Reedy Rachel A, Filipp Stephanie L, Gurka Matthew J, Shenoy Archana, Davis Michael K
University of Florida, Gainesville, FL, USA.
Glob Pediatr Health. 2019 Dec 31;6:2333794X19898345. doi: 10.1177/2333794X19898345. eCollection 2019.
Esophagogastroduodenoscopy (EGD) is commonly performed for abdominal pain in children, and in the presence of alarm symptoms, the diagnostic yield of this procedure is high. The aim of this study was to investigate the utility of EGD when performed for uncomplicated abdominal pain in children in the absence of alarm symptoms. Charts of all children less than 18 years of age who underwent EGD at the University of Florida between January 2016 and October 2018 were reviewed. Of 1478 children who underwent EGD for any indication, 287 patients (male-to-female = 123:164) were discovered to have undergone EGD, in the absence of colonoscopy, for uncomplicated acute or chronic abdominal pain, nausea, vomiting, gastroesophageal reflux, and/or dyspepsia, with no alarm symptoms. A significant change in clinical management was noted in 20 (7.0%) children. The findings of this procedure changed clinical management in a minority of our study participants.
食管胃十二指肠镜检查（EGD）常用于儿童腹痛的诊断，当存在警示症状时，该检查的诊断率较高。本研究的目的是探讨在无警示症状的情况下，EGD用于诊断儿童单纯性腹痛的效用。回顾了2016年1月至2018年10月期间在佛罗里达大学接受EGD检查的所有18岁以下儿童的病历。在1478例因任何指征接受EGD检查的儿童中，发现287例患者（男女比例为123:164）在未进行结肠镜检查的情况下，因单纯性急性或慢性腹痛、恶心、呕吐、胃食管反流和/或消化不良而接受了EGD检查，且无警示症状。20例（7.0%）儿童的临床管理有显著变化。在我们的少数研究参与者中，该检查的结果改变了临床管理。
