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[Colonoscopy in children: personal experience]

A Magnano, C Virgilio, G Sanfilippo

    La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
    |May 1, 1982
    PubMed
    Summary
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    Pediatric colonoscopies using adult endoscopes are effective for diagnosing conditions like polyps and inflammatory processes in children. Anal bleeding is a common indication, with many examinations yielding negative results due to self-healing acute conditions.

    Area of Science:

    • Gastroenterology
    • Pediatric Endoscopy

    Context:

    • Colonoscopies in pediatric patients are less common than in adults.
    • Adult endoscopes have been utilized for pediatric examinations since 1974.
    • Minimal pharmacological preparation or benzodiazepine was typically used, with Ketamine anesthesia in only 16 cases.

    Purpose:

    • To review the indications, procedures, and findings of colonoscopies performed on pediatric patients.
    • To evaluate the efficacy of using adult endoscopes in children for gastrointestinal evaluations.

    Summary:

    • A total of 162 colonoscopies were performed on patients aged six months to 15 years.
    • Common indications included anal bleeding, with isolated polyps (43 cases) and inflammatory processes (12 cases) being the most frequent diagnoses.
    • A significant number of examinations (73 cases) were negative, potentially due to the resolution of acute conditions before examination.

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    Impact:

    • Highlights the utility of colonoscopy in pediatric diagnostics, particularly for rectal and sigmoid pathologies.
    • Suggests that adult endoscopes are a viable option for pediatric colonoscopy.
    • Provides insights into the common causes of lower gastrointestinal symptoms in children.