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[Gastrointestinal endoscopy in children]
G Perminow1, A Rydning, C D Jacobsen
1Gastroenterologisk seksjon Medisinsk avdeling. goeri@online.no
Insights
Pediatric endoscopy revealed a higher incidence of inflammatory bowel disease and a celiac disease rate similar to Sweden's 1980s epidemic. Few complications occurred during these gastrointestinal diagnostic procedures.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Endoscopy
Context:
- Gastrointestinal symptoms in children often require investigation.
- Endoscopy under general anesthesia is a key diagnostic tool for persistent pediatric GI issues.
Purpose:
- To evaluate the diagnostic yield and safety of pediatric endoscopy.
- To determine the incidence of specific gastrointestinal diseases in children.
Summary:
- A retrospective study analyzed 420 endoscopic procedures in children under 15.
- Higher than expected rates of inflammatory bowel disease were observed.
- Celiac disease incidence mirrored a previous Swedish epidemic.
Impact:
- Provides updated epidemiological data for pediatric inflammatory bowel disease and celiac disease.
- Highlights the diagnostic value of endoscopy in pediatric GI care.
- Suggests potential regional variations in pediatric GI disease prevalence.
Background:
Abdominal pain and other gastrointestinal symptoms in children may be, but are not always due to disease. Endoscopy in general anaesthesia may be necessary in children with long-term symptoms from the gastrointestinal tract.
Material And Methods:
We present a retrospective study of all children under the age of 15 who underwent endoscopy at the Central Hospital in Akershus (SIA) in the period 1993-98. 254 gastro-, 123 colono- and 43 sigmoideoscopies were performed. A conclusive diagnosis was made following endoscopy. There were few complications to the endoscopies.
Results And Interpretation:
Our results indicate a higher incidence of inflammatory bowel disease than in similar studies, but with the same relative rates. Celiac disease occurs at a rate similar to the Swedish epidemic in the 1980s.