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Related Experiment Videos

Sigmoidoscopy in children with chronic lower gastrointestinal bleeding.

P Mandhan1

  • 1Liaquat University of Medical and Health Sciences, Jamshoro/Hyderabad, Pakistan. parkash.mandhan@chmeds.ac.nz

Journal of Paediatrics and Child Health
|July 2, 2004
PubMed
Summary

Rigid sigmoidoscopy effectively diagnosed and treated children with chronic lower gastrointestinal bleeding. This procedure aided in the management and prognosis of pediatric rectal bleeding cases.

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Area of Science:

  • Pediatric Gastroenterology
  • Diagnostic Endoscopy
  • Colorectal Surgery

Background:

  • Chronic and minor lower gastrointestinal bleeding is a common concern in pediatric patients.
  • Accurate diagnosis and effective management are crucial for improving patient outcomes.
  • Rigid sigmoidoscopy offers a minimally invasive approach for evaluating the lower gastrointestinal tract.

Purpose of the Study:

  • To evaluate the diagnostic and prognostic utility of rigid sigmoidoscopy in children presenting with chronic and minor lower gastrointestinal bleeding.
  • To assess the role of rigid sigmoidoscopy in the management of pediatric rectal bleeding.
  • To correlate sigmoidoscopic findings with histopathological results.

Main Methods:

  • Retrospective review of clinical data from children under 15 years with lower gastrointestinal bleeding.

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  • Analysis of demographic data, clinical presentation, and management outcomes.
  • Rigid sigmoidoscopy and biopsy procedures performed between October 1998 and April 2002.

    • Main Results:

    • 229 sigmoidoscopic examinations were performed in 207 children; 77% had symptoms for over a year.
    • Juvenile colorectal polyps were the most common cause (75%), followed by non-specific proctitis (18%).
    • Rigid sigmoidoscopy enabled polyp removal and diagnosis of other conditions like solitary rectal ulcer and lymphoid nodular hyperplasia.

    Conclusions:

    • Rigid sigmoidoscopy is a valuable tool for diagnosing, treating, and evaluating the prognosis of pediatric lower gastrointestinal bleeding.
    • Histopathology confirmed the final diagnosis in all cases.
    • The procedure demonstrated efficacy in managing common causes of rectal bleeding in children.