Single or multiple polyps are frequently encountered during colonoscopy among children and adolescents and may be indicative of hereditary polyposis syndrome (HPS). The management of children with single or multiple polyps is guided by the number of polyps, their distribution and the histological findings. Children with HPS carry a high risk of complications, including intestinal and extra-intestinal malignancies. The goals of surveillance in pediatric HPS are to treat symptoms, monitor the burden of polyps and prevent short- and long-term complications. Therefore, the management of children with HPS is based on therapeutic endoscopy. The strategy of therapeutic endoscopy is a careful assessment and characterization of the polyps and performing polypectomies using advanced endoscopic techniques. A multidisciplinary approach, comprising clinical, interventional endoscopy, cancer surveillance and support of familial and emotional aspects is essential in the management of children with HPS.

中文翻译：

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小儿息肉病综合征的内窥镜检查：原因、时间和方式。

儿童和青少年在结肠镜检查中经常遇到单个或多发性息肉，这可能是遗传性息肉病综合征（HPS）的征兆。单发或多发息肉儿童的治疗以息肉的数量、分布和组织学结果为指导。患有 HPS 的儿童出现并发症的风险很高，包括肠道和肠外恶性肿瘤。儿科 HPS 监测的目标是治疗症状、监测息肉负担并预防短期和长期并发症。因此，HPS 儿童的治疗基于治疗性内窥镜检查。治疗性内窥镜检查的策略是仔细评估和表征息肉，并使用先进的内窥镜技术进行息肉切除术。包括临床、介入内窥镜检查、癌症监测以及家庭和情感方面的支持在内的多学科方法对于治疗 HPS 儿童至关重要。