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We investigated the indications for and findings of gastrointestinal (GI) endoscopy in all children ≤ 16 years old referred for the procedure to the endoscopy unit at Soba University Hospital, Khartoum from January 2004 to January 2006. Thus 113 children were enrolled; 73% underwent upper GI endoscopy, 27% lower GI endoscopy (15% colonoscopy, 12% flexible sigmoidoscopy). Indications for upper GI endoscopy included haematemesis (24%), portal hypertension (21%), abdominal pain (16%) and vomiting (15%). Diagnoses included oesophageal varices (16%), gastritis (7%) and hiatus hernia (6%). Indications for lower GI endoscopy included rectal bleeding (87%), diarrhoea (19%) and anaemia (10%). ‫ﺍﻟﺴﻮﺩﺍﻥ‬ ‫ﰲ‬ ‫ﺟﺎﻣﻌﻲ‬ ‫ﻣﺴﺘﺸﻔﻰ‬ ‫ﺧﱪﺓ‬ ‫ﺍﻷﻃﻔﺎﻝ:‬ ‫ﻋﻨﺪ‬ ‫ﺍﳍﻀﻤﻲ‬ ‫ﺍﻟﺘﻨﻈﲑ‬

In the diagnosis of IBS, inexpensive, noninvasive tests should be used first to rule out other diagnoses. Despite their high incremental cost-effectiveness ratio, flexible sigmoidoscopy and colonoscopy are indicated when a serious organic disease is reasonably likely and needs to be ruled out.

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