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[Hematemesis in childhood. Use of the fiberscope in diagnosis]
Anales Espanoles De Pediatria
|July 1, 1982
Insights
Pediatric hematemesis is effectively diagnosed using flexible esophagogastroduodenoscopy (FEC). Early FEC use improves diagnostic accuracy, revealing a high incidence of gastritis linked to salicylate ingestion in children.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
Context:
- Hematemesis is a concerning symptom in pediatric patients.
- Traditional diagnostic methods may have limitations in speed and accuracy.
- Salicylate ingestion is a potential cause of upper gastrointestinal bleeding in children.
Purpose:
- To evaluate the utility of flexible esophagogastroduodenoscopy (FEC) for diagnosing hematemesis in pediatric patients.
- To assess the diagnostic yield and timeliness of FEC in this population.
- To investigate the correlation between FEC findings and salicylate ingestion.
Summary:
- Flexible esophagogastroduodenoscopy (FEC) demonstrated high diagnostic positivity in pediatric patients presenting with hematemesis.
- The early application of FEC was crucial for timely diagnosis.
- Hemorrhagic gastritis was frequently identified, often associated with salicylate ingestion.
Impact:
- Highlights FEC as a valuable tool for pediatric hematemesis evaluation.
- Emphasizes the importance of considering salicylate toxicity in pediatric GI bleeds.
- Informs clinical practice regarding prompt endoscopic intervention for pediatric upper GI bleeding.
Abstract:
Authors report the results of utilization of fiberscope (FEC) in pediatric patients with hematemesis. They emphasize the utility of this method, its high percentage of positivity in the diagnostic in relation to the precocity of the FEC and the high incidence of hemorrhage gastritis in relation to salycilates ingest.