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Upper GI endoscopy in children- in an adult suite

M R Joshi1, S K Sharma, M R Baral

  • 1Department of Surgery, Kathmandu Teaching Hospital, Sinamangal, Kathmandu. mukundrajjoshi@yahoo.com

Kathmandu University Medical Journal (KUMJ)
|January 18, 2006
PubMed

Insights

Upper GI endoscopy is a safe and effective diagnostic tool for children, even when performed in adult suites without sedation. This approach is particularly valuable in developing countries lacking specialized pediatric endoscopy units.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures

Background:

  • Paediatric endoscopy services are limited in many referral centers.
  • Upper gastrointestinal (GI) endoscopy is a common procedure in adults.

Purpose of the Study:

  • To review the efficacy and safety of upper GI endoscopy in children.
  • To evaluate the feasibility of performing pediatric endoscopy in an adult suite.

Main Methods:

  • Retrospective study of endoscopies performed on children up to 15 years old.
  • Procedures conducted in an adult endoscopy suite at Kathmandu Medical College over one year.
  • Analysis of referred cases from the pediatric unit.

Main Results:

  • Pediatric endoscopies constituted 6% of total upper GI endoscopies.
  • 87% of procedures were performed under local anesthesia and well-tolerated.
  • Recurrent abdominal pain was the most common indication, with one-third of cases showing significant findings.

Conclusions:

  • Upper GI endoscopy is a valuable diagnostic tool for pediatric patients.
  • Endoscopic services can be safely provided in adult suites, even without sedation, in resource-limited settings.
  • Pediatric patients tolerate upper GI endoscopy well, with or without sedation.
Abstract

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