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[Application of electronic gastroscopy in 177 infants at ages of 0-3 months]
Yan-Hong Luo1, Jie-Yu You, Li Liu
1Hunan Provincial Children's Hospital, Changsha, China.
Insights
Electronic gastroscopy is a safe and effective diagnostic tool for infants aged 0-3 months with gastrointestinal issues. This visual method aids in diagnosing digestive tract diseases, offering therapeutic interventions when needed.
Area of Science:
- Pediatric Gastroenterology
- Medical Imaging
- Endoscopic Procedures
Context:
- Infants aged 0-3 months often present with non-specific gastrointestinal symptoms.
- Diagnostic challenges exist in evaluating the upper gastrointestinal tract in neonates and young infants.
- Minimally invasive diagnostic procedures are crucial for this vulnerable population.
Purpose:
- To evaluate the clinical application and safety of electronic gastroscopy in infants aged 0-3 months.
- To assess the diagnostic yield and therapeutic potential of electronic gastroscopy in this age group.
Summary:
- 177 infants (0-3 months) underwent electronic gastroscopy for upper gastrointestinal symptoms.
- The procedure was successful and well-tolerated in all infants.
- Positive findings included upper gastrointestinal bleeding and recurrent vomiting; therapeutic interventions like foreign body removal and antihemorrhagic drug administration were performed.
Impact:
- Electronic gastroscopy provides a safe and visual method for diagnosing digestive tract diseases in young infants.
- The findings support the recommendation for widespread use of electronic gastroscopy in infants aged 0-3 months.
- This technique can lead to timely diagnosis and appropriate management of pediatric gastrointestinal conditions.
Objective:
To study the clinical application and the safety of electronic gastroscopy in infants at ages of 0-3 months.
Methods:
An Olympus electronic gastroscope GIF 260 or GIF 230 was applied in 177 infants at ages of 0-3 months with upper gastrointestinal symptoms. An ECG Monitor II was used for monitoring heart rate, cardiac rhythm and pulse transcutaneous oxygen saturation in 65 infants during the whole process of gastroscopy. Some related treatments were performed under the electronic gastroscope, such as removal of foreign body, topical administration of antihemorrhagic drugs, reduction of volvulus of stomach and bougienage of oesophagus.
Results:
All 177 infants were examined successfully and they all well tolerated. Forty-two cases demonstrated positive findings in 68 cases of upper gastrointestinal bleeding. Ninety-two cases demonstrated positive findings in 104 cases of recurrent vomiting. Under the electronic gastroscope, removal of foreign body in the upper gastrointestinal tract was performed in 5 cases; topical administration of antihemorrhagic drugs or electrocoagulation for stopping bleeding in 22 cases; reduction of volvulus of stomach in 3 cases.
Conclusions:
As a safe and visual means for diagnosis of digestive tract diseases, the electronic gastroscopy may be recommended for wide application in infants at ages of 0-3 months.
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