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Impact of upper gastrointestinal endoscopic ultrasound in children

O S Bjerring1, J Durup, N Qvist

  • 1Department of Surgery, Section for Gastrointestinal Paediatric Surgery, Odense University Hospital, Odense, Denmark. steenbjerring@gmail.com

Journal of Pediatric Gastroenterology and Nutrition
|July 9, 2008
PubMed

Insights

Upper gastrointestinal endoscopic ultrasound (EUS) is a safe and feasible tool for diagnosing conditions in children under 16. This diagnostic method significantly impacted treatment decisions in most pediatric cases evaluated.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy
  • Diagnostic Imaging

Background:

  • The utility and safety of upper gastrointestinal endoscopic ultrasound (EUS) in pediatric patients are not well-established.
  • Limited data exists on the impact of EUS on treatment strategies for children.

Purpose of the Study:

  • To evaluate the feasibility, safety, and impact of upper gastrointestinal endoscopic ultrasound (EUS) in children younger than 16 years.
  • To assess the influence of EUS findings on subsequent clinical management in pediatric patients.

Main Methods:

  • Retrospective review of endoscopic ultrasound (EUS) procedures performed in patients under 16 years of age.
  • Analysis of procedural indications, safety events, and impact on further treatment decisions.

Main Results:

  • Eighteen pediatric patients (median age 12 years) underwent EUS for various indications including tumors, epigastric pain, pancreatitis, and jaundice.
  • Endoscopic ultrasound (EUS) demonstrated a significant impact on further treatment in 78% of the cases.
  • The procedure was found to be safe and feasible in the pediatric population.

Conclusions:

  • Upper gastrointestinal endoscopic ultrasound (EUS) is a safe, feasible, and valuable diagnostic tool for children.
  • EUS significantly influences diagnostic pathways and treatment planning in pediatric patients.
  • Further investigation into EUS applications in pediatric gastroenterology is warranted.

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