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Colonoscopic finding in children with lower gastrointestinal complaints
Shinwari Abdullah Jan1, Ghayour Ajmal1, Zaheer Naimatullah2
1Medical Faculty Nangarhar University Jalalabad Afghanistan.
Insights
Pediatric colonoscopy effectively diagnoses lower gastrointestinal diseases, with colorectal polyps being common in younger children and inflammatory bowel disease in older ones. This safe procedure aids in identifying conditions like hematochezia.
Area of Science:
- Pediatric Gastroenterology
- Endoscopy
- Diagnostic Medicine
Background:
- Colonoscopy is a crucial diagnostic and therapeutic tool for lower gastrointestinal (LGI) diseases in pediatric patients.
- This study focuses on the endoscopic findings in children undergoing colonoscopy in Jalalabad, Afghanistan.
Purpose of the Study:
- To describe the endoscopic profile of children undergoing colonoscopy.
- To identify common LGI diseases and their prevalence in pediatric populations.
Main Methods:
- A cross-sectional descriptive study analyzing colonoscopy reports from children aged 16 years and younger.
- Data collected from January 2021 to December 2022 at the Shinnwari Gastroenterology Diagnostic Clinic.
Main Results:
- Out of 672 procedures, 250 were diagnostic in children (median age 7.41 years).
- Abnormal findings were present in 81.2% of cases, with hematochezia being the most common presentation.
- Colorectal polyps were the most frequent finding (50%), particularly in children under 9 years. Internal hemorrhoids (10%) and inflammatory bowel disease (1.2%) were more prevalent in older children (≥9 years).
Conclusions:
- Colonoscopy is a safe and valuable procedure for diagnosing pediatric LGI conditions, especially hematochezia.
- Findings highlight the importance of colonoscopy in identifying specific pathologies like colorectal polyps and inflammatory bowel disease in children.
Background And Aim:
Colonoscopy is an important tool for the diagnosis and treatment of lower gastrointestinal (LGI) diseases in both children and adults. This study describes an endoscopic profile of children at the Shinnwari Gastroenterology Diagnostic Clinic in Jalalabad, Afghanistan.
Methods:
This is a cross-sectional descriptive study conducted in children ≤16 years, taken from recorded colonoscopy reports from 1 January 2021 to 30 December 2022.
Results:
Of the 672 colonoscopy procedures, 250 were diagnostic in children (7.41 years median age; 2.5:1 male/female ratio) without serious complications. Abnormal findings were recorded in 201 (81.2%) procedures; the most common presentation was hematochezia, which was higher in 5-8-year-olds. More frequent findings were colorectal polyps (50%), infection (16.4%), internal hemorrhoid (IH; 10%), and inflammatory bowel disease (IBD; 1.2%). Incidences of colorectal polyps were higher in those aged <9 years (37.2% vs 12.8%; P < 0.001). Conversely, internal IH and IBD tended to be higher in older children (aged ≥9 years) (IH: 6.8% vs 3.2%; P < 0.005; IBD: 1.2% vs 0%; P < 0.02). Colonoscopy procedures were completed without major complications.
Conclusion:
Colonoscopy is an important and safe procedure for the diagnosis of LGI compliants, especially hematochezia, which is frequently accompanied by colorectal polyps.
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