A Clinical Study of Upper Gastrointestinal Endoscopy in Japanese Children |
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| Authors: | Seiichi Kato M.D. Hiroshi Nakagawa M.D. Yoshinori Harada M.D. Yasutoshi Saito M.D. Nobuo Watanabe M.D. Junichiro Abe M.D. Katsuya Yamamoto M.D. Hidenori Shibuya M.D. Kazutoshi Takahashi M.D. Shuichi Watanabe M.D. |
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| Affiliation: | Department of Pediatrics, Sendai City Hospital, Sendai;Departments of Pediatric Surgery;Departments of Internal Medicine;Departments of Pediatrics, Iwaki Kyoritsu General Hospital, Iwaki |
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| Abstract: | A total of 370 children who underwent upper gastrointestinal endoscopy (534 procedures) were retrospectively studied. All procedures were performed successfully. Side effects were demonstrated in only one case (0.2%), which was complicated by perioral cyanosis during the procedure. As to preendoscopic medication, it was thought that topical pharyngeal anesthesia alone may well be used for school-age children over 7 years of age, general anesthesia with endotracheal intubation for neonates, and intravenous sedation for infants and younger children. Of 370 patients studied, 70.8% had endoscopic diagnoses. The most common diagnosis was gastritis (136 cases), followed by peptic ulcer (75), duodenitis (29), and esophagitis (20). Several conclusions for indications were drawn from the present study. Pediatric upper gastrointestinal endoscopy is a safe and useful method for diagnostic and therapeutic approach, if adequate preendoscopic medication is chosen. |
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| Keywords: | Child Diazepam Endoscopy Ethanol Hemostasis |
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