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Pediatric colonoscopy: King Khalid University Hospital experience
1Department of Medicine, College of Medicine & KKUH King Saud University, Riyadh, Saudi Arabia.
Insights
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.
Abstract:
Pediatric colonoscopy is now an established procedure to evaluate colonic disease. As there is no reports about pediatric colonoscopy in our community a retrospective study was carried in KKUH to analyze the pediatric colonoscopies. This is a retrospective study over 15 years period in KKUH to analyze the pediatric colonoscopy. Sixty-six colonoscopies were done in sixty-two patients. The age ranged from 6 month to 16 years; with 35 males and 27 females. Forty-seven of the patients were Saudi. Indication for colonoscopy were bleeding per rectum thirty-two, diarrhea ten, abdominal pain seven, ulcerative colitis in four, suspected polyps in five and other indication in seven patients. In 33 patients colonoscopy was done without premedication, 11 patient had sedation while 22 had general anesthesia. Colonoscopy revealed abnormal finding in 64%, normal findings 28.7% and due to poor preparation no endoscopic report in 7.3%. The commonest abnormal finding were ulcerative colitis in 19 patients and polyps in 17 patients. Pediatric colonoscopy is a safe, practical rewarding procedure especially in certain categories of patients mainly those suspected to have ulcerative colitis, rectal bleeding or diarrhea. A high index of suspicion of ulcerative colitis will lead to better management of patients.
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