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Small bowel biopsy in Swedish paediatric clinics
L Stenhammar1, H Ascher, L Danielsson
1Department of Paediatrics, Linköping University , Norrköping Hospital, Norrköping, Sweden. lars.stenhammar@lio.se
Acta Paediatrica (Oslo, Norway : 1992)
|November 19, 2002
Summary
Swedish pediatric clinics increasingly use endoscopic biopsies for diagnosing coeliac disease, though capsule biopsies remain viable. Both methods effectively obtain small bowel samples when children are properly sedated.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Endoscopy
- Coeliac Disease Diagnosis
Background:
- Coeliac disease is a common chronic condition in Swedish children.
- Accurate diagnosis requires small bowel biopsy.
- Debate exists regarding capsule versus endoscopic biopsy for pediatric coeliac disease.
Purpose of the Study:
- To assess current small bowel biopsy practices in Swedish pediatric clinics.
- To inform recommendations on biopsy techniques for childhood coeliac disease.
- To compare endoscopic and capsule biopsy routines.
Main Methods:
- A national questionnaire study was conducted in 2000.
- 39 out of 40 pediatric clinics responded (98% coverage).
- Data collected on biopsy techniques, sedation, and parental presence.
Main Results:
- Approximately 1400 biopsies were performed; 64% were capsule, 36% endoscopic.
- Sedation levels and monitoring differed between techniques.
- Parental presence varied significantly based on sedation and biopsy method.
Conclusions:
- A trend towards endoscopic biopsy is evident, with improved sedation practices.
- Both endoscopic and capsule biopsies are effective for small bowel sampling.
- Capsule biopsy is likely to persist due to practical and economic factors, albeit less frequently.