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Upper Gastrointestinal Endoscopy by Pediatric Surgeons: Our Early Experience

Adnan Sayeed1, Anand Alladi1, Venkatesh Kesarla Lakshmaiah1

  • 1Department of Paediatric Surgery, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.

Journal of Indian Association of Pediatric Surgeons
|June 24, 2024
PubMed

Insights

Pediatric surgeons can effectively perform upper gastrointestinal (UGI) endoscopies, offering a feasible and beneficial alternative when pediatric gastroenterologists are unavailable. This approach improves patient management, especially in emergencies.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Procedures

Background:

  • Pediatric upper gastrointestinal (UGI) endoscopy is crucial for managing gastrointestinal issues in children.
  • Medical gastroenterologists traditionally perform UGI endoscopy, but their availability is limited, particularly during emergencies.
  • Pediatric surgeons offer a potential solution to address the scarcity of pediatric gastroenterologists.

Purpose of the Study:

  • To evaluate the feasibility and benefits of performing UGI endoscopy by pediatric surgeons.
  • To assess the role of pediatric surgeons in managing pediatric gastrointestinal pathologies via endoscopy.

Main Methods:

  • A retrospective descriptive study was conducted from January 2017 to January 2022.
  • Data from 95 patients (aged 1-16 years) undergoing 130 UGI endoscopies were analyzed.
  • Parameters included patient demographics, indications for endoscopy, procedures performed, and complications.

Main Results:

  • Esophageal stricture (41 patients) and UGI foreign body (18 patients) were the most common indications for UGI endoscopy.
  • Thirty emergency procedures were performed.
  • One complication (perforation during dilation) occurred, managed conservatively.

Conclusions:

  • UGI endoscopy is a valuable diagnostic and therapeutic tool that can be successfully performed by trained pediatric surgeons.
  • This practice can expedite patient management, reduce the need for additional anesthesia, and is particularly useful in emergency situations.
  • Pediatric surgeons performing UGI endoscopy can supplement decision-making and improve care delivery.
Abstract

Keywords:
Esophageal stricturepediatric surgeonupper gastrointestinal endoscopy

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