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Upper gastrointestinal endoscopy in infants and children
Indian Pediatrics
|February 1, 1989
Summary
Pediatric upper gastrointestinal endoscopy is effective for diagnosis and treatment. Key considerations include anesthesia, with variceal bleeding being the most common issue, successfully managed by injection sclerotherapy.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Endoscopy
Background:
- Fibreoptic endoscopy is increasingly utilized in pediatric patients.
- Special considerations for pediatric endoscopy include specialized instruments, anesthesia, and specific indications.
Purpose of the Study:
- To evaluate the efficacy and safety of upper gastrointestinal endoscopy in children.
- To identify common causes of upper gastrointestinal bleeding and outcomes of therapeutic interventions in pediatric patients.
Main Methods:
- A retrospective review of 132 children undergoing upper gastrointestinal endoscopy over 24 months.
- Procedures included diagnostic and therapeutic endoscopy, with varying anesthesia protocols based on age.
Main Results:
- 132 children underwent 102 diagnostic and 162 therapeutic endoscopic procedures.
- Variceal bleeding (60.6%) was the most frequent cause of upper GI bleeding, followed by erosive gastritis (27.2%).
- Injection sclerotherapy effectively controlled variceal bleeding, and endoscopic retrieval was successful for most ingested foreign bodies.
Conclusions:
- Pediatric upper gastrointestinal endoscopy is a valuable tool for diagnosis and therapy.
- Anesthesia management varies by age, and endoscopic interventions are effective for common pediatric GI conditions like variceal bleeding and foreign body ingestion.