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A clinical study of upper gastrointestinal endoscopy in Japanese children
1Department of Pediatrics, Sendai City Hospital, Japan.
Insights
Pediatric upper gastrointestinal endoscopy is a safe and effective diagnostic tool for children, with a low complication rate of 0.2%. Appropriate pre-endoscopic medication selection is crucial for successful outcomes in pediatric endoscopy.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
Background:
- Upper gastrointestinal endoscopy is an essential diagnostic tool in pediatric care.
- Determining optimal pre-endoscopic medication strategies is vital for patient safety and procedure success.
Purpose of the Study:
- To evaluate the safety and efficacy of pediatric upper gastrointestinal endoscopy.
- To analyze diagnostic yield and identify common findings.
- To recommend appropriate pre-endoscopic medication based on age groups.
Main Methods:
- Retrospective study of 370 children undergoing 534 upper gastrointestinal endoscopy procedures.
- Analysis of procedure success rates, complications, and diagnostic outcomes.
- Review of pre-endoscopic medication protocols and patient age.
Main Results:
- All procedures were successful with a very low complication rate (0.2%).
- Endoscopic diagnoses were established in 70.8% of patients.
- Gastritis, peptic ulcer, duodenitis, and esophagitis were the most frequent diagnoses.
- Age-specific medication recommendations were proposed: topical anesthesia for school-age children, general anesthesia for neonates, and intravenous sedation for younger children.
Conclusions:
- Pediatric upper gastrointestinal endoscopy is a safe and valuable method for diagnosis and therapy.
- Careful selection of pre-endoscopic medication tailored to age is essential for optimizing outcomes.
Abstract:
A total of 370 children who underwent upper gastrointestinal endoscopy (534 procedures) were retrospectively studied. All procedures were performed successfully. Side effects were demonstrated in only one case (0.2%), which was complicated by perioral cyanosis during the procedure. As to pre-endoscopic medication, it was thought that topical pharyngeal anesthesia alone may well be used for school-age children over 7 years of age, general anesthesia with endotracheal intubation for neonates, and intravenous sedation for infants and younger children. Of 370 patients studied, 70.8% had endoscopic diagnoses. The most common diagnosis was gastritis (136 cases), followed by peptic ulcer (75), duodenitis (29), and esophagitis (20). Several conclusions for indications were drawn from the present study. Pediatric upper gastrointestinal endoscopy is a safe and useful method for diagnostic and therapeutic approach, if adequate pre-endoscopic medication is chosen.