López GJ, Manrique MA, Chávez GMÁ, Pérez VE, Álvarez CR, Martínez JR, Tehozol MÉ, Zamario FS

Language: Spanish
References: 23
Page: 109-115
PDF size: 55.71 Kb.

ABSTRACT

Introduction. Gastrointestinal disorders in children conform a great spectrum, even acute or chronic problems. The standard devices can be used in older children and teenagers. There exist devices measuring 5 to 7 mm in diameter, that should be used for younger children. Study description. Restospective, observantional. Objective. Analyse the experience in endoscopy performance on paediatric patients. Material and methods. Endoscopy reports and files of children younger than 16 years which endoscopic study was performed at the Hospital Juárez de Mexico, from 1997 to 2002. Size of study. Two hundred fifteen studies were performed. Results. Upper gastrointestinal endoscopy studies: Diagnostic 123, esophageal dilation 30, foreign body removal 14, gastric polipectomy 3: total 170. Percutaneous endoscopic gastrostomy 10. Colonoscopies: diagnostic 16, polipectomy 12: total 28. Endoscopic retrograde cholangiopancreatography: diagnostic 5, stone extraction 2: total 7. Only one complication was found, and it was a soft tissues infection around the site of insertion of a gastrostomy tube, which was removed. Conclusions. According to the number of studies performed, the number of studies to maintain the skills is sufficient. The complication percentage found was 0.46%, which is lower than 1.7% accepted on the literature. The endoscopists that can perform paediatric studies are the ones who have the skills and knowledge, with the access of actualized information, supervision and adequate devices. The main pathology found was gastritis and gastroesophageal reflux.

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