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School absenteeism after upper gastrointestinal endoscopy in children
S Treepongkaruna1, K Lee, D Giltinan
1Department of Gastroenterology and Clinical Nutrition, Royal Children's Hospital, Parkville, Victoria, Australia.
Insights
Upper gastrointestinal endoscopy in children often causes discomfort and leads to school absence. Most children return to school by the second day after the procedure.
Area of Science:
- Pediatric Gastroenterology
- Outpatient Procedures
Background:
- Upper gastrointestinal endoscopy is frequently performed as a day procedure in children.
- The functional impact of this procedure on children's daily activities, specifically school attendance, requires further examination.
Purpose of the Study:
- To assess the functional impact of pediatric upper gastrointestinal endoscopy.
- To investigate the relationship between the procedure and subsequent school attendance in children.
Main Methods:
- Prospective recording of symptoms and morbidities in school-aged children post-endoscopy.
- Utilizing a structured questionnaire for data collection during hospital observation and for 3 days at home.
- Identifying specific reasons for school absence.
Main Results:
- Sixty children (mean age 10.6 years) participated.
- Symptom prevalence was high: 68.3% on the same day, 56.7% on day 1, and 20% on day 2.
- 48.3% of children missed school the day after endoscopy, primarily due to physical discomfort, with most returning by day 2.
Conclusions:
- Physical discomfort and school absenteeism are common sequelae of upper gastrointestinal endoscopy in pediatric patients.
- The findings highlight the need to consider post-procedure recovery time for children undergoing endoscopy.
Background And Aims:
To examine the functional impact of upper gastrointestinal endoscopy as a day procedure, particularly in relation to subsequent school attendance.
Methods:
Symptoms and morbidities were prospectively recorded from school-aged children during observation in hospital and for 3 days at home after endoscopy by using a structured questionnaire. Reasons for school absence were identified.
Results:
Sixty children (31 boys, 29 girls) were enrolled in the study (mean age 10.6 +/- 2.8 years, range 6.1-16.2 years). Following the procedure, symptoms were reported at home in 68.3% (same day), 56.7% (day 1) and 20% (day 2).The commonest symptoms were sore throat, tiredness and dizziness. Twenty-nine children (48.3%) did not attend school on the day following the procedure but most (26 of 29) had returned to school by the second day. The main reason for their absence was residual physical discomfort related to the procedure (55.2%).
Conclusions:
Persisting physical discomfort and school absenteeism are common following upper gastrointestinal endoscopy in children.
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