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[Pediatric digestive endoscopy: personal experience]

A Paterlini, A Ravelli, A Salmi

    La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
    |November 1, 1983
    PubMed

    Insights

    Pediatric gastrointestinal fiber endoscopy is a crucial diagnostic and therapeutic tool. This study of 100 procedures in 81 children found it safe and effective for diagnosing and treating various gastrointestinal conditions.

    Area of Science:

    • Pediatric Gastroenterology
    • Gastrointestinal Endoscopy
    • Diagnostic Procedures

    Context:

    • Fiberendoscopy is increasingly vital in pediatric gastroenterology for diagnosis and therapy.
    • A 3-year study (Nov 79 - Oct 82) involved 100 gastrointestinal fiberoscopies in 81 pediatric patients (1 month - 14 years).
    • General anesthesia was used in 9 procedures.

    Purpose:

    • To evaluate the safety and efficacy of fiberendoscopy in pediatric patients.
    • To assess the diagnostic yield of upper GI endoscopies and colonoscopies in children.
    • To document therapeutic interventions performed via endoscopy.

    Summary:

    • 70 upper GI endoscopies (Olympus GIF P2) revealed inflammatory changes in most cases, with successful visualization of post-bulbar areas in 46 patients.
    • 30 colonoscopies, often using adult equipment, extended to the cecum in 50% of cases, frequently identifying inflammatory diseases or no significant findings.
    • Therapeutic indications included esophageal achalasia dilatation and removal of four gastrointestinal bleeding polyps.

    Impact:

    • Fiberendoscopy demonstrated satisfactory results with no reported morbidity in pediatric patients.
    • The study highlights the value of endoscopy in pediatric gastrointestinal diagnostics and treatment.
    • Established fiberendoscopy as a safe and effective procedure in pediatric gastroenterology.

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