TITLE:
Spectrum of Upper GI Endoscopy in Pediatric Population at a Tertiary Care Centre in Pakistan
AUTHORS:
Muhammad Rehan Khan, Shakeel Ahmed, Syed Rehan Ali, Prem Kumar Maheshwari, Muhammad Saad Jamal
KEYWORDS:
Upper GI Endoscopy, Children, Indications
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.4 No.3,
August
15,
2014
ABSTRACT:
Although upper GI
endoscopy is considered to be a gold standard in diagnosis of many pediatric
gastrointestinal disorders, there is limited data about its utility from
developing countries. We carried out this retrospective study at Aga khan
University Hospital, Karachi, Pakistan from 2008-2012. During the study period,
a total of 200 procedures were performed. Mean age of patients was 8.5 years.
66% of patients received general anesthesia for the procedure. Failure to
thrive with suspected coeliac disease was the most common indication for the
procedure, seen in 31% of patients. Gastritis was the most common abnormal
endoscopic finding, seen in 14.5% of patients. Gastritis was the most common
histopathological finding on biopsy, seen in 31% of the patients (n = 62).
Findingswere consistent with
coeliac disease in 18% (n = 36), duodenitis, 10.5% (n = 21) and esophagitis, 4%(n = 8) of patients. No immediate post
procedure complication was noted in our study.