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Published on: October 16, 2013
Lower Gastrointestinal Bleeding & Intussusception
Benjamin E Padilla1, Willieford Moses2
1Division of Pediatric Surgery, University of California, San Francisco, 550 16th Street, 5th Floor, Box 0570, San Francisco, CA 94158-2549, USA.
Insights
Lower gastrointestinal bleeding (LGIB) in children needs prompt evaluation due to diverse causes. This review details diagnosing and managing pediatric LGIB, emphasizing intussusception.
Area of Science:
- Pediatric Gastroenterology
- Clinical Medicine
- Medical Diagnostics
Background:
- Lower gastrointestinal bleeding (LGIB) is uncommon in children but necessitates urgent assessment.
- Causes of pediatric LGIB range from benign to critical conditions.
- Age significantly influences the differential diagnosis of LGIB in pediatric patients.
Purpose of the Study:
- To review the differential diagnosis of lower gastrointestinal bleeding in children.
- To outline the management strategies for pediatric LGIB.
- To highlight the diagnosis and management of intussusception as a common cause of LGIB.
Main Methods:
- Literature review focusing on pediatric lower gastrointestinal bleeding.
- Analysis of diagnostic approaches for LGIB in pediatric populations.
- Synthesis of management guidelines for pediatric LGIB, with emphasis on intussusception.
Main Results:
- LGIB causes in children are age-dependent.
- Intussusception is a frequent cause of LGIB in the pediatric population.
- Timely diagnosis and management are crucial for favorable outcomes.
Conclusions:
- Effective management of pediatric LGIB requires understanding age-specific etiologies.
- Intussusception diagnosis and treatment are critical components in managing pediatric LGIB.
- A comprehensive approach is essential for addressing the spectrum of LGIB causes in children.
Abstract:
Relatively uncommon compared with the adult population, lower gastrointestinal bleeding in children requires expeditious evaluation and management because of the variety of causes ranging from benign to life-threatening conditions. The causes of lower gastrointestinal bleeding (LGIB) vary with patient age. This review focuses on the differential diagnosis and management of LGIB in children. Because intussusception is one of the most common sources of LGIB, particular attention will be given to its diagnosis and management.
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