Indications and Yield of Pediatric Endoscopy in Bahrain: A Tertiary Center Experience

IF 1.3 Q3 PEDIATRICS

International Journal of Pediatrics Pub Date : 2022-03-26 DOI:10.1155/2022/6836842

H. Isa, Fatema N Alfayez

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引用次数: 2

Abstract

Results Of 1,111 patients, 1,101 (99.1%) were included in the study. 589 (53.6%) patients were males. Median age at the time of endoscopy was 8 (interquartile range 3, 11) years. 1534 endoscopies were performed (1193 upper GI endoscopies (UGIE) and 341 colonoscopies) in 1296 sessions. The mean number of endoscopies per year was 59 ± 30.9 procedures with 81.4% reduction noted after coronavirus pandemic (P < 0.0001). Ratio between UGIE to colonoscopy was 3.5 : 1. Median number of endoscopies per patient was one, ranging from one to eight procedures. 1153 (89%) sessions were diagnostic, and 143 (11.0%) were therapeutic. Main endoscopic indication was chronic abdominal pain (451 (40.9%) patients) followed by upper GI bleeding (302 (27.4%) patients). Overall positive yield was 68.1% (716/1052 procedures). Endoscopic yield varies according to the type of procedure (P = 0.003). Colonoscopy alone gave a higher yield (82.6%, 38/46 procedures) compared to combined procedures (75.4%, 141/187) and UGIE alone (65.6%, 537/819). Conclusions This study emphasizes a careful selection of the type of endoscopic procedures, based on the expected endoscopic yield, to diagnose and treat pediatric GI diseases. In patients with chronic abdominal pain, endoscopy should be reserved as a second-line tool to avoid unnecessary use of invasive procedures.

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巴林儿童内窥镜的适应症和疗效：三级中心的经验

结果1111例患者中，1101例（99.1%）纳入本研究。589例（53.6%）患者为男性。内窥镜检查时的中位年龄为8岁（四分位间距3/11）。在1296个疗程中进行了1534次内镜检查（1193次上消化道内镜检查（UGIE）和341次结肠镜检查）。每年的平均内镜检查次数为59±30.9次，在冠状病毒大流行后减少了81.4%（P<0.0001）。UGIE与结肠镜检查的比率为3.5 : 1.每位患者的内镜检查中位数为1次，从1次到8次不等。1153个疗程（89%）为诊断性疗程，143个疗程（11.0%）为治疗性疗程。主要内镜指征是慢性腹痛（451名（40.9%）患者），其次是上消化道出血（302名（27.4%）患者）。总阳性率为68.1%（716/1052次手术）。内窥镜检查的产率因手术类型而异（P=0.003）。与联合手术（75.4%，141/187）和单独的UGIE（65.6%，537/819）相比，单独的结肠镜检查的产量更高（82.6%，38/46）。结论本研究强调根据预期的内镜效果，仔细选择内镜手术类型，以诊断和治疗儿童胃肠道疾病。对于慢性腹痛患者，应保留内镜作为二线工具，以避免不必要地使用侵入性手术。

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

International Journal of Pediatrics PEDIATRICS-

CiteScore

3.90

自引率

0.00%

发文量

审稿时长

4 weeks

期刊介绍： International Journal of Pediatrics is a peer-reviewed, open access journal that publishes original researcharticles, review articles, and clinical studies in all areas of pediatric research. The journal accepts submissions presented as an original article, short communication, case report, review article, systematic review, or letter to the editor.