Diagnostic yield and appropriate indication of upper endoscopy in Jordanian children

Altamimi, Eyad; Odeh, Yousef; Al-quraan, Tuka; Mohamed, Elmi; Rawabdeh, Naif

doi:10.1186/s12887-020-02470-6

Cited by 10 publications

(19 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In this study, we found that the infant group had a higher yield of abnormal endoscopic and histological ndings. In addition, the teenager group appeared to have a higher yield of abnormal endoscopic and histological ndings, similar to the results of previous studies (11,13,14,19).…”

Section: Discussionsupporting

confidence: 89%

“…Several more recent studies have identi ed certain basic patient characteristics including age that affect diagnostic yield. The diagnostic yield was found to be higher in teenagers (11,13,14,19) and lower in those aged < 7 years, especially in those without alarming symptoms (20). Our ndings suggest that EGD is valuable for evaluating patients with digestive symptoms; the prevalence of abnormal endoscopic ndings was 62.5% and that of abnormal histological ndings was 32.4%.…”

Section: Discussionmentioning

confidence: 63%

“…A systematic review found that the diagnostic yield of appropriate endoscopies was higher than that of inappropriate ones (43.3% vs. 35.1%) (10). A recent retrospective study in children found that 47.2% of upper GI endoscopies revealed abnormal ndings and that age < 60 months, abdominal pain, dysphagia/odynophagia, and heartburn were predictive of abnormal endoscopy ndings (11). Another study showed that EGD was both macroscopically and histologically normal in 80.6% of cases and that unless there are alarming symptoms, younger children do not need EGD.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pediatric esophagogastroduodenoscopy in China: indications, diagnostic yield, and factors associated with findings

Wang

Qiu

Chen

et al. 2022

Preprint

View full text Add to dashboard Cite

Background: Large-scale data on esophagogastroduodenoscopy (EGD) in China are scarce. This study aimed to assess the indications and diagnostic yield of EGD in children and the relationship between factors (such as age, sex, and indications) and diagnostic yield.Methods: We performed a prospective cross-sectional observational study involving patients aged < 18 years who underwent diagnostic EGD. The study was conducted in five children’s hospitals, each in a different city. Demographic features, indications for endoscopy, and endoscopic and histopathological findings were collected. Univariable and multivariable ordinal logistic regression analyses of the relationship between the factors and diagnostic yield were performed.Results: The study included 2268 patients (male/female ratio, 1.3:1) with a median age of 8.68 years. Among the 2268 children, the most frequent indications were abdominal pain in 1954 (86.2%), recurrent vomiting in 706 (31.1%), weight loss in 343 (15.1%), and others. The endoscopic yield was 62.5% and was the highest in patients with dysphagia (90.9%). The histologic yield was 32.4% and was the highest in patients with unexplained anemia (54.6%). On multivariable regression analysis, the endoscopic yield was associated with dysphagia, gastrointestinal (GI) bleeding, and recurrent vomiting, and the histologic yield was associated with weight loss and age. Different groups of patients with abdominal pain had variable probabilities of abnormal endoscopic findings.Conclusions: The most frequent indication of pediatric EGD is abdominal pain, with variable probabilities of abnormal endoscopic findings in different groups. Endoscopic yield and histologic yield are associated with certain alarming features.Trial registration: The trial registration number (TRN): NCT03603093 (ClinicalTrials. gov), Date of registration: July 18th, 2018

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pediatric esophagogastroduodenoscopy in China: indications, diagnostic yield, and factors associated with findings

Wang

Qiu

Chen

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Our study showed a diagnostic yield of 74%, which is close to that reported in a similar study done performed by Altamimi et al in Jordan. 11 We attribute this relatively high percentage of inappropriate procedures to the Open Access system in our hospital. For example, general paediatricians in primary and secondary centres with no paediatric gastroenterology services can require an upper or lower GI endoscopy; these referred patients will undergo the procedure without being screened by our gastroenterologists and continue their care with their primary physicians.…”

