Pediatric upper gastrointestinal endoscopy: A 13-year experience

doi:10.1016/S0022-3468(89)80398-7

Journal of Pediatric Surgery

Volume 24, Issue 5, May 1989, Pages 443-447

https://doi.org/10.1016/S0022-3468(89)80398-7 Get rights and content

This report describes a series of 553 flexible upper gastrointestinal (GI) endoscopies performed on 382 children in two surgical centers between 1975 and 1987. Indications indluded abdominal pain (180), reassessment of known disease (149), upper Gi bleeding (99), foreign body ingestion (77), vomiting (14), dysphagia (10), and miscellaneous (24). Findings were chronic peptic ulcer (47), gastritis/ duodenitis (63), healing disease (92), nonhealing disease (22), recurrent disease (32), foreign body impaction (22), stricture (9), esophagitis (7), varices (7), mass (6 [3 polyp, 1 lymphoma, 1 fungus ball, 1 inflammation]), normal (209), and miscellaneous (37). Endoscopic diagnosis was uniformly correct except on two occasions, when the presence of recurrent tracheoesophageal fistula in small infants was missed due to use of an inadequate instrument. A pathologic lesion is likely to be identifiable in Gl bleeding (84.8%). Endoscopic surveillance for progress of known disease was found to be valuable, particularly in peptic ulcer management, as both incomplete healing after standard theraphy as well as recurrence are frequett. The recent practice of routine antral biopsy in children with severe “nonspecific abdominable pain” enabled four cases of Campylobacter pylori colonization in the stomach to be diagnosed, thus allowing appropriate treatment. Endoscopy was therapeutic on 61 occasions; injection sclerotherapy (32), foreign body removal (20), polypectomy (3). and stricutre dilatation (6). Endoscopy-guided bougienage, in particular, represents a recent major advance. There was no morbidity or mortality in the entire series. It is concluded that pediatric upper Gl endoscopy performed by experienced surgeons is safe and effective. As a result of better understanding and technological advances, a changing trend of wider and more rational applications of the procedure is now evident.

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¹: From the Divisions of Pediatric Surgery, University of Hong Kong and University of Liverpool, United Kingdom.

View full text

Pediatric upper gastrointestinal endoscopy: A 13-year experience

J Pdiatr Surg

J Pediatr Surg

Gastroenterology

Gastroenterology

Gastrointest Endosc

Gastrointest Endosc

J Pediatr Surg

J Pediatr

Lancet

Lacet

J Pediatr

J Pediatr Surg

Fiberendoscopy of the gastrointestinal tract in children

Endoscopy

Fiberoptic endoscopy of upper gastrointestinal tract in infants and children. Upper endoscpy in 53 children

Am J Gastroenterol

Gastrointestinal fiberptic endoscopy in pediatric patients and juveniles

Endoscopy

Endoscopy in pediatric gastroenterology

Eur J Pediatr