[Colonoscopy in infants: procedure and disease spectrum analysis of 184 cases].

Q3 Medicine

中国当代儿科杂志 Pub Date : 2025-08-15 DOI:10.7499/j.issn.1008-8830.2502085

Xiao-Li Fu, Xu-Xia Wei, Jun-Jie Xu, Ning Xue, Hong-Ling Chen, Le Zhang

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引用次数: 0

Abstract

Objectives: To investigate the underlying causes and clinical manifestations in infants undergoing colonoscopy, and to analyze changes in disease spectrum.

Methods: Clinical data from 180 infants who underwent a total of 184 colonoscopies at the Department of Gastroenterology, Children's Hospital Affiliated to Shandong University from January 2015 to December 2024 were retrospectively analyzed. Patients were grouped by age: ≤6 months (n=41) and >6-12 months (n=139); and by examination period: 2015-2019 (n=83) and 2020-2024 (n=97). Primary causes for performing colonoscopy, final diagnoses, and disease spectrum evolution were assessed.

Results: Among 184 colonoscopies, the leading causes prompting examination were hematochezia (37.8%, 68/180), diarrhea (36.7%, 66/180), and co-occurring hematochezia and diarrhea (21.1%, 38/180). Causes for performing colonoscopy differed significantly by age group (P<0.05). Colonic polyps were only detected in the >6-12 months group (P<0.05). Compared to the 2015-2019 group, the 2020-2024 group had fewer food allergy-related gastrointestinal diseases (P<0.05) but more colitis (P<0.05).

Conclusions: Colonoscopy is essential for diagnosing infantile digestive disorders, with disease spectra varying by age and time period.

查看原文本刊更多论文

[婴儿结肠镜检查：184例程序和疾病谱分析]。

目的：探讨婴儿结肠镜检查的病因和临床表现，并分析疾病谱的变化。方法：回顾性分析2015年1月至2024年12月山东大学附属儿童医院消化内科180例患儿共184例结肠镜检查的临床资料。患者按年龄分组：≤6个月（n=41）和bb0 6-12个月（n=139）；按考试时间划分：2015-2019年（n=83）和2020-2024年（n=97）。评估结肠镜检查的主要原因、最终诊断和疾病谱系演变。结果：184例结肠镜检查中，导致检查的主要原因为便血（37.8%,68/180）、腹泻（36.7%,66/180）和合并便血和腹泻（21.1%,38/180）。结论：结肠镜检查是诊断婴幼儿消化系统疾病的必要手段，其疾病谱随年龄和时间的变化而变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

中国当代儿科杂志 Medicine-Pediatrics, Perinatology and Child Health

CiteScore

1.50

自引率

0.00%

发文量

5006

期刊介绍： The Chinese Journal of Contemporary Pediatrics (CJCP) is a peer-reviewed open access periodical in the field of pediatrics that is sponsored by the Central South University/Xiangya Hospital of Central South University and under the auspices of the Ministry of Education of China. It is cited as a source in the scientific and technological papers of Chinese journals, the Chinese Science Citation Database (CSCD), and is one of the core Chinese periodicals in the Peking University Library. CJCP has been indexed by MEDLINE/PubMed/PMC of the American National Library, American Chemical Abstracts (CA), Holland Medical Abstracts (EM), Western Pacific Region Index Medicus (WPRIM), Scopus and EBSCO. It is a monthly periodical published on the 15th of every month, and is distributed both at home and overseas. The Chinese series publication number is CN 43-1301/R；ISSN 1008-8830. The tenet of CJCP is to “reflect the latest advances and be open to the world”. The periodical reports the most recent advances in the contemporary pediatric field. The majority of the readership is pediatric doctors and researchers.