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Paediatric GI emergencies
Efstratios Saliakellis1, Osvaldo Borrelli, Nikhil Thapar
1Division of Neurogastroenterology and Motility, Department of Paediatric Gastroenterology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.
Insights
This review covers challenging pediatric gastrointestinal (GI) emergencies, from common to rare conditions. It highlights diagnostic and treatment advances for inflammatory issues, obstructions, hemorrhage, and foreign body ingestions in children.
Area of Science:
- Pediatric Gastroenterology
- Emergency Medicine
- Clinical Pediatrics
Background:
- Pediatric gastrointestinal (GI) emergencies encompass a spectrum of conditions, from common to rare, posing diagnostic and management challenges.
- Accurate identification of severe, life-threatening GI pathologies in children is crucial for timely intervention.
Purpose of the Study:
- To review and discuss key pediatric GI emergencies that present diagnostic and therapeutic difficulties.
- To classify these emergencies by presentation or pathogenesis, including inflammatory conditions, GI obstruction, hemorrhage, and foreign body/caustic ingestions.
Main Methods:
- Literature review and synthesis of recent advances in pediatric GI emergency management.
- Classification of conditions based on clinical presentation and underlying pathogenesis.
Main Results:
- Discussion of challenging pediatric GI emergencies including inflammatory conditions, obstruction, hemorrhage, and foreign body/caustic ingestions.
- Highlights recent advancements in the diagnosis and treatment of these critical pediatric conditions.
Conclusions:
- Effective management of pediatric GI emergencies requires a thorough understanding of diverse pathologies.
- Future research should focus on refining diagnostic tools and therapeutic strategies for complex pediatric GI cases.
Abstract:
Paediatric GI emergencies constitute a wide range of gut pathologies ranging from those that are common, easily diagnosed and treated to conditions that are rarer, often more severe and challenging to manage. Among a myriad of ordinary clinical symptoms and signs physicians have to identify the child with a serious, life-threatening pathology and initiate the appropriate diagnostic and therapeutic pathway. The aim of the review is to present and discuss a selection of key paediatric GI emergencies that provide challenges in diagnosis and treatment. These conditions are classified by their presentation or pathogenesis and include inflammatory conditions, those presenting with GI obstruction or haemorrhage and the ingestion of foreign bodies or caustic substances. The most recent advances regarding the management of these entities are discussed along with key areas of clinical practice and future research.
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