Paper Information

Journal:   IRANIAN RED CRESCENT MEDICAL JOURNAL (IRCMJ)   SEPTEMBER 2013 , Volume 15 , Number 9; Page(s) 794 To 797.
 
Paper: 

DIAGNOSTIC ENDOSCOPY AND CLINICAL CHARACTERISTICS OF GASTROINTESTINAL BLEEDING IN CHILDREN: A 10-YEAR RETROSPECTIVE STUDY

 
 
Author(s):  RAFEEY MANDANA, SHOARAN MARYAM*, MAJIDY HAMIDEH
 
* DEPARTMENT OF PEDIATRICS GASTROENTEROLOGY, LIVER AND GASTROINTESTINAL DISEASES RESEARCH CENTER, TABRIZ UNIVERSITY OF MEDICAL SCIENCES, TABRIZ, IR IRAN
 
Abstract: 

Background: Upper gastrointestinal (UGI) endoscopy is a tool used frequently in the evaluation of patients presented with hematemesis.
Objectives: The purpose of this study was to evaluate clinical presentations and features of UGI bleeding (UGIB) in children.
Methods/Patients and Materials: A descriptive retrospective analysis was carried out on the medical records of the patients. Children and adolescents aging 0–18 years who were presented with UGIB were recruited in the survey over a period of 10 years (2000 to 2010) in Children's Hospital, Tabriz, Iran.
Results: There were 447 patients included in this study and they were all evaluated by upper endoscopy. Clinical manifestations included hematemesis (120 cases, 26.85%), melena (60 cases, 13.42%), and hematochezia (11 cases, 2.46%). Age-related analysis showed that erosive esophagities was a more common cause of hematemesis in the younger age group (under 1 year of age) with a prevalence of 37% when compared with elder children and adolescents (40%). Peptic ulcer disease was seen in only 7.4% of infants under the age of one. Overall, Esophagitis and erosive esophagitis was the most common endoscopic finding (179, 40%).
Conclusions: There were 80 (17.90%) patients receiving endoscopic hemostatic therapy. In children with UGIB, upper endoscopy is a diagnostic procedure for the categorization of underlying causes of upper gastrointestinal bleeding in children and various endoscopic lesions may be found in a patient with the impression of UGIB.

 
Keyword(s): GASTROINTESTINAL HEMORRHAGE, ENDOSCOPY, INFANT, CHILD
 
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