Pediatric Esophagogastroduodenoscopy in Saudi Arabia

Seventy-two pediatric patients (44 females and 28 males) had esophagogastroduodenoscopy over a 2-year period. In 27 of 32 patients with a history of epigastric pain and heartburn, the endoscopy was normal, and the remaining five had peptic ulcer disease. Of 22 patients with a history of recent bleeding, the bleeding site was identified in 14. Foreign body was identified in 10 patients and extracted from nine. In five patients with suspicion of tracheoesophageal fistula, only three were proved by esophagogastroduodenoscopy; in the other two, tracheoesophageal fistula could not be demonstrated by either esophagogastroduodenoscopy or barium studies. The two patients with corrosive ingestion required esophageal dilation. Celiac disease was diagnosed by small bowel biopsy in one patient. The group with history of abdominal pain had the lowest diagnostic yield despite its being the commonest indication. Endoscopic diagnosis was made in 35 of 72 patients, and the commonest pathologic finding was peptic ulcer disease.
Source: Annals of Saudi Medicine - Category: Journals (General) Tags: ISSUE 1 Source Type: research