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上消化道内镜检查在儿童中的实用性。

Usefulness of upper gastrointestinal endoscopy in children.

作者信息

Gadgade Bahubali D, Annigeri Venkatesh M, Halageri Anil, Bagalkot Praveen

机构信息

Department of Pediatric Surgery, SDM Medical College, Dharwad, Karnataka, India.

Department of Pediatrics, SDM Medical College, Dharwad, Karnataka, India.

出版信息

Afr J Paediatr Surg. 2018 Jul-Dec;15(3):135-137. doi: 10.4103/ajps.AJPS_111_16.

Abstract

CONTEXT

Upper gastrointestinal (GI) endoscopy is now important investigation in children. Although endoscopy is used routinely by pediatric surgeons, there are no recent Indian studies which have evaluated endoscopy within a Department of Pediatric Surgery.

AIMS

It was done with the aim to define the diagnostic value of upper GI endoscopy and evaluate the outcome.

SUBJECTS AND METHODS

This is a descriptive retrospective study. Cases <14 years between January 2013 and October 2016 were included. An Olympus GIF-Q150 video gastroscope was used for all procedures. This study was approved by the institute research and ethical committee, and patient confidentiality was maintained using unique identifiers. The data were analyzed using Microsoft Excel 2010 and SPSS (Version 19) software.

RESULTS

The most common indication for endoscopy was for hematemesis (25.3%, n = 18) followed by foreign body removal (22.5%, n = 16). There were 18 normal cases. Foreign body removal was done in 18 cases. Among esophageal varices, banding was done in seven cases and dilatation of stricture was done in eight cases.

CONCLUSION

Upper GI endoscopy is significantly associated with positive organic finding and so it is a valuable and essential diagnostic procedure.

摘要

背景

上消化道(GI)内镜检查如今在儿童中是一项重要的检查。尽管儿科外科医生常规使用内镜检查,但近期尚无印度的研究对儿科外科部门内的内镜检查进行评估。

目的

本研究旨在明确上消化道内镜检查的诊断价值并评估其结果。

对象与方法

这是一项描述性回顾性研究。纳入了2013年1月至2016年10月期间年龄小于14岁的病例。所有操作均使用奥林巴斯GIF-Q150视频胃镜。本研究经机构研究与伦理委员会批准,并使用唯一标识符维护患者隐私。数据使用Microsoft Excel 2010和SPSS(版本19)软件进行分析。

结果

内镜检查最常见的适应证是呕血(25.3%,n = 18),其次是异物取出(22.5%,n = 16)。有18例正常病例。18例进行了异物取出。在食管静脉曲张病例中,7例行套扎术,8例行狭窄扩张术。

结论

上消化道内镜检查与阳性器质性发现显著相关,因此它是一项有价值且必不可少的诊断程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e400/7646685/a1c28a50809d/AJPS-15-135-g001.jpg

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