Juvenile Polyposis, El Salvador Atlas of Gastrointestinal VideoEndoscopy. A Large Database of Images and Video Clips with Cases Reported.
El Salvador Atlas of Gastrointestinal VideoEndoscopy
Juvenile Non Familial Polyposis of the Colon. This image and the video clip were taken at the age of two years and five months. We have removed 172 juvenile polyps in nine different sessions from the age of 11 months to the 13 years Using the endoscopic polypectomy and the snare wire radio frequency electrical current. No complications related to medication, colonoscopy, or snare polypectomy were observed. Endoscopic snare polypectomy is an effective and safe treatment for colorectal polyps in the pediatric age group. We used an adult colonoscope. Follow-up examinations, including total colonoscopy were performed in different edges.

Video Endoscopic Sequence 1 of 37.

 Juvenile Non Familial Polyposis of the Colon.

This image and the video clip was taken at the age of two years and five months.

 We have removed 172 juvenile polyps in nine different
 sessions from the age of 11 months to the 13 years
 Using the endoscopic polypectomy and the snare wire
 radio frequency electrical current.
 No complications related to medication, colonoscopy, or
 snare polypectomy were observed.
 Endoscopic snare polypectomy is an effective and safe
 treatment for colorectal polyps in the pediatric age group.
 We used an adult colonoscope.
 Follow-up examinations, including total colonoscopy were
 performed in diferents edges.

 For more endoscopic details download the video clip by
 clicking on the endoscopic image, if you like to appreciate
 in full screen, wait to be downloaded complete, then press
 Alt and Enter, configure the Windows media in repeat is
 optimal.
 All endoscopic images shown in this Atlas contain video
 clips.          
                                        
                                         
                                          Medline.

Colonic polyp, the most common gastrointestinal tumor in children, is considered a cause of rectal bleeding in the pediatric population. Colonoscopy is the gold standard procedure in diagnosis and therapeutic. The image and the video displays two of the biggest polyps in the transverse colon at the age of tree year-old and seven months.

Video Endoscopic Sequence 2 of 37.

 Colonic polyp, the most common gastrointestinal tumor in
 children, is considered a cause of rectal bleeding in the
 pediatric population. Colonoscopy is the gold standard
 procedure in diagnosis and therapeutic.

 The image and the video displays two of the biggest polyps
 in the transverse colon at the age of tree year-old and
 seven months.

                                          


                                        Medline.
Polypectomy of enormous polyps of the transverse colon. At the age of tree years and seven months. All polypectomies were carried out without using general anesthesia. Juvenile polyps is the most common colonic polyps in children. Colonoscopic polypectomy is effective in juvenile polyposis Surveillance colonoscopy is required in juvenile polyposis.

Video Endoscopic Sequence 3 of 37.

 Polypectomy of enormous polyps of the transverse colon.
 At the age of tree years and seven months.

 All polypectomies were carried out without using general
 anesthesia.
 Juvenile polyps is the most common colonic polyps in
 children.
 Colonoscopic polypectomy is effective in juvenile polyposis
 Surveillance colonoscopy is required in juvenile polyposis.
                                      
                                          Medline.  

Juvenile Polyps of the Transverse Colon The largest polyps are at the transverse colon and can be appreciated in the image an the video clip. The patient was born in 02/ 25/ 1992. The screen displays some information about his age.

Video Endoscopic Sequence 4 of 37.

 Juvenile Polyps of the Transverse Colon

 The largest polyps are at the transverse colon and can be
 appreciated in the image an the video clip.
 The patient was born in 02/ 25/ 1992. The screen displays
 some information about his age. 
At the aged of 3 years and 8 months, we removed several of the biggest polyps ( 27) in the transverse.

Video Endoscopic Sequence 5 of 37.

 At the aged of 3 years and 8 months, we removed several
 of the biggest polyps ( 27) in the transverse.

 The video clip displays the colonoscopic polypectomy.
 
The ileocecal valve is seen, one of the hallmarks of the colonoscopy was complete. We have not found any polyps after the hepatic angle.

Video Endoscopic Sequence 6 of 37.

 This image as well as the video clip is at the age of three
 years and eight months.

 The ileocecal valve is seen, one of the hallmarks of the
 colonoscopy was complete. We have not found any polyps
 after the hepatic angle.
                                         
                                          Medline.
One of the biggest polyps is seen at the splenic flexure, large and wide pedicle is observed.

