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Gastroscopy in pediatric surgery: indications, complications, outcomes, and ethical aspects.

Roth L, Salö M, Hambraeus M, Stenström P, Arnbjörnsson E - Gastroenterol Res Pract (2015)

Bottom Line: Background.The overall complication rate was 1%.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Clinical Sciences Lund, Lund University, 22185 Lund, Sweden.

ABSTRACT
Background. The aim of this study was to map gastroscopies performed at a single tertiary pediatric surgery centre to investigate indications, complications, outcomes, and ethical aspects. Material and Methods. A retrospective study of gastroscopies performed during two time periods (2001-2004 and 2011-2014) was conducted. Data regarding indications, outcomes, and complications of pediatric gastroscopies were analysed from a prospectively collected database. Results. The indications for gastroscopies changed over time. Therefore, 376 gastroscopies performed from 2011 through 2014 were studied separately. The median patient was four years old. The predominant indications were laparoscopic gastrostomy (40%), investigation of gastroenterological conditions (22%), obstruction in the upper gastrointestinal tract (20%), gastroesophageal reflux disease (GERD) (15%), and other indications (3%). Percentages of gastroscopies with no positive findings for each condition were laparoscopic gastrostomy, 100%; gastroenterological conditions, 46%; obstruction in the upper gastrointestinal tract, 36%; GERD, 51%. Furthermore, gastroscopies did not lead to any further action or change in treatment in 45% of gastroenterological conditions and 72% of GERD cases. The overall complication rate was 1%. Conclusion. The results are valuable to educate pediatric surgeons and to inform health care planning when including gastroscopy within clinical practice.

No MeSH data available.


Related in: MedlinePlus

Age distribution among indication groups for all 376 patients from 0 to 15 years of age from July 2011 to May 2014. *Obstruction in the upper gastrointestinal tract, **gastroesophageal reflux disease, and ***investigation of gastroenterological conditions.
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Related In: Results  -  Collection


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fig4: Age distribution among indication groups for all 376 patients from 0 to 15 years of age from July 2011 to May 2014. *Obstruction in the upper gastrointestinal tract, **gastroesophageal reflux disease, and ***investigation of gastroenterological conditions.

Mentions: Figure 3 shows the distribution of indications of all gastroscopies performed during the study period. The most common indication was laparoscopic gastrostomy, followed by investigation of gastroenterological conditions, obstruction in the upper gastrointestinal tract, GERD, and other indications. Figure 4 shows the gender and age distributions by indication.


Gastroscopy in pediatric surgery: indications, complications, outcomes, and ethical aspects.

Roth L, Salö M, Hambraeus M, Stenström P, Arnbjörnsson E - Gastroenterol Res Pract (2015)

Age distribution among indication groups for all 376 patients from 0 to 15 years of age from July 2011 to May 2014. *Obstruction in the upper gastrointestinal tract, **gastroesophageal reflux disease, and ***investigation of gastroenterological conditions.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4389833&req=5

fig4: Age distribution among indication groups for all 376 patients from 0 to 15 years of age from July 2011 to May 2014. *Obstruction in the upper gastrointestinal tract, **gastroesophageal reflux disease, and ***investigation of gastroenterological conditions.
Mentions: Figure 3 shows the distribution of indications of all gastroscopies performed during the study period. The most common indication was laparoscopic gastrostomy, followed by investigation of gastroenterological conditions, obstruction in the upper gastrointestinal tract, GERD, and other indications. Figure 4 shows the gender and age distributions by indication.

Bottom Line: Background.The overall complication rate was 1%.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Clinical Sciences Lund, Lund University, 22185 Lund, Sweden.

ABSTRACT
Background. The aim of this study was to map gastroscopies performed at a single tertiary pediatric surgery centre to investigate indications, complications, outcomes, and ethical aspects. Material and Methods. A retrospective study of gastroscopies performed during two time periods (2001-2004 and 2011-2014) was conducted. Data regarding indications, outcomes, and complications of pediatric gastroscopies were analysed from a prospectively collected database. Results. The indications for gastroscopies changed over time. Therefore, 376 gastroscopies performed from 2011 through 2014 were studied separately. The median patient was four years old. The predominant indications were laparoscopic gastrostomy (40%), investigation of gastroenterological conditions (22%), obstruction in the upper gastrointestinal tract (20%), gastroesophageal reflux disease (GERD) (15%), and other indications (3%). Percentages of gastroscopies with no positive findings for each condition were laparoscopic gastrostomy, 100%; gastroenterological conditions, 46%; obstruction in the upper gastrointestinal tract, 36%; GERD, 51%. Furthermore, gastroscopies did not lead to any further action or change in treatment in 45% of gastroenterological conditions and 72% of GERD cases. The overall complication rate was 1%. Conclusion. The results are valuable to educate pediatric surgeons and to inform health care planning when including gastroscopy within clinical practice.

No MeSH data available.


Related in: MedlinePlus