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Published on: August 1, 2019
Pediatric colonoscopy: King Khalid University Hospital experience
1Department of Medicine, College of Medicine & KKUH King Saud University, Riyadh, Saudi Arabia.
Summary
Pediatric colonoscopy is a safe and effective procedure for diagnosing colonic diseases in children. This study highlights its utility in identifying conditions like ulcerative colitis and polyps, guiding better patient management.
Area of Science:
- Gastroenterology
- Pediatric Endoscopy
Background:
- Pediatric colonoscopy is an established diagnostic tool for evaluating colonic diseases in children.
- Limited data exists on pediatric colonoscopy practices within the local community.
Purpose of the Study:
- To analyze the utilization and outcomes of pediatric colonoscopies performed over a 15-year period at King Khalid University Hospital (KKUH).
- To identify common indications, findings, and procedural aspects of pediatric colonoscopy.
Main Methods:
- A retrospective study analyzing 66 colonoscopies performed on 62 pediatric patients (6 months to 16 years) at KKUH.
- Data collected included patient demographics, indications for colonoscopy, premedication used, and endoscopic findings.
Main Results:
- Abnormal findings were reported in 64% of procedures, with ulcerative colitis (19 patients) and polyps (17 patients) being the most common diagnoses.
- Rectal bleeding (32 patients) was the primary indication, followed by diarrhea (10 patients) and abdominal pain (7 patients).
- Normal findings were observed in 28.7% of cases, and 7.3% had inadequate preparation for reporting.
Conclusions:
- Pediatric colonoscopy is a safe and valuable procedure for diagnosing gastrointestinal conditions in children.
- The study emphasizes the importance of a high index of suspicion for ulcerative colitis in pediatric patients presenting with rectal bleeding or diarrhea to ensure optimal management.
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