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Published on: August 26, 2014
[Interventional endoscopy in the gastrointestinal tract in children]
Samir Boukthir1, Sonia Mazigh Mrad, S Ben Nasr
1Service de Médecine Infantile C, Hôpital d'Enfants.
Insights
Interventional gastrointestinal (GI) endoscopy in children is common, with esophageal stenosis being the primary indication for procedures like dilation. Other key interventions include rectal polyp resection and esophageal varices ligation.
Area of Science:
- Pediatric Gastroenterology
- Interventional Endoscopy
- Gastrointestinal Procedures
Context:
- Interventional endoscopic procedures of the gastrointestinal tract in children are increasingly common.
- A pediatric GI unit conducted a 10-year retrospective study on these procedures.
Purpose:
- To analyze the indications and outcomes of interventional gastrointestinal endoscopies in a pediatric population.
- To identify the most frequent reasons for performing these procedures.
Summary:
- The study reviewed 185 interventional endoscopic procedures in 96 pediatric patients (median age 4.9 years) from 1999-2008.
- Esophageal stenosis (47.9%) was the leading indication, followed by rectal polyp resection (19.8%) and esophageal varices ligation (19.7%).
- Esophageal dilations constituted 61.1% of procedures, addressing caustic, peptic, and anastomotic stenosis.
Impact:
- Provides insights into the utilization and primary drivers of interventional GI endoscopy in pediatric care.
- Highlights esophageal stenosis as a significant area requiring endoscopic intervention in children.
- Informs clinical practice and resource allocation for pediatric gastroenterology units.
Background:
Interventional endoscopic procedures involving the gastrointestinal (GI) tract in children are very common. Over the last several years the number of procedures in this area has steadily increased.
Aim:
To study indications and results of GI interventional endoscopies performed in a Pediatric GI unit.
Methods:
Retrospective study over a period of 10 years (1999-2008). Data were collected from endoscopic files. All procedures were performed endoscopically under general anesthesia.
Results:
185 interventional endoscopic procedures were done during this period in 96 patients (58 boys) median age: 4.9±4.7 years (1 month-13 years). Indications were as follows: esophageal stenosis (n=46; 47.9%), rectal polyp resection (n=21; 19.8%), esophageal varices ligation (n=19; 19.7%), foreign body extractions (n=8; 8.3%) and percutaneous endoscopic gastrostomy (n=2; 2.1%). One hundred and thirteen esophageal dilations (61.1% of procedures) were performed in 46 patients: caustic stenosis (n=22; 22.9%), peptic stenosis (n=13; 13.5%) and anastomotic stenosis (n=11; 11.4%).
Conclusion:
The main indication of interventional GI endoscopy in this series was oesophageal stenosis followed by rectal polyp resection, esophageal varices ligation and foreign body extractions.
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