Related Experiment Video
Updated: Jul 1, 2025
Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
Age Is a Risk Factor for Gastroscopy-Assisted Capsule Endoscopy in Children
Hongli Wang1, Jing Xie1, Lu Ren1
1Department of Gastroenterology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Insights
Age is a key risk factor for gastroscopy-assisted capsule endoscopy in children. Comprehensive assessment is vital before the procedure to ensure patient safety and optimal outcomes.
Area of Science:
- Pediatric Gastroenterology
- Medical Devices
- Diagnostic Imaging
Background:
- Capsule endoscopy is a valuable tool for examining the pediatric small bowel.
- Gastroscopy-assisted capsule endoscopy may be used in specific pediatric cases.
- Understanding risk factors and transit times is crucial for optimizing this procedure.
Purpose of the Study:
- To identify risk factors for gastroscopy-assisted capsule endoscopy in pediatric patients.
- To determine factors influencing small bowel transit time during capsule endoscopy in children.
Main Methods:
- Retrospective analysis of clinical data from 239 pediatric patients.
- Multivariate logistic regression to identify risk factors.
- Comparison of small bowel transit times between self-swallowed and gastroscopy-assisted groups.
Main Results:
- Age was the only significant risk factor for gastroscopy-assisted capsule endoscopy (P < .05).
- Small bowel transit time was shorter in the self-swallowed group compared to the gastroscopy-assisted group.
- Intestinal preparation, metoclopramide, and small bowel lesions did not significantly affect transit time.
Conclusions:
- Age is a critical risk factor for gastroscopy-assisted capsule endoscopy in pediatric patients.
- Pre-procedure comprehensive assessment is essential, considering patient age.
- Further research may explore optimizing transit times and reducing retention rates.
Background/Aims:
The aim of this study was to explore the risk factors for the incidence of gastroscopy-assisted capsule endoscopy and the small bowel transit time in pediatric patients who underwent capsule endoscopy examination.
Materials And Methods:
A retrospective analysis was performed to analyze the clinical data collected from pediatric patients who underwent capsule endoscopy examination.
Results:
A total of 239 pediatric patients were enrolled in this study. About 196 (82.0%) patients completed the entire small bowel capsule endoscopy examination, while 3 (1.3%) patients were subjected to capsule retention. Only age, not gender, height, body weight, body mass index, chief complaint, and intestinal preparation medications, has been identified as a risk factor for the incidence of gastroscopy-assisted capsule endoscopy (P < .05) by multivariate logistic regression. Further analysis showed that the small bowel transit time in the self-swallowed group was shorter than that in the gastroscopy-assisted group, while no significant difference was obtained in other factors, including intestinal preparation medications, metoclopramide, and lesions in the small intestine, which did not significantly affect small bowel transit time compared with the corresponding control group (P > .05).
Conclusion:
A comprehensive assessment is required before performing capsule endoscopy, because age has been identified as a critical risk factor for the incidence of gastroscopy-assisted capsule endoscopy in pediatric patients.
Related Concept Videos
01:28Endoscopic Procedures III: Video Capsule Endoscopy
01:21Barrett Esophagus-I: Introduction
This constant acid exposure transforms the esophagus's pink mucosal lining (stratified squamous epithelium) into a type of lining more...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
01:26Endoscopic Procedures V: ERCP
Patient...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
01:30Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...