Diagnostic yield of esophagogastroduodenoscopy in children with chronic abdominal pain
| Autor: | Ulaş Emre Akbulut, Fatma Gulgun Kocak, Ayten Livaoglu, Hamdi Cihan Emeksiz |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Black sea region Gastroenterology 03 medical and health sciences 0302 clinical medicine children Clinical Research 030225 pediatrics Internal medicine medicine Chronic abdominal pain In patient endoscopy Reflux esophagitis medicine.diagnostic_test Esophagogastroduodenoscopy business.industry General surgery abdominal pain Mean age General Medicine Endoscopy 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | Archives of Medical Science : AMS |
| ISSN: | 1734-1922 |
| DOI: | 10.5114/aoms.2017.67675 |
| Popis: | Introduction Chronic abdominal pain (CAP) is one of the most common indications of esophagogastroduodenoscopy (EGD) in the pediatric population. However, there is not enough information about the diagnostic yield of EGD in children with CAP. We aimed to evaluate the diagnostic yield of EGD in children with CAP in the Eastern Black Sea region of Turkey. Material and methods The study included children (n = 372) who underwent EGD for the primary indication of chronic abdominal pain during an 18-month period. We collected data on demographic features (age, sex), clinical characteristics (alarm symptoms), and EGD results for each patient. Results Patients' mean age was 13 years (range: 4-17 years; mean ± SD: 12.65 ±3.39 years), and the majority were female (n = 234, 62.9%). Endoscopy was diagnostic in 209 patients (56.2%; 95% CI: 30.35-40.05%). The most common diagnosis was Helicobacter pylori gastritis (35.2%) followed by reflux esophagitis. Significantly greater diagnostic yield of EGD was determined in patients with alarm symptoms (65.1%) compared to those without (45.2%) (OR = 2.26, 95% CI: 1.49-3.44, p = 0.001). Conclusions We determined a high diagnostic yield of EGD in children with CAP. Although the diagnostic yield of EGD in the assessment of CAP was found to be higher in the presence of alarm symptoms, a significant number of children without alarm symptoms were also found to have gastrointestinal system pathology diagnosed by EGD. |
| Databáze: | OpenAIRE |
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