Video Endoscopic Sequence 7 of 37.

 One of the biggest polyps is seen at the splenic flexure,
 large and wide pedicle is observed.
The remanent stalk. The coagulator is applied no longer than a few seconds The snare is gently tightened while the electrical current is applied.

Video Endoscopic Sequence 8 of 37.

 The remanent stalk.

 The coagulator is applied no longer than a few seconds.
 The snare is gently tightened while the electrical current
 is applied.
One of the polyps, is being removed after snare resection. The video clip displays the procedure. Colorectal polyps are relatively frequent in infancy and constitute one of the main causes of bleeding per rectum. Endoscopic polypectomy, with its lower morbidity and mortality, has revolutionized its treatment.

Video Endoscopic Sequence 9 of 37.

 One of the polyps, is being removed after snare resection.
 The video clip displays the procedure.

 Colorectal polyps are relatively frequent in infancy and
 constitute one of the main causes of bleeding per rectum.
 Endoscopic polypectomy, with its lower morbidity and
 mortality, has revolutionized its treatment.

 
The video clip displays several polyps at the ascending colon near of the splecnic flexure.

Video Endoscopic Sequence 10 of 37.

 The video clip displays several polyps at the descending
 colon near of the splecnic flexure.
The cecum is observed at the aged of seven year-old.

Video Endoscopic Sequence 11 of 12.

 The cecum is observed at the aged of seven year-old.
 

Some polyps needed to be removed in fragments. The two presenting symptoms, rectal bleeding and anemia, disappeared soon after polypectomy At the aged of 3 years and 8 months.

Video Endoscopic Sequence 12 of 37.

    Some polyps needed to be removed in fragments.

 The two presenting symptoms, rectal bleeding and anemia,
 disappeared soon after polypectomy At the aged of 3 years
 and 8 months.

 
Removed polyps in one session at the edge of 3 years and 8 months. Up to date we have removed 172 polyps in nine different days, from the age of 11 months to the thirteen years. The majority was removed between the ages of 3 years 7 months, 3 years 8 months and three years 9 months. The penultimate time that they were extirpated 22 polyps in 1999, the last was in April 2005 with 64. The traditional handling of multiple juvenile polyposis has generally been the surgery, he has had an excellent evolution.

Video Endoscopic Sequence 13 of 37.

Removed polyps in one session at the edge of 3 years and
8 months.

 Up to date we have removed 172 polyps in nine different
 days, from the age of 11 months to the thirteen years

 The majority was removed between the ages of 3 years 7
 months, 3 years 8 months and three years 9 months. The
 penultimate time that they were extirpated 22 polyps in
 1999, the last was in April 2005 with 64.

 The traditional handling of multiple juvenile polyposis has
 generally been the surgery, he has had an excellent
 evolution.

 
At the age of 13 years, 1 April 2005. Our patient has evolved very well from the year rare occasions has had episodes of bleeding. Three years previously, we were going to to practice his colonoscopic control, after his bowel preparation the patient experienced fever of 40 degrees centigrade, that examination in that occasion was suspended.

Video Endoscopic Sequence 14 of 37.

At the age of 13 years, 1 April 2005.

 Our patient has evolved very well from the year
 rare occasions has had episodes of bleeding.
 Three years previously, we were going to practice his
 colonoscopic control, after his bowel preparation the patient
 experienced fever of 40 degrees centigrade, that
 examination in that occasion was suspended.

 
The polyp is observed with magnifying colonoscope.

Video Endoscopic Sequence 15 of 37.

 The polyp is observed with magnifying colonoscope.

 
Multiple polyps of the rectum. Most polyps are located in the rectum or the sigmoid colon. No polyps were found at the right colon.

Video Endoscopic Sequence 16 of 37.

Multiple polyps of the rectum.

Most polyps are located in the rectum or the sigmoid colon.
No polyps were found at the right colon.

 
More images and video clips of multiple polyps of the rectum.

Video Endoscopic Sequence 17 of 37.

More images and video clips of multiple polyps of the rectum.
The cecum with the ileocecal valve.

Video Endoscopic Sequence 18 of 37.

The cecum with the ileocecal valve.
Some parasites were found at the cecum. It seem to be Trichuris Trichuris (whipworm).

Video Endoscopic Sequence 19 of 37.

Some parasites were found at the cecum.

It seem to be Trichuris Trichuris (whipworm).

 
We performed endoscopic polypetomy of multiple polyps. The polypectomies was carried out without using general anesthesia and is performed as an outpatient procedure. We had no endoscopic complications.

