乌干达拉科尔医院青少年的上消化道内镜检查结果
Upper gastrointestinal endoscopic findings in adolescents at Lacor Hospital, Uganda.
作者信息
Okello Tom Richard
机构信息
St Mary's Hospital, Gulu University, Faculty of Medicine, Lacor, Gulu (Uganda).
出版信息
Afr Health Sci. 2006 Mar;6(1):39-42. doi: 10.5555/afhs.2006.6.1.39.
BACKGROUND AND OBJECTIVES
Fiberoptic endoscopy is a highly efficient diagnostic tool, which is now being increasingly used, in the pediatric age group. This study has been carried out to demonstrate indications for and common findings of endoscopy in children.
MATERIALS AND METHODS
We retrospectively reviewed the medical records for endoscopy indication and result of children who had endoscopy between Jan 2000 to June 2005.
RESULTS
We analyzed 135 children who were referred for upper gastrointestinal endoscopy. There were 38 boys and 97 girls. The mean age was 16 years (SD+/-1.4293). The main indications comprised epigastric pain (67.4%), dyspepsia (11.9), hematemesis (8.9%), recurrent abdominal pain (3%) recurrent vomiting (3%), and miscellaneous (5.8%). Endoscopic diagnose included duodenal ulcer (14.8%) and gastritis (12.6%); duodenal scarring (5.2%), bile reflux (5.2%) duodenitis (4.4%) and miscellaneous 6.4%.
CONCLUSION
In Upper gastrointestinal endoscopy is a diagnostic procedure in children with gastrointestinal disorder. Gastritis and duodenal disease are commonly seen in children, hence must be included in differential diagnosis of children with digestive complaints and its management.
背景与目的
纤维内镜检查是一种高效的诊断工具，目前在儿童年龄组中使用越来越多。本研究旨在阐述儿童内镜检查的适应证及常见发现。
材料与方法
我们回顾性分析了2000年1月至2005年6月期间接受内镜检查的儿童的病历，以了解内镜检查的适应证及结果。
结果
我们分析了135例接受上消化道内镜检查的儿童。其中男孩38例，女孩97例。平均年龄为16岁（标准差±1.4293）。主要适应证包括上腹部疼痛（67.4%）、消化不良（11.9%）、呕血（8.9%）、反复腹痛（3%）、反复呕吐（3%）及其他（5.8%）。内镜诊断包括十二指肠溃疡（14.8%）和胃炎（12.6%）；十二指肠瘢痕形成（5.2%）、胆汁反流（5.2%）、十二指肠炎（4.4%）及其他（6.4%）。
结论
上消化道内镜检查是诊断儿童胃肠道疾病的一种方法。胃炎和十二指肠疾病在儿童中常见，因此在儿童消化系统疾病的鉴别诊断及其治疗中必须予以考虑。
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