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Related Experiment Videos

Pediatric upper gastrointestinal endoscopy: a 13-year experience.

P K Tam1, H Saing

  • 1Division of Pediatric Surgery, University of Hong Kong.

Journal of Pediatric Surgery
|May 1, 1989
PubMed
Summary

Pediatric upper gastrointestinal (GI) endoscopy is a safe and effective diagnostic and therapeutic tool for children. This study highlights its value in diagnosing various GI conditions and managing them effectively.

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Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy
  • Surgical Procedures

Background:

  • Flexible upper gastrointestinal (GI) endoscopy has become increasingly important in pediatric care.
  • Understanding the diagnostic yield and therapeutic applications in children is crucial for effective patient management.

Purpose of the Study:

  • To evaluate the safety and efficacy of pediatric upper GI endoscopy.
  • To analyze indications, findings, and outcomes of upper GI endoscopy in a pediatric population.

Main Methods:

  • A retrospective review of 553 flexible upper GI endoscopies performed on 382 children between 1975 and 1987.
  • Analysis of indications, endoscopic findings, diagnostic accuracy, and therapeutic interventions.

Main Results:

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  • Common indications included abdominal pain, GI bleeding, and foreign body ingestion.
  • Significant findings included peptic ulcer disease, gastritis/duodenitis, and foreign body impactions.
  • Endoscopy was therapeutic in 61 cases, including sclerotherapy and foreign body removal. Diagnostic accuracy was high, with no reported morbidity or mortality.

Conclusions:

  • Pediatric upper GI endoscopy, when performed by experienced surgeons, is a safe and effective procedure.
  • The study demonstrates a trend towards wider and more rational applications of endoscopy in children, supported by technological advancements.