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August 1993

Food-Induced Bleeding From Lymphonodular Hyperplasia of the Colon

Am J Dis Child. 1993;147(8):821-823. doi:10.1001/archpedi.1993.02160320023012

Sir.—The causes of lower gastrointestinal tract bleeding in children are numerous and vary with age.1,2 Lymphonodular hyperplasia of the colon (LNHC) is a frequent finding because of the increasing use of air-contrast barium enema examination and colonoscopy in children. At the present time, there is still controversy about the role of LNHC in lower gastrointestinal tract bleeding in children.3-9 To evaluate the frequency of LNHC and its relation to lower gastrointestinal tract bleeding, we carried out a study of all pediatric colonoscopic examinations performed during a 3-year period at the University Hospital of Lille, France.

Patient Reports.—From January 1988 to January 1991, 108 children were referred to the Pediatric Gastroenterology Unit of the Lille University Hospital for colonoscopy. After administration of polyethylene glycol and enema for colonic preparation, endoscopy was performed under local sedation (midazolam hydrochloride) for left colonoscopy and general anesthesia was used for total

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