King JF Smith GE: Endoscopic removal of recurrent juvenile polyps in a 6 year old.Gastroenterology 66: 815, 1974Google Scholar
  2. 2.
    Gleason WA Golcstein PD Shotz BA Tedesco FJ: Colonoscopic removal of juvenile colonic polyps.J Pediatr Surg 10: 519, 1975PubMedCrossRefGoogle Scholar
  3. 3.
    Gans SL Ament M, Christie DC Liebman WM: Pediatric endoscopy with flexible fiberscopes.Pediatric Surg 10: 375,Google Scholar
  4. 4.
    Skovgaard S, Sorensen FH: Bleeding hemangioma, of the Colon diagnosed by colonoscopy.J Pediatric Surg 11: 83, 1976CrossRefGoogle Scholar
  5. 5.
    Holgersen Lo, Ranford M, Mossberg, Miller R.E.: Colonoscopy for Sectal bleeding in childhood.J Pediatr Surg 13: 83, 1978PubMedCrossRefGoogle Scholar
  6. 6.
    O’Connor J.J.: Colonoscopy in children.Am J Surg 141: 344, 1981PubMedCrossRefGoogle Scholar
  7. 7.
    Velak FT: Familial juveinle adenomalous polyposis.J Pediatr Surg 11: 781, 1976CrossRefGoogle Scholar
  8. 8.
    Gough MH: Gastrointestinal bleeding inChildhood Topics in Gastroenterology. Vol. 10, Edited by Jewell, D. P and Selby W. S, Blackwell Scientific Publications 1982 303,Google Scholar
  9. 9.
    Gama AH, Alves PRA, Gama-Rodrigues JJ, Teixeira MG, Barbion D: Pediatric colonoscopy.Dis Col Kect 22: 530, 1979CrossRefGoogle Scholar
  10. 10.
    Teague RH, Manning AP, Thornation JR Salmon PR, Red AE: Colonoscopy for investigation of unexplained rectal bleeding.Lancet ii 1350, 1978CrossRefGoogle Scholar
  11. 11.
    Tedesco FJ, Wayc JD, Raskin J.B., Morris SJ, Greenwald R.A.: Colonoscopic evaluation of rectal bleeding.Ann Intern Med 89: 907, 1978PubMedGoogle Scholar
  12. 12.
    Knoepp RF, Mcculloch JH: Colonoscopy in the diagnosis of unexplained rectal bleeding.Dis Col Rec 21: 590, 1978CrossRefGoogle Scholar
  13. 13.
    Waye JD: Colonoscopy in rectal bleeding.South Afr J Surg 14: 143, 1976Google Scholar
  14. 14.
    Swarbrick ET, Hunt RH, Fevre D.I., Williams CB: Colonoscopy in unexplained reetal bleeding.Gut 17: 823, 1976Google Scholar
  15. 15.
    Bhargava DK, Tandon HD: Colonoscopy in unexplained lower gastrointestinal bleeding.Indian J Med Res 76: 284, 1982PubMedGoogle Scholar
  16. 16.
    Bhargava DK, Vij JC, Berry M: Diagnostic colonoscopy.Indian J Med Res 73: 106, 1981PubMedGoogle Scholar
  17. 17.
    Shumata DW, Morgan W.W., Enggleston J, White, Haller J.A.: Juvenile retention polyps.J Pediatr Surg 4: 211, 1969CrossRefGoogle Scholar
  18. 18.
    Nelson E.W. Jr, Rodgers BM, Zewatzky L: Endoscopic appearance of auto amputed polyrs in Juvenile polyposis Coli.J Pediatr Surg 12: 773, 1977PubMedCrossRefGoogle Scholar
  19. 19.
    Abrahamson J., Shandling B: Intestinal hemangiomata in Childhood and a syndrome for diagnosis: A collect’ve review.J. Pediatric Surg 8: 487, 1973CrossRefGoogle Scholar
  20. 20.
    Jewett T.C., Jr. Duszsnski DC, Allen JE: The visualization of Meckels diverticulum with 99 M TC-pertechnetate.Surgery 68: 567, 1970PubMedGoogle Scholar
  21. 21.
    Gierup J, Jorulf H, Livaditis A: Management of intussusception in infants and children: A surgery based on 288 consecutive cases.Pediatrics 50: 535, 1972PubMedGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 1983

Authors and Affiliations

  • D. K. Bhargava
    • 1
  • Y. Chawla
    • 1
  1. 1.Department of GastroenterologyAll India Institute of Medical SciencesNew Delhi

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