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Upper gastrointestinal endoscopy is a safe and useful diagnostic tool for children with gastrointestinal issues like bleeding and difficulty swallowing. This procedure aids in early detection of conditions such as esophageal varices and celiac disease.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
Background:
- Gastrointestinal (GI) symptoms are common in children.
- Accurate diagnosis is crucial for effective management.
Purpose of the Study:
- To evaluate the utility and safety of diagnostic and therapeutic upper gastrointestinal endoscopy in pediatric patients.
- To assess the role of endoscopy in identifying causes of hematemesis, dysphagia, and chronic diarrhea.
Main Methods:
- Diagnostic and therapeutic upper gastrointestinal endoscopy was performed on 200 children.
- Duodenal biopsies were obtained for histological examination.
Main Results:
- Endoscopy effectively identified causes of upper GI problems, including hematemesis and dysphagia.
- Esophageal varices in children with suspected portal hypertension were detected early.
- Three cases of celiac disease were diagnosed via duodenal biopsies in children with chronic diarrhea.
Conclusions:
- Fiberoptic endoscopy plays a significant role in pediatric practice.
- The procedure is largely safe and beneficial for diagnosing and managing pediatric GI conditions.
Abstract:
Diagnostic and therapeutic upper gastrointestinal endoscopy was carried out among 200 children. The procedure proved useful in detecting causes of various upper gastrointestinal problems especially hematemesis and dysphagia. It was also helpful in early detection of esophageal varices in children with suspected portal hypertension. Duodenal biopsies could be obtained in all children being investigated for chronic diarrhea and proved helpful in diagnosing three cases of celiac disease. Fiberoptic endoscopy has a large role to play in pediatric practice and is largely a safe procedure.