Indications and Outcomes of Esophagogastroduodenoscopy in Children

Year 2019, Volume: 1 Issue: 3, 115 - 120, 31.12.2019

Meryem Keçeli Başaran , Yılmaz Seçilmiş , Nur Şeyma Zengin

Abstract

Summary

Objective: Esophagogastroduodenoscopy
(EGD) has become a key element in the diagnosis and treatment of many
gastrointestinal diseases affecting children. In this study, we aimed to
discuss endoscopic indications, endoscopic and pathological findings of
children who underwent EGD in our hospital.

Methods: 
A retrospective chart review of children between1-18
years old who admitted the pediatric gastroenterology department between 2017
and 2018 and who underwent EGD was performed. EGD indications, diagnoses made
by endoscopy or pathological examination, and complaints were evaluated.

Results: A total of 194
children (85 male and 109 female) with a mean age of 10.63 ± 4.84 years were
included in the study. Dyspepsia (66.49%), suspicion of celiac disease
(19.59%), intake of corrosive material (8.25%), gastrointestinal bleeding
(4.64%), and dysphagia (1.03%) were the main complaints of referral. The
distribution of the diagnosis of the participants after EGD was antral
gastritis (48.45%), pangastritis (21.13%), duodenitis (11.86%), celiac disease
(7.73%), acute ulcer at bulbus (1.55%) and esophagitis (1.03%). Of those, 9.28%
were healthy. A biopsy was obtained in 88.66% of the subjects during EGD.

Conclusion: Dyspeptic symptoms and
suspicion of celiac disease are the most common EGD indication in children.
Alkaline reflux, gastritis, and helicobacter pylori infection affect the degree
of pathological inflammation and require appropriate treatment and follow-up.

 

Keywords: Endoscopy, Child,
Esophagus, Stomach, Duodenum

Keywords

Endoscopy, Child, Esophagus, Stomach

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