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[Endoscopic biopsy of the small intestine in children]
E F Ellekjaer1, T L Holmen, E Ulseth
1Medisinsk avdeling, Innherred sykehus Levanger.
Insights
Pediatric endoscopy with biopsy under general anesthesia is a safe and effective alternative to capsule suction for diagnosing celiac disease in children. This method offers shorter procedure times and higher quality biopsies with fewer complications.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Endoscopy
Context:
- Shift from capsule suction to endoscopy with biopsy for pediatric celiac disease diagnosis since 1983.
- Evaluation of a specific county hospital's procedural shift.
Purpose:
- To assess the mean endoscopy time and general anesthesia duration.
- To evaluate complication rates and biopsy quality in pediatric celiac disease diagnosis.
- To compare the efficacy of endoscopic biopsy versus capsule suction.
Summary:
- Seventeen children (8 boys, 9 girls; mean age 5.9 years) underwent endoscopy with biopsy using an Olympus GIF-Q endoscope.
- Mean endoscopy time was 5.3 minutes, and mean general anesthesia duration was 13.6 minutes.
- No serious complications (e.g., perforation, bleeding) were reported; all biopsies were deemed representative.
Impact:
- Endoscopic biopsy in pediatric celiac disease is time-sparing and less harmful.
- This method yields representative biopsies with a low complication rate.
- Establishes endoscopic biopsy as a preferred diagnostic tool in pediatric gastroenterology.
Abstract:
As from 1983, endoscopy with biopsy in general anesthesia was used instead of the capsule suction method in children with suspected coeliac disease in a county hospital. A study was carried out to evaluate mean endoscopy time, duration of general anesthesia, complications and quality of biopsies. An ordinary Olympus GIF-Q endoscope (diameter 11 mm) was used in 17 patients, eight boys and nine girls. Mean age was 5.9 years (range 11 months-14 years). Mean endoscopy time was 5.3 min. and of duration of general anesthesia 13.6 min. No serious complications such as perforation or bleeding were recorded. All the biopsies that were taken were considered representative. In coeliac disease the method is time-sparing, less harmful to the children, provides representative biopsies and gives fewer complications.