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Which Alarm Symptoms Are Associated With Abnormal Gastrointestinal Endoscopy Among Thai Children?

Anundorn Wongteerasut1

  • 1Department of Pediatrics, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, Thailand.

Pediatric Gastroenterology, Hepatology & Nutrition
|March 21, 2024
PubMed

Insights

Hematemesis/hematochezia and low hemoglobin levels are key indicators predicting abnormal pediatric endoscopy results. These alarm symptoms help guide decisions for gastrointestinal endoscopy in children.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Diagnostics
  • Clinical Risk Assessment

Background:

  • Alarm symptoms are critical for guiding pediatric gastrointestinal endoscopy.
  • Identifying predictive factors for abnormal endoscopic findings is essential for efficient patient management.

Purpose of the Study:

  • To identify alarm symptoms and pre-endoscopic investigations that predict abnormal pediatric endoscopy results.
  • To determine independent risk factors for abnormal findings in pediatric gastrointestinal endoscopy.

Main Methods:

  • Retrospective descriptive study of 148 children under 18 undergoing endoscopy.
  • Classification of patients into normal and abnormal endoscopic groups.
  • Univariate and multivariate logistic regression analyses to identify risk factors.

Main Results:

  • 66 out of 148 participants had abnormal endoscopy results.
  • The abnormal group showed a higher prevalence of alarm symptoms, including hematemesis/hematochezia.
  • Low hemoglobin, anemia, hypoalbuminemia, elevated ESR, lipase, and BUN/creatinine ratio were significantly higher in the abnormal group.

Conclusions:

  • Hematemesis/hematochezia and low hemoglobin levels were identified as independent risk factors for abnormal pediatric endoscopy.
  • These findings aid in evaluating alarm symptoms and investigations to predict endoscopic outcomes in children.
Abstract

Keywords:
ChildEndoscopyGastrointestinal tractRisk factors

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