Volume 10, Issue 1 (3-2024)
CJP 2024, 10(1): e23 |
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Singh S, Golait A, Kela G. Indications and benefits of Gastrointestinal Endoscopy in children. CJP 2024; 10 (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: (56 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. We aimed to study the indications and yield of pediatric GI endoscopies at a single center.
Methods: It was a retrospective analytical study from June 2022 to October 2023 at the Department of Pediatrics, Sri Aurobindo Medical College and Postgraduate Institute, India. All children from birth through 18 years of age who underwent a gastrointestinal endoscopy procedure were enrolled. The details of indications, endoscopic findings, and therapeutic procedures performed were recorded in the data collection sheet. All endoscopy procedures were carried out by a trained Pediatric Gastroenterologist under sedation with continuous monitoring.
Findings: A total number of 222 GI endoscopies were performed in 150 children, which included 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 was (15/36) 42%. Endoscopic yield in presentation with hematemesis and dysphagia was higher than in other presenting symptoms. Gastrointestinal bleeding was the commonest indication of therapeutic GI endoscopic procedures. There were no procedure-related complications.
Conclusion: Pediatric GI endoscopy was found useful in diagnosis as well as treatment of various disorders, especially gastrointestinal bleeding and dysphagia.
Methods: It was a retrospective analytical study from June 2022 to October 2023 at the Department of Pediatrics, Sri Aurobindo Medical College and Postgraduate Institute, India. All children from birth through 18 years of age who underwent a gastrointestinal endoscopy procedure were enrolled. The details of indications, endoscopic findings, and therapeutic procedures performed were recorded in the data collection sheet. All endoscopy procedures were carried out by a trained Pediatric Gastroenterologist under sedation with continuous monitoring.
Findings: A total number of 222 GI endoscopies were performed in 150 children, which included 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 was (15/36) 42%. Endoscopic yield in presentation with hematemesis and dysphagia was higher than in other presenting symptoms. Gastrointestinal bleeding was the commonest indication of therapeutic GI endoscopic procedures. There were no procedure-related complications.
Conclusion: Pediatric GI endoscopy was found useful in diagnosis as well as treatment of various disorders, especially gastrointestinal bleeding and dysphagia.
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