Polyps of the Colon Beyond the Reach of the Sigmoidoscope

Abstract

In 400 recto-sigmoidal polyps in children observed at the Hopital des Enfants-Malades, we have only found 15 colonic polyps. Even with modern radiological techniques small polyps in the colon are rarely detected. Colonic polyps have the same histological pattern as recto-sigmoidal polyps. They are generally spontaneously shed, but not so frequently as recto-sigmoid polyps. This shedding is not proof of healing, as regrowth from the pedicle is possible. Total destruction is advised, by excision of the root of the pedicle and its base, or by fulguration after colostomy.