Abstract
Upper GI endoscopies were done in 236 children (upto 12 years of age) presenting with history of hemetemesis. Varices were the commonest lesions (in 39.41%) followed by esophagitis (23.73%). Gastritis, gastric ulcer, duodenal ulcer and oesophageal ulcers were identified in 7.20%, 1.27%, 0.42% and 0.42% cases respectively. Cause of bleeding could not be ascertained in 27.54% cases. No significant premedication or procedure related complications were observed. Upper GI endoscopy is thus a safe and useful mode of investigation in cases of hemetemesis in children.
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References
William TA. Gastrointestinal bleeding. Diagnosis & management.Indian J Pediatr 1993; 60: 119–129.
Roth HP, Coordinator. Endoscopy. What is its role in upper GI bleeding?Dig Dis Sci 1981; 26: 15–55.
Gilbert DA, Silverstein FE, Tedesco FJ et al. The national ASGE survey on upper gastrointestinal bleeding III. Endoscopy in uppaer gastrointestinal bleeding.Gastrointest Endosc 1984; 27: 94–120.
Graham DY, Klish WJ, Ferry GD et al. Value of fibreoptic endoscopy in infants and children.South Med J 1978; 71: 558–560.
Ament ME, Christie DL. Upper gastrointestinal fibreoptic endoscopy in pediatric paients.Gastroenterology 1977; 72: 1244–1248.
Gleason WA, Tedesco FJ, Keating JP et al. Fibreoptic gasrointestinal endoscopy in Infants & children.J Pediatr 1974; 85: 810–813.
Wyllie R. Esophago-gstroduodenoscopy in the pediatric patients. In: Sivak MV Jr, ed.Gastroenterologic Endoscopy, 1st edn. Philadelphia: WB Saunders Co. 1987: pp 307–320.
Hyams JS, Leichtner AM, Schwartz AN. Recent advances in diagnosis and treatment of gastrointestinal hemorrhage in infants and children.J Pediatr 1985; 106: 1–9.
Cox K, ament ME. Upper gastrointestinal bleeding in children and adolescents.Pediatrics 1979; 63: 408–413.
Liebman WM, Thaler MM, Bujanover Y. Endoscopic evaluation of upper gastrointestinal bleeding in the newborn.Am J Gastroenterol 1978; 69: 607–608.
Gryboski JD. the value of upper gastrointestinal endoscopy in children.Dig Dis Sci 1981; 26: 17s-21s.
Hargrove CB, Ulshen MR, Shub MD. Upper gastrointestinal ndoscopy in infants: diagnostic usefulness and safety.Pediatrics 1984; 74: 828–831.
Byrne WJ, Euter AR, Campbell M et al. Bacteremia in children following upper gastrointestinal endoscopy of colonoscopy.J Pediatr Gastroenterol Nutr 1982;4: 551–553.
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Mittal, S.K., Kalra, K.K. & Aggarwal, V. Diagnostic upper GI endoscopy for hemetemesis in children: Experience from a pediatric gastroenterology centre in North India. Indian J Pediatr 61, 651–654 (1994). https://doi.org/10.1007/BF02751973
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DOI: https://doi.org/10.1007/BF02751973