Paediatric upper gastro-intestinal endoscopy in developing countries

Area of Science:

• Pediatric Gastroenterology
• Endoscopic Procedures
• Healthcare Management

Background:

• Endoscopic procedures are crucial for diagnosing pediatric gastrointestinal conditions.
• Specialized pediatric endoscopy units are not universally available, particularly in developing countries.
• Integrating pediatric endoscopy into adult units presents logistical and clinical challenges.

Purpose of the Study:

• To evaluate the safety and efficacy of performing pediatric endoscopies within an adult endoscopy unit.
• To identify common indications and diagnostic yields of endoscopy in children.
• To assess the feasibility of providing pediatric endoscopic services in resource-limited settings.

Main Methods:

• Retrospective analysis of 200 endoscopic procedures performed on 168 children (3 months to 18 years).
• Procedures conducted in a comprehensive health center's adult endoscopy unit.
• Data collected on indications, sedation requirements, procedural success, complications, and diagnoses.

Main Results:

• All 200 procedures were completed successfully.
• Positive diagnoses were obtained in 62% of cases.
• Most common diagnoses included celiac disease (26), gastritis (19), and esophagitis (18).
• Minimal sedation was needed for infants and adolescents.
• One instance of respiratory depression was successfully managed.

Conclusions:

• Pediatric endoscopy can be safely and effectively performed in adult endoscopy units.
• Adaptations for pediatric needs and availability of resuscitation equipment are essential.
• This model supports accessible endoscopic services for children, especially where specialized units are lacking.