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[Upper gastrointestinal endoscopy in children: indications and results]

C T Ferreira1, M R Berti, A L Pires

  • 1Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil.

Jornal De Pediatria
|December 20, 2003
PubMed

Insights

Upper digestive endoscopy is crucial for pediatric gastroenterology, with 58% of children showing endoscopic lesions. This essential diagnostic tool aids in identifying conditions like esophagitis and gastritis in young patients.

Area of Science:

  • Pediatric Gastroenterology
  • Diagnostic Endoscopy

Background:

  • Upper digestive endoscopy is increasingly utilized in pediatric care.
  • Understanding endoscopic and histologic findings is vital for diagnosis and management.

Purpose of the Study:

  • To detail the indications, findings, and complications of upper digestive endoscopies in children and adolescents.
  • To highlight the diagnostic and therapeutic utility of endoscopy in pediatric gastroenterology.

Main Methods:

  • Conducted 228 upper digestive endoscopies in pediatric patients (3 months to 19 years).
  • Utilized general anesthesia in 80% of cases; performed biopsies in 210 patients.
  • Investigated Helicobacter pylori in 130 patients via antral biopsies.

Main Results:

  • 58% of examinations revealed endoscopic alterations; 84% showed abnormal histologic findings.
  • Common endoscopic findings included esophagitis (50), gastritis (44), and duodenitis (29).
  • Gastritis (87) and esophagitis (50) were the most frequent histologic findings; H. pylori was positive in 19.2%.

Conclusions:

  • Upper digestive endoscopy is an indispensable procedure in pediatric gastroenterology.
  • Endoscopy significantly expands diagnostic capabilities and enables therapeutic interventions for upper digestive lesions in children.
  • A high prevalence of endoscopic lesions was observed in the studied pediatric population.

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