Therapeutic pediatric upper endoscopy: a retrospective report from a low-volume center  

作　　者：Eyad Altamimi Reem AbuAssi Sana`a Abdulnabi Esraa Al-Faris Aya Zarraq Lujain Leghzawe Ma`moun Ali Naif Rawabdeh 

机构地区：[1]Pediatric Department,Faculty of Medicine,Jordan University of Science and Technology,Irbid 22110,Jordan [2]Pediatric Department,King Abdullah University Hospital,Irbid 22110,Jordan [3]Faculty of Medicine,Jordan University of Science and Technology,Irbid 22110,Jordan.

出　　处：《Gastroenterology & Hepatology Research》2023年第4期1-10,共10页胃肠与肝病学杂志（英文）

摘　　要：Background:Pediatric endoscopy has become an essential diagnostic and therapeutic tool for a range of gastrointestinal conditions in children,according to published guidelines.This study aimed to assess the indications,outcomes,and complications of therapeutic endoscopy in children at King Abdullah University Hospital(KAUH)in Jordan.Methods:This study conducted a retrospective chart review of therapeutic endoscopic procedures,including esophageal dilation,variceal and non-variceal hemostasis,foreign body retrieval,and percutaneous endoscopic gastrostomy(PEG)Tube insertion,performed between January 2014 and December 2020 at the Gastrointestinal Endoscopy Unit(a mixed adult and pediatric unit)at KAUH.Demographic data,indications for intervention,comorbidities,procedural outcomes,postprocedural treatment,complications,readmission,and patient follow-up data were extracted from the patient's medical records.Results:During the study period,185 patients underwent 260 therapeutic endoscopic procedures.110(60%)of the patients were boys.The average age of the patients was 81.8±51.46(standard deviation)months.Foreign body retrieval was the most common procedure,with accidental ingestion being the primary cause and coins being the most commonly impacted foreign body.Followed by esophageal dilatation and PEG tube insertion.Complications were mild and rare.Conclusion:The success rates and post-procedural complications of pediatric endoscopy procedures are similar between low-and high-volume hospitals worldwide,and procedural volume is not the only factor contributing to procedural outcomes and complication rates.

关 键 词：PEDIATRICS endoscopy GASTROSTOMY foreign body ESOPHAGUS DILATATION 

分 类 号：R57[医药卫生—消化系统]