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Nationwide survey of pediatric gastrointestinal endoscopy in Japan

Takahiro Kudo1,2, Daiki Abukawa3,2, Yoshiko Nakayama4,2

  • 1Department of Pediatrics, Juntendo University Faculty of Medicine, Tokyo, Japan.

Journal of Gastroenterology and Hepatology
|October 31, 2020
PubMed

Insights

Pediatric gastrointestinal endoscopy use is rising. While endoscopic examinations show a slight increase in adverse events, endoscopic treatments remain safe, with no reported deaths in this nationwide Japanese study.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Patient Safety

Background:

  • Pediatric gastrointestinal endoscopy use is increasing due to improved technology and expertise.
  • Nationwide data on pediatric endoscopy utilization and safety are crucial.

Purpose of the Study:

  • To investigate the rates of pediatric gastrointestinal endoscopy use in Japan.
  • To assess the incidence and types of adverse events associated with these procedures.

Main Methods:

  • A nationwide survey was conducted in Japan using questionnaires.
  • Data on pediatric gastrointestinal endoscopy cases and adverse events from April 2011 to March 2016 were collected from 445 institutions.

Main Results:

  • Over 37,000 pediatric gastrointestinal endoscopies were performed, with esophagogastroduodenoscopy and colonoscopy being the most common examinations.
  • Endoscopic treatments included balloon dilatation, foreign body removal, and polypectomy.
  • The overall adverse event rate was 0.54% for examinations and 2.33% for treatments, with a low rate of serious complications like perforation. No deaths were reported.

Conclusions:

  • Pediatric endoscopic examinations, particularly ERCP and small intestine enteroscopy, had a slightly higher adverse event rate compared to previous reports.
  • The adverse event rate for endoscopic treatments remained stable and did not increase.
  • The study highlights the generally safe profile of pediatric gastrointestinal endoscopy while noting areas for vigilance.
Abstract

Keywords:
Balloon enteroscopyGastrointestinal endoscopyHealthcare surveysJapanWireless capsule endoscopy

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