Video Endoscopic Sequence 20 of 37.

We performed endoscopic polypetomy of multiple polyps.

 The polypectomies was carried out without using general
 anesthesia and is performed as an outpatient procedure.
 We had no endoscopic complications.

 

 
A tiny and flat juvenile polyp is observed. There were multiple polyps of several sizes, some of them could be considered as precursors or tiny flat polyps which are observed with a little if fibrin.

Video Endoscopic Sequence 21 of 37.

A tiny and flat juvenile polyp is observed.

 There were multiple polyps of several sizes, some of them
 could be considered as precursors or tiny flat polyps which
 are observed with a little if fibrin.

 

 
Chromoendoscopy using methylene blue.

Video Endoscopic Sequence 22 of 37.

 Chromoendoscopy using methylene blue.
Chromoendoscopy after methylene blue spray. Involves the topical application of dyes to the mucosa.

Video Endoscopic Sequence 23 of 37.

Chromoendoscopy after methylene blue spray.

 Involves the topical application of dyes to the mucosa.

 
White spots are arrangements of foamy cells at the periphery of a tumor. Most frequently found in association with cancers and large adenomas.

Video Endoscopic Sequence 24 of 37.

 White spots are arrangements of foamy cells at the
 periphery of a tumor. Most frequently found in association
 with cancers and large adenomas.

High Magnification.

Video Endoscopic Sequence 25 of 37.

High Magnification.

Stalked Polyp of the Sigmoid Colon. For methylene blue staining, the patient should be told that the urine and stool might adopt a blue color. The enemy of good chromoendoscopy is surface mucus, blood, or retained food material. The surface to be examined after application of dye should be washed. For the vital/absorptive dyes (e.g., Lugol's iodine, methylene blue).

Video Endoscopic Sequence 26 of 37.

 Stalked Polyp of the Sigmoid Colon.

 For methylene blue staining, the patient should be told that
 the urine and stool might adopt a blue color.
 The enemy of good chromoendoscopy is surface mucus,
 blood, or retained food material.
 The surface to be examined after application of dye should
 be washed. For the vital/absorptive dyes (e.g., Lugol’s
 iodine, methylene blue).
An ulcerated polyps is observed, the lesion is encircled by numerous yellowish white spots.

Video Endoscopic Sequence 27 of 37.

 An ulcerated polyps is observed, the lesion is encircled by
 numerous yellowish white spots.
 
The colonoscopic polypectomy. In this session at the edge of 13 years, 64 polyps were removed between tiny and of medium size. No any polyp was left.

Video Endoscopic Sequence 28 of 37.

The colonoscopic polypectomy.

 In this session at the edge of 13 years, 64 polyps were
 removed between tiny and of medium size.
 No any polyp was left.
Colonoscopic snare polypectomy is a simple, effective, and safe procedure for treating colorectal polyps in children.

Video Endoscopic Sequence 29 of 37.

 Colonoscopic snare polypectomy is a simple, effective, and
 safe procedure for treating colorectal polyps in children.
 

 
Cautery is applied to the wire loop which has been tightened around the stalk of the polyp.

Video Endoscopic Sequence 30 of 37.

 Cautery is applied to the wire loop which has been tightened
 around the stalk of the polyp.
 

 
The image and the video clip display some maneuver with the polypectomy snare.

Video Endoscopic Sequence 31 of 37.

 The image and the video clip display some maneuver with
 the polypectomy snare.
The stalk of the polyp has been cut through.

Video Endoscopic Sequence 32 of 37.

The stalk of the polyp has been cut through.

 
The polyp outside the body.

Video Endoscopic Sequence 33 of 37.

The polyp outside the body.

 
Colonoscopic polypectomy was performed.

Video Endoscopic Sequence 34 of 37.

Colonoscopic polypectomy was performed.

 
Diminutive Polyp. Coagulation was used for small polyps as well as the argon plasma beam.

Video Endoscopic Sequence 35 of 37.

Diminutive Polyp.

 Coagulation was used for small polyps as well as the argon
 plasma beam.

 
Argon Plasma Beam (APC).

Video Endoscopic Sequence 36 of 37.

Argon Plasma Beam (APC).

We used APC for some small polyps.
The argon plasma coagulation was used for some tiny polyps.

Video Endoscopic Sequence37 of 37

The argon plasma coagulation was used for some tiny polyps.