Section: Discussionmentioning

confidence: 92%

“…Our study showed a diagnostic yield of 74%, which is close to that reported in a similar study done performed by Altamimi et al in Jordan. 11 …”

Section: Discussionmentioning

confidence: 99%

Eesophagogastroduodenoscopy in paediatrics: does abiding by the international guidelines lead to appropriate management? A cross-sectional study

et al. 2022

Self Cite

View full text Add to dashboard Cite

Objectives Esophagogastroduodenoscopy (EGD) is one of the most practiced procedures in paediatric gastroenterology. As with all other procedures, it is guided and controlled by specific guidelines developed and approved internationally. The European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) and the American Society for Gastrointestinal Endoscopy (ASGE) guidelines are two of the most followed guidelines in paediatric gastroenterology. This study aimed to determine how optimal patient condition management is when following international paediatric gastroenterology guidelines and to correlate the appropriateness of EGD and other variables with positive or negative findings on EGD.DesignA cross-sectional retrospective cohort of all first-time diagnostic upper endoscopies was conducted between 1 January 2016 and 1 February 2020, in Prince Hamzah Hospital in Jordan.ParticipantsPaediatric patients between 9 months and 14 years of age with indications for EGD.ResultsOverall, 529 diagnostic EGDs were performed during the study period. Helicobacter pylori-associated gastritis was the most common final diagnosis in 247 patients (47%). Furthermore, 488 (92%) EGDs were deemed appropriate, while 41 (7.7%) were considered inappropriate. Finally, 74.0% of all biopsies performed had positive contributive findings.ConclusionsAbiding by international guidelines in paediatric gastroenterology can optimise care for paediatric patients. General paediatricians are urged to follow guidelines rigorously when referring patients to minimise inappropriate procedures.

show abstract

Study on the effectiveness of modified colonoscopy nursing pads in colonoscopy

Bao

et al. 2022

BMC Gastroenterol

View full text Add to dashboard Cite

Objective To investigate the effect of modified colonoscopy nursing pads in colonoscopy. Methods A total of 262 subjects who underwent colonoscopy at our endoscopy center between September 1, 2021 and February 28, 2022 were selected and randomly divided into a control group and an experimental group, with 131 cases in each group. The control group used conventional nursing pads, while the experimental group used modified nursing pads. The success rate of the first correct position, the time spent by the nurse to guide the correct position, the bed unit contamination rate, the contamination rate of the operator's protective equipment, the privacy protection of the examinees and the satisfaction degree after the examination were compared between the two groups. Results The success rate of the first correct position of the examinees in the experimental group was significantly higher than that of the control group (P < 0.05), and the time spent by the nurses to guide the correct position in the experimental group was less than that of the control group (P < 0.05). The bed unit contamination rate and operator's protective equipment contamination rate of the experimental group were lower than those of the control group, and the satisfaction degree of the examinees was higher in the experimental group than in the control group, and the differences were statistically significant (P < 0.05). Conclusion The modified colonoscopy nursing pad can save the time of correct colonoscopy positioning of examinees, improve the efficiency of colonoscopy, reduce the workload of nursing staff, effectively protect the privacy of patients, reduce the bed unit contamination and protective equipment contamination, and then improve the comfort and satisfaction of patients.

show abstract

Diagnostic yield and appropriate indication of upper endoscopy in Jordanian children

Cited by 10 publications

References 14 publications

Pediatric esophagogastroduodenoscopy in China: indications, diagnostic yield, and factors associated with findings

Pediatric esophagogastroduodenoscopy in China: indications, diagnostic yield, and factors associated with findings

Eesophagogastroduodenoscopy in paediatrics: does abiding by the international guidelines lead to appropriate management? A cross-sectional study

Study on the effectiveness of modified colonoscopy nursing pads in colonoscopy

Contact Info

Product

Resources

About