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

Mazumder, Wahiduzzaman; Rukunuzzaman,; Rahman, Atiar; Billah, SM Baqui; Sultana, Kaniz; Karim, Asm Bazlul

doi:10.3329/bjch.v40i1.31549

Cited by 1 publication

(2 citation statements)

References 9 publications

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“…14 In the present study, older children aged >10 years had highest frequency of upper GI endoscopy with 50.2%. Same phenomena were observed in Mazumder et al 2 In the present study, the most common indications were recurrent abdominal pain in 34.7% patients followed by Hematemesis±melena (25.8%) and esophageal varices with follow up for surveillance (17.5%). Recent studies from Nigeria 15 (47.7%), Bahrain 16 (40.9%) and Jordan 17 (45.1%) also observed the commonest indication was pain abdomen.…”

Section: Discussionsupporting

confidence: 89%

“…1 Upper gastrointestinal (UGI) endoscopy is the most sensitive investigation for diagnosing upper GI diseases. 2 After the introduction of flexible endoscopy by Hirschowitz in 1950's, use of upper GI endoscopy has become a routine GI procedure. 3 Later on, fiberoptic endoscopy for children developed in 1970's and upper GI endoscopy has now become a standard diagnostic procedure for many gastrointestinal problems in children.…”

Section: Introductionmentioning

confidence: 99%

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Spectrum of Upper GI Endoscopy in Children: A Tertiary Centre Experience from Bangladesh

Mahmud

Gulshan

Baidya

et al. 2022

Dhaka Shishu (Child) Hosp. J.

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Background: Upper gastrointestinal endoscopy is an essential, safe and sensitive investigation for diagnosing pediatric gastrointestinal diseases. In resource-limited countries like Bangladesh, the practice of pediatric endoscopy remains rudimentary, lacking in trained pediatric endoscopists and appropriate-sized endoscopes. There is limited study on paediatric upper GI endoscopy in our country. Objectives: The aim of the study was to find out the indications, common endoscopic findings and immediate post procedure complication of UGI endoscopy in children. Methods: This is a retrospective study; the records of all the patients whose age is less than 18 years and who underwent endoscopy in the last 6 years were studied. Results: Among the total of 384 children (age <18 years), the most common indications were recurrent abdominal pain in 133 (34.7%) patients followed by hematemesis±melena in 99 (25.8%), esophageal varices (follow up with eradication) in 67 (17.5%), recurrent vomiting in 31 (8.1%), foreign body, CLD screening, suspected celiac disease, isolated splenomegaly, corrosive injury, and weight loss. The most common abnormal findings were gastritis in 103 (26.9%) children followed by esophageal varices in 73 (19.2%), duodenitis in 26 (6.8%), foreign body, esophagitis, hiatus hernia, esophageal stricture, esophageal ulcer, gastric ulcer, duodenal ulcer etc. Minor adverse events occurred in 7.0% of children. Conclusion: The commonest indication for Pediatric UGI endoscopy was recurrent abdominal pain and the commonest endoscopic feature was gastritis. No significant post procedure complication was noted in the study. DS (Child) H J 2021; 37(2): 123-128

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