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Diagnostic upper GI endoscopy for hemetemesis in children: experience from a pediatric gastroenterology centre in

S K Mittal1, K K Kalra, V Aggarwal

  • 1Department of Pediatrics, Maulana Azad Medical College, New Delhi.

Indian Journal of Pediatrics
|November 1, 1994
PubMed

Insights

Upper GI endoscopy is a safe and effective tool for diagnosing upper gastrointestinal bleeding in children. This study found varices and esophagitis to be the most common causes of hemetemesis in pediatric patients.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy

Background:

  • Hematemesis, or vomiting blood, is a concerning symptom in children.
  • Identifying the cause of upper gastrointestinal bleeding is crucial for appropriate management.
  • Upper gastrointestinal endoscopy is a primary diagnostic tool for such conditions.

Purpose of the Study:

  • To evaluate the safety and utility of upper GI endoscopy in pediatric patients presenting with hematemesis.
  • To determine the common endoscopic findings in children with upper gastrointestinal bleeding.

Main Methods:

  • A retrospective analysis of 236 children (up to 12 years) who underwent upper GI endoscopy for hematemesis.
  • Documentation of endoscopic findings, including varices, esophagitis, gastritis, and ulcers.
  • Assessment of procedure-related complications.

Main Results:

  • Varices were the most frequent finding (39.41%), followed by esophagitis (23.73%).
  • Gastritis, gastric ulcers, and duodenal ulcers were less common.
  • The cause of bleeding remained undetermined in 27.54% of cases.
  • No significant premedication or procedure-related complications were reported.

Conclusions:

  • Upper GI endoscopy is a safe and valuable investigation for pediatric hematemesis.
  • Endoscopic evaluation aids in identifying common causes of bleeding in children, such as varices and esophagitis.
  • The procedure demonstrates a favorable safety profile in the pediatric population.

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