Spectrum of Upper GI Endoscopy in  Pediatric Population at a Tertiary Care  Centre in Pakistan

Khan, Mumtaz; Ahmed, Shakeel; Ali, Safdar; Maheshwari, Prem Kumar; Jamal, Muhammad

doi:10.4236/ojped.2014.43025

Cited by 10 publications

(19 citation statements)

References 10 publications

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“…Esophageal varices was the most common endoscopic finding in the present study, seen in 49% of children. Recent report by Khan, et al 11 have shown esophageal varices in only 5% of paediatric upper GI endoscopy. Our result is far away from this because of referral bias which has already been mentioned above.…”

Section: Resultsmentioning

confidence: 95%

Upper GI Endoscopy in Children: An Experience from Bangabandhu Sheikh Mujib Medical University (BSMMU)

Mazumder

Rukunuzzaman

Rahman

et al. 2017

Bangladesh J Child Health

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Results: The commonest indication was upper GI bleeding in the form of hematemesis with or without melenae (41%). The most common finding was esophageal varices (49%). Less common findings were esophagitis, gastritis & gastro-duodenal ulcer.There was no post procedure complication. Conclusion:In the study, the commonest indication for Pediatric UGI endoscopy was upper GI bleeding and the commonest endoscopic abnormality was esophageal varices. No immediate post procedure complication was noted in the study.

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Section: Resultsmentioning

confidence: 95%

Upper GI Endoscopy in Children: An Experience from Bangabandhu Sheikh Mujib Medical University (BSMMU)

Mazumder

Rukunuzzaman

Rahman

et al. 2017

Bangladesh J Child Health

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“…Endoscopic findings in children do not appear to be documented in many paediatric endoscopic studies. [2,[5][6][7][10][11][12][13] In terms of endoscopic findings, 15.5% of our subjects had normal studies while the most common finding was gastritis (25.3%). Studies done in Pakistan, Saudi Arabia and Colombia have also reported similar findings.…”

Section: Discussionmentioning

confidence: 99%

“…[6] In Uganda, gastritis and duodenal ulcers were found to be the most common endoscopic findings. [7] There is a dearth of information on the utility of the procedure in children, especially in the West African sub-region. Therefore, this study was carried out to outline the indications and the spectrum of endoscopic diagnosis in children seen at the Lagos University Teaching Hospital (LUTH).…”

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confidence: 99%

Upper gastrointestinal endoscopy in children: The Lagos University Teaching Hospital experience

et al. 2016

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“…Similar fi gures are reported in other developing countries 11,12 . Studies from specialized gastroenterology centre or developed world however report much lower propor ons of children undergoing endoscopy primarily for abdominal pain 6 .…”

Section: Discussionmentioning

confidence: 99%

“…In the developing world however, use of gastrointes nal endoscope in paediatrics is s ll in infancy. Lack of awareness of its applica on, limited paediatric friendly endoscopy suites/endoscopes and lack of adequately trained physicians who can safely perform the procedure are the greatest hurdles 6,7 . Paediatric gastroenterology services have just started to be recognized as important subspecialty in Nepal and we are s ll far from u liza on of technical advance with this procedure.…”

Section: Introductionmentioning

confidence: 99%

Findings of Paediatric Upper Gastrointestinal Endoscopy at a Tertiary Care Centre

Thapa

Sharma

2016

J. Nepal Paedtr. Soc.

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Introduction: Endoscopy is an important diagnostic tool for gastrointestinal disorders in children. Practitioners still debate the need and utility of endoscopy in children and this important evaluation is potentially underutilized. There is a paucity of paediatric endoscopy data in Nepal. This report describes an initial three-year experience on profile of upper gastrointestinal endoscopy at Tribhuvan University Teaching Hospital (TUTH).Material and Methods: This retrospective study was conducted by reviewing hospital records for children undergoing endoscopy for various indications at TUTH during November 2011 to October 2014 (3 years).Results: We performed 362 endoscopies during this period. Mean age of patients was 9.49 years (range 2 months to 18 years) and 199 (54.9%) patients were under 10 years of age. Common indications were upper gastrointestinal bleeding (27.6%), recurrent abdominal pain (26.2%), acute abdominal pain (24.6%), recurrent vomiting (5.2%), and caustic ingestion (3.6%). An abnormality was detected in 159 (42.2%) patients. Varices (16.6%), gastritis/duodenitis (14.9%), ulcer (3.3%), oesophagitis (1.9%) were common diagnoses. Etiology of upper gastrointestinal bleed was identified in 65% of patients. Majority of patients with recurrent abdominal pain had negative results (80%). Failure to thrive constituted a very small proportion of children (0.2%) evaluated. All children received sedation/ analgesia and tolerated the procedure well.Conclusion: Paediatric upper gastrointestinal endoscopy can be safely performed across wide age range with proper sedation/ analgesia. Endoscopic diagnosis may improve management and children requiring such evaluation should be timely referred. Paediatricians should be encouraged to refer patients with growth failure early to ensure proper management. J Nepal Paediatr Soc 2015;35(2):123-128

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Spectrum of Upper GI Endoscopy in Pediatric Population at a Tertiary Care Centre in Pakistan

Abstract: Although upper GI endoscopy is considered to be a gold standard in diagnosis of many pediatric gastrointestinal disorders, there is limited data about its utility from developing countries. We carried out this retrospective study at

Cited by 10 publications

References 10 publications

Upper GI Endoscopy in Children: An Experience from Bangabandhu Sheikh Mujib Medical University (BSMMU)

Upper GI Endoscopy in Children: An Experience from Bangabandhu Sheikh Mujib Medical University (BSMMU)

Upper gastrointestinal endoscopy in children: The Lagos University Teaching Hospital experience

Findings of Paediatric Upper Gastrointestinal Endoscopy at a Tertiary Care Centre

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