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Upper gastrointestinal endoscopy in the pediatric patient
1Division of Pediatric Gastroenterology and Nutrition, Children's Medical Center of Israel, Petah Tikva.
Israel Journal of Medical Sciences
|August 1, 1994
Summary
Pediatric upper gastrointestinal endoscopy is safe and effective for diagnosing conditions like abdominal pain in children. Sedation is often unnecessary, as young patients tolerate the procedure well without it.
Area of Science:
- Pediatric Gastroenterology
- Diagnostic Endoscopy
Background:
- Upper gastrointestinal endoscopy is a key diagnostic tool in pediatric care.
- Understanding the safety and efficacy of this procedure in children is crucial.
Purpose of the Study:
- To evaluate the safety and effectiveness of upper gastrointestinal endoscopy in pediatric patients.
- To assess the tolerance of pediatric patients to endoscopy with or without sedation.
Main Methods:
- A retrospective review of 289 upper gastrointestinal endoscopies performed on 237 pediatric patients between January 1988 and December 1991.
- Analysis of patient demographics, indications for procedures, sedation use, and endoscopic findings.
Main Results:
- Abdominal pain was the most common indication (57.4%).
- Gastritis, esophagitis, duodenitis, and duodenal ulcers were frequent findings.
- Endoscopy for small bowel biopsies was found to be safe and preferable to capsule biopsies.
- Patients tolerated procedures well, even without sedation.
Conclusions:
- Upper gastrointestinal endoscopy is a safe and effective diagnostic procedure for pediatric patients.
- Sedation is not always necessary for successful pediatric endoscopy.
- The procedure is well-tolerated by children and provides valuable diagnostic information.