Pediatric Endoscopy, Update 2020

Schreiber-Dietrich, Dagmar; Hocke, Michael; Braden, Barbara; Carrara, Sandro; Gottschalk, Uwe; Dietrich, Christoph F.

doi:10.3390/app9235036

Cited by 10 publications

(6 citation statements)

References 146 publications

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“…Indications of UGIE were classified based on North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) recommendations [ 17 ]. Indications for both UGIE and LGI endoscopies were also in parallel with the list of indications published in the literature [ 18 , 19 ].…”

Section: Methodsmentioning

confidence: 99%

Indications and Yield of Pediatric Endoscopy in Bahrain: A Tertiary Center Experience

Isa

Alfayez

2022

International Journal of Pediatrics

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Background and Objectives. Gastrointestinal (GI) endoscopy is a medical field that has been evolving in the last decades. Innovative advances in pediatric endoscopy led to more accurate diagnosis of various GI diseases. This study aimed to assess the appropriateness of endoscopic procedures’ indications and to evaluate the diagnostic and therapeutic yield of pediatric GI endoscopy, considering the limitations to access this facility. Material and Methods. Retrospective, cross-sectional, and analytical chart review was performed for children who underwent GI endoscopy at Salmaniya Medical Complex, Bahrain, from 1995 to 2020. Demographic data, endoscopic indications, and findings were collected and compared. Results. Of 1,111 patients, 1,101 (99.1%) were included in the study. 589 (53.6%) patients were males. Median age at the time of endoscopy was 8 (interquartile range 3, 11) years. 1534 endoscopies were performed (1193 upper GI endoscopies (UGIE) and 341 colonoscopies) in 1296 sessions. The mean number of endoscopies per year was 59 ± 30.9 procedures with 81.4% reduction noted after coronavirus pandemic ( P < 0.0001 ). Ratio between UGIE to colonoscopy was 3.5 : 1. Median number of endoscopies per patient was one, ranging from one to eight procedures. 1153 (89%) sessions were diagnostic, and 143 (11.0%) were therapeutic. Main endoscopic indication was chronic abdominal pain (451 (40.9%) patients) followed by upper GI bleeding (302 (27.4%) patients). Overall positive yield was 68.1% (716/1052 procedures). Endoscopic yield varies according to the type of procedure ( P = 0.003 ). Colonoscopy alone gave a higher yield (82.6%, 38/46 procedures) compared to combined procedures (75.4%, 141/187) and UGIE alone (65.6%, 537/819). Conclusions. This study emphasizes a careful selection of the type of endoscopic procedures, based on the expected endoscopic yield, to diagnose and treat pediatric GI diseases. In patients with chronic abdominal pain, endoscopy should be reserved as a second-line tool to avoid unnecessary use of invasive procedures.

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Section: Methodsmentioning

confidence: 99%

Indications and Yield of Pediatric Endoscopy in Bahrain: A Tertiary Center Experience

Isa

Alfayez

2022

International Journal of Pediatrics

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“…Only a few centres have specialized paediatric gastrointestinal endoscopists due to a dearth of paediatric gastroenterologists. [5] Although pockets of training in paediatric endoscopy take place in selected tertiary health facilities in Nigeria, the first documented report on training of paediatric endoscopists in Nigeria was at a pre-conference workshop organized by the Nigerian Society of Paediatric Gastroenterology, Hepatology and Nutrition (NISPGHAN) in collaboration with the Paediatric Association of Nigeria in 2014, hosted by the University of Calabar Teaching Hospital, Calabar. [6] Paediatric endoscopy provides diagnostic and therapeutic benefits in the management of gastrointestinal disorders in children.…”

