An update on pediatric endoscopy

Friedt, Michael; Welsch, Simon

doi:10.1186/2047-783x-18-24

Cited by 72 publications

(59 citation statements)

References 40 publications

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“…Upper endoscopy, or oesophagogastroduodenoscopy (OGD), is a convenient tool to diagnose and treat many diseases of the gastrointestinal (GI) tract. 1 However, it is not easy to select patients for this procedure because GI symptoms are common and are poor in predicting the diagnostic yield of paediatric OGDs. 2,3 In infancy, the most common functional gastrointestinal disorder (FGID) is gastro-oesophageal reflux (GOR) which is defined as the passage of gastric contents to the oesophagus and is often considered physiological.…”

Section: Introductionmentioning

confidence: 99%

Upper endoscopy for non‐acute non‐specific symptoms is seldom beneficial for children under the age of seven

et al. 2019

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Aim This study estimated the diagnostic yield of oesophagogastroduodenoscopy (OGD) in young children with non‐acute, non‐specific gastrointestinal or respiratory symptoms who were treated by a Finnish tertiary level referral centre. Methods A retrospective chart analysis was performed on 1850 Finnish children under 7 years of age who underwent their first diagnostic OGDs at Helsinki University Hospital during 2006‐2016. We noted the endoscopy indications, macroscopic findings, the histology of the mucosal biopsies and the follow‐up data. Results After the exclusion criteria were applied, we enrolled 666 patients (57.7% boys) at a median age of 3.5 years. The number of children with non‐specific symptoms referred for OGD increased 2.3‐fold in 11 years. A routine set of biopsies was obtained in 644/666 (96.7%) of the endoscopies. The OGD was both macroscopically and histologically normal in 519/644 (80.6%) of cases. The most common indication was to rule out gastro‐oesophageal reflux disease in 268/666 (40.2%) cases, and the most frequent histological diagnosis was mild to moderate oesophagitis in 57/644 (8.9%) cases. There was no erosive oesophagitis. Conclusion The diagnostic yield of macroscopic and histological OGD findings was low in our cohort. Unless there are alarming symptoms, younger children do not need OGD.

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Section: Introductionmentioning

confidence: 99%

Upper endoscopy for non‐acute non‐specific symptoms is seldom beneficial for children under the age of seven

et al. 2019

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“…Sedation of children should follow guidelines especially made from the pediatric and anesthesiological society [14][15][16]. It should be noted that painful procedures require a deeper sedation compared to adult patients.…”

Section: Special Aspects Of Sedationmentioning

confidence: 99%

“…If necessary, a 7.5 mm duodenoscope should be used in children under the age of 1 year or weighing less than 10 kg. In elder children the therapeutic duodenoscope with 4.2 mm working channel can be taken for ERCP (ESGE guidelines) [14,16,[32][33][34].…”

Section: Endoscopementioning

confidence: 99%

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Pediatric Endoscopy, Update 2020

et al. 2019

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Optimal management of pediatric endoscopy requires a multidisciplinary approach. In most hospitals, endoscopy in pediatric patients is performed by conventional gastroenterologists and only a few centers have specialized pediatric gastroenterologists. This is due to the fact that the number of pediatric gastroenterologists is limited and not all of them are experienced in endoscopic techniques. However, there are also some pediatric centers offering a high-quality and high-volume endoscopy service provided by very experienced pediatric gastroenterologists. Up to now, the literature on pediatric endoscopy is rather sparse. In this article, we describe current knowledge and practice of endoscopic procedures in pediatric patients, which should be relevant for both the adult and pediatric gastroenterologists.

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“…The number of detected cases has increased recently due to general awareness of the disease and introducing sophisticated methods for its screening and diagnosis. Whenever being in suspicion of having celiac disease, a detailed medical history (especially pertaining to diet), physical examination, serology, upper endoscopy and histopathological analysis of multiple biopsies of the duodenum should be pursued to confirm the diagnosis [4] . Care should be taken not to confuse celiac disease with other forms of gluten sensitivity conditions in which the patient complains from symptoms similar to those of celiac disease but without showing the serologic or histological features of the latter [5] .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of dental findings of children with celiac disease in Libya: a comparative study

Herwis

Elturki

Ali

2014

CRCP

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Background and objectives: Celiac disease is a disease affecting the digestive system whereby the patient is unable to tolerate gluten-containing food. The aims of this study were to study the prevalence of dental defects and oral hygiene status of a group of celiac disease patients in Benghazi. Materials and methods: A group of celiac disease patients (n = 40 & Male: Female ratio is 1: 2.4 & age range 3-19 years, mean 10 years, SD ± 4.8) were recruited from Benghazi Pediatric Hospital where they had already been diagnosed in gastroenterology units at private clinics. The patient's dental status was assessed through measuring their Decayed, Missing and Filled Teeth index (DMFT), oral hygiene index (OHI) and CPITN using disposable mouth mirrors, explorers and periodontal probes. Descriptive statistics was applied to give a picture about the oral hard and soft tissue prevalence this group of patients. Results: Descriptive statistics of the celiac sample showed that 29 (72.5%) had enamel hypoplastic defects. The mean and SD values for DMFT, CPITN and OHI were measured (DMFT: 4.5 SD ± 4.7 & CPITN: 0.8 SD ± 0.5; and OHI: 1.1 SD ± 0.7). Besides, only two patients (6.4%) reported a history of oral ulceration during the course of their therapy. Healthy controls showed comparative values, being less in only OHI, while they were slightly more in DMFT and CPITN. Conclusion: This is a cross-sectional clinical survey showing that patients with celiac disorder should be expected to have higher prevalence of defective incisor teeth, which makes their front teeth liable to traumatic fracture. The presence of frequent soft tissue ulcers in their mouths might indicate a warning sign of the possibility to develop the disease and thus urge the child's parents or guardians to consult a physician to confirm or negate the suspicion.

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An update on pediatric endoscopy

Cited by 72 publications

References 40 publications

Upper endoscopy for non‐acute non‐specific symptoms is seldom beneficial for children under the age of seven

Upper endoscopy for non‐acute non‐specific symptoms is seldom beneficial for children under the age of seven

Pediatric Endoscopy, Update 2020

Prevalence of dental findings of children with celiac disease in Libya: a comparative study

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