Endoscopic Ultrasound for Diagnosis and Surveillance of Gastrointestinal Stromal Tumors in an 11‐Year‐Old Child

Laroche, Greggy; Conway, Jason; Fortunato, John E.

doi:10.1097/mpg.0b013e318267c135

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…This patient underwent an exploratory laparotomy with a partial gastrectomy and a yearly surveillance EUS procedure for 5 years to monitor progression. EUS has an undefined role in diagnosing GISTs and monitoring for recurrence in children (13). This case demonstrates that pediatric GISTs can be well defined withE U Sa n ds u p p o r t su s i n gE U S to assess tumor recurrence after removal.…”

Section: Discussionmentioning

confidence: 91%

EUS and EUS‐Guided Interventions Alter Clinical Management in Children With Digestive Diseases

Gordon¹,

Conway²,

Evans³

et al. 2016

J. pediatr. gastroenterol. nutr.

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Section: Discussionmentioning

confidence: 91%

EUS and EUS‐Guided Interventions Alter Clinical Management in Children With Digestive Diseases

Gordon¹,

Conway²,

Evans³

et al. 2016

J. pediatr. gastroenterol. nutr.

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“…Several reports show that EUS and EUS-FNA in pediatric patients are safe, feasible and have a significant impact on the management of various disorders of the gastrointestinal tract ( 6 , 7 , 8 ). Additionally, EUS can be used for periodic surveillance for recurrent disease ( 3 ). As seen in one of our patients, EUS can be used safely to scan for recurrent disease and to diagnose additional gastrointestinal pathology, especially if symptoms are concerning for recurrence at follow-up visits.…”

Section: Discussionmentioning

confidence: 99%

“…The role of endoscopic ultrasound (EUS) in adult patients is well established; however, in pediatric patients, experience with this technology is limited ( 3 ). We present two cases of pediatric patients who presented with symptomatic anemia and were found to have GIST in the stomach, diagnosed using EUS and EUS fine needle aspiration (EUS-FNA).…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Ultrasound for Diagnosis and Management of Pediatric Gastrointestinal Stromal Tumor

et al. 2022

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Gastrointestinal (GI) stromal tumors arise from the interstitial cells of Cajal and are rare in the pediatric population. The most common clinical manifestation is anemia secondary to GI bleeding. Endoscopy is commonly used for diagnostic and therapeutic interventions of an obstructing mass or gastrointestinal bleed, while experience with endoscopic ultrasound (EUS) and EUS fine needle aspiration (EUS-FNA) for pediatric patients with suspected gastric tumors is limited. We report 2 cases, a 14-year-old male and an 11-year-old female, who presented with symptomatic anemia. Both patients were diagnosed with GI stromal tumors of the stomach using EUS and EUS-FNA. This report shows that EUS and EUS-FNA are safe and effective diagnostic tools for pediatric patients.

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Age-specific causes of upper gastrointestinal bleeding in children

Kocic,

Rasic,

Marusic

et al. 2023

World J Gastroenterol

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The etiology of upper gastrointestinal bleeding (UGIB) varies by age, from newborns to adolescents, with some of the causes overlapping between age groups. While particular causes such as vitamin K deficiency and cow’s milk protein allergy are limited to specific age groups, occurring only in neonates and infants, others such as erosive esophagitis and gastritis may be identified at all ages. Furthermore, the incidence of UGIB is variable throughout the world and in different hospital settings. In North America and Europe, most UGIBs are non-variceal, associated with erosive esophagitis, gastritis, and gastric and duodenal ulcers. In recent years, the most common causes in some Middle Eastern and Far Eastern countries are becoming similar to those in Western countries. However, variceal bleeding still predominates in certain parts of the world, especially in South Asia. The most severe hemorrhage arises from variceal bleeding, peptic ulceration, and disseminated intravascular coagulation. Hematemesis is a credible indicator of a UGI source of bleeding in the majority of patients. Being familiar with the most likely UGIB causes in specific ages and geographic areas is especially important for adequate orientation in clinical settings, the use of proper diagnostic tests, and rapid initiation of the therapy. The fundamental approach to the management of UGIB includes an immediate assessment of severity, detecting possible causes, and providing hemodynamic stability, followed by early endoscopy. Unusual UGIB causes must always be considered when establishing a diagnosis in the pediatric population because some of them are unique to children. Endoscopic techniques are of significant diagnostic value, and combined with medicaments, may be used for the management of acute bleeding. Finally, surgical treatment is reserved for the most severe bleeding.

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Endoscopic Ultrasound for Diagnosis and Surveillance of Gastrointestinal Stromal Tumors in an 11‐Year‐Old Child

Cited by 3 publications

References 9 publications

EUS and EUS‐Guided Interventions Alter Clinical Management in Children With Digestive Diseases

EUS and EUS‐Guided Interventions Alter Clinical Management in Children With Digestive Diseases

Endoscopic Ultrasound for Diagnosis and Management of Pediatric Gastrointestinal Stromal Tumor

Age-specific causes of upper gastrointestinal bleeding in children

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