Abstract
Objective
Evaluation of children younger than two years old admitted to a pediatric emergency department with upper gastrointestinal bleeding.
Methods
Thirty four (34) children aged < 2 years with upper gastrointestinal bleeding were studied. The demographic features, etiologies, laboratory and endoscopic findings and treatment procedures were evaluated retrospectively.
Results
The study consisted of 34 patients (73.5 % male, 26.5 % female) with a median age 12.3 months (1.5–24 months). 30 patients (88 %) had an underlying disease. 21 patients (56 %) had a history of aspirin or nonsteroidal anti-inflammatory drugs intake. Endoscopic findings were pathological in 85% of patients.
Conclusion
The incidence of upper gastrointestinal bleeding in children aged < 2 years due to antipyretics must be taken into consideration although most of them may also have an underlying disease.
Similar content being viewed by others
References
Carvalho E, Nita MH, Paiva LM et al. Gastrointestinal bleeding. J Pediatr 2000;76:135–146.
Arora NK, Ganguly S, Ahuja A et al. Upper gastrointestinal bleeding: etiology and management. Indian J Pediatr 2002; 69: 155–168.
Heitlinger LA, McClung HJ. Gastrointestinal hemorrhage. In Wyllie R, Hayms JS eds. Pediatric Gastrointestinal Disease. Pathophysiology, Diagnosis, and Management, 2nd ed. Philadelphia, WB Saunders; 1999: 64–72.
Huang IF, Wu TC, Wang KS et al. Upper gastrointestinal endoscopy in children with upper gastrointestinal bleeding. J Chin Med Assoc 2003; 66: 271–275.
Li Voti G, Acierno C, Tulone V et al. Relationship between upper gastrointestinal bleeding and nonsteroidal antiinflammatory drugs in children. Pediatric Surg Int 1997; 12: 264–265.
Fox VL.Gastrointestinal bleeding in infancy and childhood. Gastroenterol Clin North Am 2000;29:37–66.
Felber S, Rosenthal P, Henton D. The BUN/Creatinine ratio in localizing gastrointestinal bleeding in pediatric patients. J Pediatr Gastroenterol Nutr 1988; 7: 685–687.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kalyoncu, D., Urganci, N. & Cetinkaya, F. Etiology of upper gastrointestinal bleeding in young children. Indian J Pediatr 76, 899–901 (2009). https://doi.org/10.1007/s12098-009-0195-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12098-009-0195-x