Section: 2022_______________________289mentioning

confidence: 99%

Paediatric Gastrointestinal Endoscopy in a Nigerian Tertiary Hospital

Atimati¹,

Ewah-Odiase²,

Oo³

2022

Ann Health Res

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Background: Gastrointestinal endoscopy is a very useful tool in the diagnosis and treatment of gastrointestinal disorders. Gastrointestinal endoscopy in paediatric practice is still evolving in Nigeria. Objective: To determine the common indications for paediatric endoscopy in a Nigerian tertiary hospital. Method: This was a retrospective study of all gastrointestinal endoscopic procedures performed for children aged 0 -18 years between January 2021 and March 2022. The hospital records of the children were retrieved, and data were extracted for analysis. Results: Thirty-seven endoscopic procedures were performed on 32 children with two subjects having repeated procedures while one had both upper and lower gastrointestinal endoscopic studies. The mean age of the children was 11 ± 5.4 years with those aged between 10 and 14 years constituting the majority (40.6%). Most indications were diagnostic and the commonest indication for endoscopy was upper abdominal pain (40.6%) which was followed by upper gastrointestinal bleeding (37.6%). The endoscopic findings were mainly gastritis (56.8%), hiatus hernia (32.4%) and duodenitis (18.9%). The commonest therapeutic indication for gastrointestinal endoscopy was variceal banding. Conclusion: Paediatric gastrointestinal endoscopy is useful for the diagnosis and treatment of paediatric gastrointestinal disorders. Upper abdominal pain and upper gastrointestinal bleeding are the leading indications for paediatric gastrointestinal endoscopy in Nigeria.

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“…With the development of medical technology, colonoscopy is commonly conducted in infants and children for the diagnosis and treatment of abdominal pain, diarrhea, weight loss, unexplained iron de ciency anemia, or unexplained hematochezia 1,2 . Colonoscopy has developed into a diagnostic and therapeutic tool for pediatric patients 3 .…”

Section: Introductionmentioning

confidence: 99%

Continuous Infusion of Lidocaine in Pediatric Colonoscopy: A Randomized Placebo-Controlled Study

Yuan

Wang

et al. 2020

Preprint

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Background: To investigate the effect of intravenous lidocaine on perioperative propofol and sufentanil dosage, pulse oxygen saturation, postoperative pain score and recovery time during pediatric colonoscopy.Methods: We designed a randomized placebo-controlled study and enrolled 80 children aged from 3 to 10 years old who were received colonoscopy. After titration of propofol to achieve unconsciousness, patients were given intravenous lidocaine (1.5 mg kg-1 then 2 mg kg-1 h-1) or the same volume of saline. Sedation was standardized and combined propofol with sufentanil. The primary outcome variables were intraoperative propofol and sufentanil requirements and number of oxygen desaturation episodes. Secondary outcome variables were recovery time after colonoscopy and post-colonoscopy pain.Results: Lidocaine infusion resulted in a significant reduction in propofol requirements: mean (SD) 44.3 (9.9) vs 74.5 (12.0) mg, respectively; P<0.001) and sufentanil requirements: mean (SD) 1.5 (0.3) vs 2.6 (0.6) ug respectively; p<0.001). The number of subjects who experienced oxygen desaturation below 95% in the lidocaine group was also significantly less than that in the control group: 2 vs 8 (P=0.04). The mean (SD) recovery time was significantly shorter in lidocaine group: 19.2 (2.6) vs 13.3 (2.6) min respectively; p<0.001). There were no significant difference regarding post-colonoscopy pain.Conclusions: Continuous infusion of lidocaine resulted in reduction of propofol and sufentanil dose, recovery time and risk of hypoxemia during pediatric colonoscopy.Trial Registration: Chinese Clinical Trials Registry, ChiCTR2000028927, 8 January, 2020, prospectively registered.

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Pediatric Endoscopy, Update 2020

Cited by 10 publications

References 146 publications

Indications and Yield of Pediatric Endoscopy in Bahrain: A Tertiary Center Experience

Indications and Yield of Pediatric Endoscopy in Bahrain: A Tertiary Center Experience

Paediatric Gastrointestinal Endoscopy in a Nigerian Tertiary Hospital

Continuous Infusion of Lidocaine in Pediatric Colonoscopy: A Randomized Placebo-Controlled Study

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