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Risks of endoscopy in hospitalized pediatric patients with collagen vascular diseases

B C Weselman1, D B Friedman, R W Warren

  • 1Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas, USA.

Gastrointestinal Endoscopy
|May 6, 1999
PubMed

Insights

Endoscopy in pediatric patients with collagen vascular diseases can yield valuable insights for management. However, careful risk-benefit assessment is crucial due to potential serious complications.

Area of Science:

  • Pediatric Gastroenterology
  • Rheumatology
  • Medical Procedures

Background:

  • Gastrointestinal (GI) symptoms are common in pediatric collagen vascular diseases.
  • Endoscopy is frequently indicated for these symptoms.
  • Risks and benefits of endoscopy in this population are not well-established.

Purpose of the Study:

  • To examine the risks and benefits of endoscopic procedures in pediatric patients with collagen vascular diseases.
  • To analyze complications and outcomes associated with endoscopy in this cohort.

Main Methods:

  • Retrospective review of pediatric patients with collagen vascular diseases hospitalized over a 7-year period.
  • Identification of patients who underwent upper or lower endoscopy.
  • Analysis of indications, complications, and outcomes.

Main Results:

  • Nine patients (5%) underwent endoscopy; indications included abdominal pain, GI bleeding, vomiting, and diarrhea.
  • Two patients experienced complications requiring surgery; one died from GI bleeding.
  • Endoscopy led to management changes in five patients, including H. pylori treatment and optimized esophagitis/gastritis management.
  • Vasculopathy was associated with complications.

Conclusions:

  • Endoscopy can provide valuable information for managing pediatric patients with GI symptoms and collagen vascular diseases.
  • Serious, potentially life-threatening complications can occur.
  • Careful evaluation of the risk/benefit ratio is essential before performing endoscopy in these patients.
Abstract

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