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[Emergency endoscopy in children: experience of a digestive endoscopy department]
D Pacchione1, M G Mortilla, E Ricci
1Servizio di Endoscopia Digestiva, Arcispedale S.M. Nuova, Reggio Emilia, Italia.
Insights
Emergency endoscopy is a valuable tool for diagnosing and treating childhood diseases, including foreign body ingestion and hematemesis. This procedure offers significant diagnostic and therapeutic benefits in pediatric care.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
- Emergency Medicine
Context:
- Emergency endoscopy has evolved significantly, establishing a crucial role in pediatric diagnostics and treatment.
- Historically, indications included foreign bodies, caustic ingestion, hematemesis, and suspected intussusception in children.
- This study reviews cases from 1979-1990 to assess the utility of emergency endoscopy in pediatric patients.
Purpose:
- To determine the primary indications for emergency endoscopic examinations in children.
- To identify the most effective diagnostic and therapeutic endoscopic measures for pediatric conditions.
- To evaluate the safety and efficacy of emergency endoscopy in pediatric patients.
Summary:
- A review of 202 pediatric patients (1 day-14 years) who underwent emergency endoscopy for conditions like foreign bodies, caustic ingestion, and hematemesis.
- The study found emergency endoscopy to be a safe procedure with no recorded complications.
- Results indicate a clear diagnostic and therapeutic advantage of emergency endoscopy in managing various pediatric diseases.
Impact:
- Emergency endoscopy is confirmed as a valuable diagnostic and therapeutic intervention in pediatric emergency care.
- The findings support the integration of emergency endoscopy into standard pediatric practice for specific indications.
- This approach enhances patient outcomes by providing timely diagnosis and treatment for critical pediatric conditions.
Abstract:
Many changes and advances have been achieved in the last years, so that emergency endoscopy has now a definite role also in the diagnosis and treatment of diseases in childhood. In order to determinate main indications to endoscopic examination, and which are the most useful diagnostic and therapeutic measures that should be performed, we examined the records of 202 patients (aged 1 day-14 years) undergone emergency endoscopy from June 1979 to January 1990. Patients were referred to endoscopy because of foreign bodies or caustic ingestion, hematemesis, and in one patient a suspected intussusception. We didn't record any complication. Our study shows that emergency endoscopy has a definite role also in pediatric age and gives a diagnostic and therapeutic gain in the management of many diseases.