Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease.
bowel cleansing preparation
complication
inflammatory bowel disease
pediatric coloscopy
sedation
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
28 Sep 2022
28 Sep 2022
Historique:
received:
25
08
2022
revised:
16
09
2022
accepted:
27
09
2022
entrez:
14
10
2022
pubmed:
15
10
2022
medline:
15
10
2022
Statut:
epublish
Résumé
The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported. A retrospective analysis was conducted on pediatric patients aged ≤15 years, comparing those who underwent their first diagnostic colonoscopy between 1 January 2007 and 28 February 2015 with those who did so between 1 March 2015 and 28 February 2022 at Kurume University Hospital. A total of 274 patients were included, including 110 in the previous study and 164 in the present study. The main indications were hematochezia in the previous study (63/110, 57.3%) and abdominal pain in the present study (64/164, 39.0%). Ulcerative colitis (74/274, 27.0%) was the most common diagnosis in both studies. The major difference from the previous study was an increase in the number of Crohn's disease and eosinophilic gastrointestinal disorder cases. Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7-12 years. In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. The increasing trend of patients presenting with inflammatory bowel disease and eosinophilic gastrointestinal disorder worldwide indicates the importance of colonoscopy in infants and children.
Sections du résumé
BACKGROUND
BACKGROUND
The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported.
METHODS
METHODS
A retrospective analysis was conducted on pediatric patients aged ≤15 years, comparing those who underwent their first diagnostic colonoscopy between 1 January 2007 and 28 February 2015 with those who did so between 1 March 2015 and 28 February 2022 at Kurume University Hospital.
RESULTS
RESULTS
A total of 274 patients were included, including 110 in the previous study and 164 in the present study. The main indications were hematochezia in the previous study (63/110, 57.3%) and abdominal pain in the present study (64/164, 39.0%). Ulcerative colitis (74/274, 27.0%) was the most common diagnosis in both studies. The major difference from the previous study was an increase in the number of Crohn's disease and eosinophilic gastrointestinal disorder cases. Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7-12 years.
CONCLUSION
CONCLUSIONS
In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. The increasing trend of patients presenting with inflammatory bowel disease and eosinophilic gastrointestinal disorder worldwide indicates the importance of colonoscopy in infants and children.
Identifiants
pubmed: 36233615
pii: jcm11195747
doi: 10.3390/jcm11195747
pmc: PMC9572109
pii:
doi:
Types de publication
Journal Article
Langues
eng
Références
J Pediatr Gastroenterol Nutr. 2012 Jun;54(6):748-52
pubmed: 22157929
J Pediatr Gastroenterol Nutr. 2012 Feb;54(2):171-85
pubmed: 21975965
J Pediatr Gastroenterol Nutr. 2017 Jan;64(1):133-153
pubmed: 27622898
J Pediatr Gastroenterol Nutr. 2013 Feb;56(2):215-9
pubmed: 22699838
Gastrointest Endosc Clin N Am. 1994 Jan;4(1):143-60
pubmed: 8137012
Gastrointest Endosc Clin N Am. 2001 Oct;11(4):603-39, vi
pubmed: 11689359
Clin Gastroenterol Hepatol. 2008 May;6(5):515-20
pubmed: 18356115
Dig Dis Sci. 2012 Apr;57(4):1050-5
pubmed: 22147243
Gastrointest Endosc. 2008 Jan;67(1):1-9
pubmed: 18155419
J Pediatr Gastroenterol Nutr. 2013 Feb;56(2):220-4
pubmed: 22744195
Endoscopy. 2009 Dec;41(12):1038-45
pubmed: 19967619
J Pediatr Gastroenterol Nutr. 2012 Mar;54(3):422-6
pubmed: 21857244
Dig Dis Sci. 2004 May;49(5):888-91
pubmed: 15259516
PLoS One. 2014 Apr 23;9(4):e95933
pubmed: 24759776
Am J Gastroenterol. 2019 Jun;114(6):984-994
pubmed: 31008735
World J Gastroenterol. 2017 Aug 21;23(31):5773-5779
pubmed: 28883703
Gastrointest Endosc. 2012 Jul;76(1):8-17
pubmed: 22579260
J Gastroenterol. 2010 Sep;45(9):911-7
pubmed: 20232217
World J Gastroenterol. 2010 Mar 7;16(9):1119-22
pubmed: 20205284
Arch Dis Child. 2003 Nov;88(11):995-1000
pubmed: 14612366
Gastrointest Endosc. 2014 May;79(5):699-710
pubmed: 24593951
BMC Gastroenterol. 2019 Aug 20;19(1):149
pubmed: 31429721
Inflamm Bowel Dis. 2013 Feb;19(2):423-8
pubmed: 23340680
J Pediatr Gastroenterol Nutr. 2012 Mar;54(3):374-80
pubmed: 21857248
Eur J Med Res. 2013 Jul 25;18:24
pubmed: 23885793