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[Digestive endoscopy in neonates. Personal experience].

F Fornaroli1, M Manfredi, P L Bacchini

  • 1Istituto Policattedra di Pediatria, Servizio di Gastroenterologia ed Endoscopia digestiva via Gramsci 14, 43100 Parma.

Acta Bio-Medica De L'Ateneo Parmense : Organo Della Societa Di Medicina E Scienze Naturali Di Parma
|June 27, 2001
PubMed
Summary

Gastrointestinal (GI) endoscopy is a safe and effective diagnostic and therapeutic tool for neonates. This study highlights its high accuracy in diagnosing mucosal lesions in infants, proving superior to radiology.

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Area of Science:

  • Pediatric Gastroenterology
  • Neonatal Medicine
  • Diagnostic Endoscopy

Context:

  • Gastrointestinal (GI) endoscopy is crucial for diagnosing and treating conditions in newborns.
  • Current limitations exist in exploring distal bowel segments, necessitating careful consideration for lower GI endoscopy.
  • Neonatal endoscopy should be rapid to avoid the need for premedication.

Purpose:

  • To evaluate the diagnostic accuracy and therapeutic utility of GI endoscopy in neonates.
  • To analyze the outcomes of upper and lower GI endoscopies in two neonatal age groups (0-14 days and 15-28 days).

Summary:

  • A retrospective study analyzed 127 GI endoscopies in neonates from 1983 to 2000.
  • Upper GI endoscopy, indicated primarily for reflux and vomiting (86%), demonstrated high diagnostic sensitivity and specificity.

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  • Lower GI endoscopy, performed for intestinal bleeding, also proved valuable, with 7 esophageal dilatations performed during upper procedures.

    • Impact:

    • GI endoscopy offers superior diagnostic accuracy for mucosal lesions compared to radiology in neonates.
    • Endoscopy serves as both a vital diagnostic and therapeutic intervention for neonatal gastrointestinal diseases.
    • Experienced endoscopists are essential for performing these procedures safely and effectively in the neonatal population.