Juvenile, adenomatous polyp

    Juvenile polyp

    Lesion: Two-year-old boy presenting with a ‘prolapsing mass’. Colonoscopy revealed an isolated juvenile polyp which was removed by snare polypectomy. Histology confirmed a juvenile polyp.

    - Pedunculated juvenile polyp

    - Treatment: polypectomy

    - Large juvenile polyp in the descending colon

    - Treatment: polypectomy.


    ESGE/ESPGHAN suggest removal of very small polyps (< 3mm) by cold biopsy forceps and 3–8mm polyps by hot or cold snaring. Cold snaring is advisable in the right colon where the perforation risk is higher. For polyps > 8 mm, hot snaring is suggested


    Adenomatous polyps

    • Multiple adenomatous polyps identified at sigmoidoscopy in a 15-year-old boy being screened for familial adenomatous polyposis due to a maternal familial adenomatous polyposis history.

    • Treatment: polypectomy, surveillance every three years.


    • Multiple colon polyps in a 5 -year-old-boy with FAP

    • Adenomatous polyposis coli (APC) gene.

    Intestinal polyps: Endoscopic findings