This is a brief review of Intestinal polyposis in children. Three Intestinal polyposis syndromes are described in some detail, along with procedures for diagnosing and treatment and follow up of patients. In this paper the importance of diagnosing inherited polyposis syndromes is emphasized such as Familial adenomatous polyposis, Peutz-Jeghers syndrome and Juvenile polyposis syndrome. The clinical screening programme should be advised for family members at risk and colectomy in affected individuals for the purpose of reducing the frequency of colorectal cancer. Â
UNLABELLED There is an enigma of inflammatory bowel diseases, despite significant advantages during last 10 years in medicamentous and surgical treatment. Ulcerative colitis and Crohns disease are chronic with remissions and recidives. Crohns disease involves any part of digestive tube. Histological changes in ulcerative colitis are: inflammation of mucosa and submucosal tissue, crypt abscesses and ulcerations, pseudopolpys, bowel shortening and toxic megacolon in severe inflammation. In Crohns disease, transmural inflammation, "jumping lesions", deeper ulcerations, coble-stone mucosa, progressive fibrosis, granuloma with gigantic epithelial cells. TREATMENT ulcerative colitis: mesalazine, rectal 5-ASA and hydrocortisone enemas, surgery. Crohns disease: mesalazine and prednisolone. For terminal ilcitis, corticosteroid budesonid could be applied. Severe symptomatic disease: hospitalization, parenteral nutrition, antibiotics, prednisone, surgery in partial bowel obstruction, fistulas, abscessus, perforation.
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