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Therapeutic upper gastrointestinal endoscopy in children: An audit of 443 procedures and literature review
Author(s) -
GOENKA A. S.,
DASILVA M. S.,
CLEGHORN G. J.,
PATRICK M. K.,
SHEPHERD R. W.
Publication year - 1993
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1111/j.1440-1746.1993.tb01174.x
Subject(s) - medicine , sclerotherapy , endoscopy , therapeutic endoscopy , surgery , gastrostomy , varices , percutaneous endoscopic gastrostomy , diathermy , general surgery , cirrhosis , finance , peg ratio , economics
The safety, effectiveness and capabilities of therapeutic upper fibreoptic endoscopy in children undergoing therapeutic endoscopic procedures ( n = 443) was studied. Therapy for gastrointestinal bleeding formed the major group (injection sclerotherapy for varices, n = 197 procedures; thermocoagulation for haemorrhagic gastritis, n = 1; and photocoagulation for Dieulafoy's disease, n = 1). Sclerotherapy was 97% effective in controlling acute bleeding and 84% effective in obliterating varices with no serious complications or deaths. Oesophageal dilatations for surgical, caustic, congenital and peptic strictures and achalasia ( n = 193) were performed with no oesophageal perforations or deaths. Foreign bodies were retrieved ( n = 34) with no failures or complications. Percutaneous endoscopic gastrostomy was performed ( n = 11) with one failure, proceeding to an unsuccessful surgical gastrostomy. Miscellaneous procedures included endoscopic transpyloric tube placement ( n = 5) and endoscopic diathermy of pyloric web ( n = 1). Therapeutic fibreoptic endoscopy is therefore concluded to be safe and effective in children, replacing rigid oesophagoscopy and some traditional surgical approaches.