Volume 11, Issue 1 (2025)
CJP 2025, 11(1): e5 |
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Singh S, Golait A, Kela G. Indications and Benefits of Gastrointestinal Endoscopy in children: A Retrospective Study in a single center in India. CJP 2025; 11 (1)
URL: http://caspianjp.ir/article-1-258-en.html
URL: http://caspianjp.ir/article-1-258-en.html
Department Of Pediatrics, Sri Aurobindo Medical College and Postgraduate Institute, Indore, India , drsumitkgmu@gmail.com
Abstract: (748 Views)
Background and Objective: Pediatric gastrointestinal (GI) endoscopies are often used as a diagnostic as well as therapeutic tool for children with gastrointestinal complaints, including unexplained abdominal pain, iron deficiency anemia, gastrointestinal bleeding, etc. The aim of this study was to investigate the indications and yield of pediatric GI endoscopies at a single center.
Methods: This retrospective analytical study was conducted from June 2022 to October 2023 in the Department of Pediatrics, Sri Aurobindo Medical College and Postgraduate Institute, India. All children from birth to 18 years of age who underwent gastrointestinal endoscopy were included in the study. The details of indications, endoscopic findings, and therapeutic procedures performed were recorded in a data collection sheet. All endoscopic procedures were carried out by a trained pediatric gastroenterologist under sedation and continuous monitoring.
Findings: A total of 222 GI endoscopies were performed in 150 children, including 182 (82%) upper GI endoscopies and 40 (18%) colonoscopies. The most common indication for endoscopy was abdominal pain in 48 (32%) children, followed by hematemesis in 28 (18%) and chronic diarrhea in 28 (18%) children. The diagnostic yield of upper GI endoscopy was (81/111) 73% and that of colonoscopy (15/36) 42%. The endoscopic yield at presentation with hematemesis and dysphagia was higher than for other presenting symptoms. Gastrointestinal bleeding was the most common indication for therapeutic GI endoscopic procedures. No procedure-related complications occurred.
Conclusion: Pediatric GI endoscopy was found to be useful in both diagnosis and treatment of various disorders, especially gastrointestinal bleeding and dysphagia.
Methods: This retrospective analytical study was conducted from June 2022 to October 2023 in the Department of Pediatrics, Sri Aurobindo Medical College and Postgraduate Institute, India. All children from birth to 18 years of age who underwent gastrointestinal endoscopy were included in the study. The details of indications, endoscopic findings, and therapeutic procedures performed were recorded in a data collection sheet. All endoscopic procedures were carried out by a trained pediatric gastroenterologist under sedation and continuous monitoring.
Findings: A total of 222 GI endoscopies were performed in 150 children, including 182 (82%) upper GI endoscopies and 40 (18%) colonoscopies. The most common indication for endoscopy was abdominal pain in 48 (32%) children, followed by hematemesis in 28 (18%) and chronic diarrhea in 28 (18%) children. The diagnostic yield of upper GI endoscopy was (81/111) 73% and that of colonoscopy (15/36) 42%. The endoscopic yield at presentation with hematemesis and dysphagia was higher than for other presenting symptoms. Gastrointestinal bleeding was the most common indication for therapeutic GI endoscopic procedures. No procedure-related complications occurred.
Conclusion: Pediatric GI endoscopy was found to be useful in both diagnosis and treatment of various disorders, especially gastrointestinal bleeding and dysphagia.
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