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Eesophagogastroduodenoscopy in paediatrics: does abiding by the international guidelines lead to appropriate

Salma Burayzat1, Mohanad Odeh2, Eyad Altamimi3

  • 1Pediatrics, Faculty of Medicine, The Hashemite University, Zarqa, Jordan Salma.Braizat@hu.edu.jo.

BMJ Open
|December 29, 2022
PubMed

Insights

Following international guidelines for pediatric esophagogastroduodenoscopy (EGD) optimizes patient care. Adherence minimizes inappropriate procedures, ensuring better outcomes for children undergoing EGD.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Clinical Guidelines

Background:

  • Esophagogastroduodenoscopy (EGD) is a common procedure in pediatric gastroenterology.
  • International guidelines from ESPGHAN and ASGE guide EGD practices.
  • Optimizing patient management according to these guidelines is crucial.

Purpose of the Study:

  • To assess patient management based on international pediatric gastroenterology guidelines.
  • To correlate EGD appropriateness with diagnostic findings.
  • To evaluate the impact of guideline adherence on procedure outcomes.

Main Methods:

  • Retrospective cohort study of first-time diagnostic upper endoscopies.
  • Data collected from January 2016 to February 2020.
  • Inclusion of pediatric patients aged 9 months to 14 years.

Main Results:

  • 529 diagnostic EGDs were performed.
  • Helicobacter pylori-associated gastritis was the most frequent diagnosis (47%).
  • 92% of EGDs were appropriate; 7.7% were inappropriate.
  • 74% of biopsies yielded positive findings.

Conclusions:

  • Adherence to international guidelines enhances pediatric patient care.
  • General pediatricians should rigorously follow guidelines for EGD referrals.
  • Minimizing inappropriate procedures improves diagnostic yield and patient outcomes.

Keywords:
EndoscopyGASTROENTEROLOGYPaediatric gastroenterology

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