Therapeutic upper gastrointestinal endoscopy in children : An audit of 443 procedures and literature review

Goenka, A. S., Dasilva, M. S., Cleghorn, Geoffrey J., Patrick, M. K., & Shepherd, R. W. (1993) Therapeutic upper gastrointestinal endoscopy in children : An audit of 443 procedures and literature review. Journal Of Gastroenterology And Hepatology, 8(1), pp. 44-51.

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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 photocoaulation 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.

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9 citations in Web of Science®

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ID Code: 90256
Item Type: Journal Article
Refereed: Yes
Additional Information: Cited By :12 Export Date: 1 September 2015 CODEN: JGHEE Correspondence Address: Shepherd, R.W.; Dept. Gastroenterology/Nutrition, Royal Children's Hospital, Herston, Brisbane, QLD 4029, Australia
Keywords: adolescent, article, child, controlled study, esophagus dilatation, esophagus hemorrhage, female, gastrointestinal endoscopy, human, infant, major clinical study, male, school child, sclerotherapy, Child, Preschool, Dilatation, Endoscopy, Gastrointestinal, Esophageal and Gastric Varices, Esophageal Stenosis, Foreign Bodies, Gastrointestinal Hemorrhage, Gastrostomy, Intubation, Gastrointestinal, Medical Audit
ISSN: 0815-9319
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Exercise & Nutrition Sciences
Deposited On: 17 Nov 2015 00:05
Last Modified: 17 Nov 2015 00:05

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