Interventional Endoscopy in the Gastrointestinal Tract in Children

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Published Dec 2, 2010
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Vol. 88 No. 12 (2010): Issue Dec 2010

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Samir Boukthir
Sonia Mazigh Mrad
S. Ben Nasr
I. Brini
A. Bahri
Mourad Hamzaoui
Sonia Ben Khelifa
Beji Chaouachi
Azza Samoud Gharbi

Abstract

Background : Interventional endoscopic procedures involving the gastrointestinal (GI) tract in children are very common. Over the last several years the number of procedures in this area has steadily increased.
Aim: To study indications and results of GI interventional endoscopies performed in a Pediatric GI unit.
Methods: Retrospective study over a period of 10 years (1999- 2008). Data were collected from endoscopic files. All procedures were performed endoscopically under general anesthesia.
Results: 185 interventional endoscopic procedures were done during this period in 96 patients (58 boys) median age: 4.9 ± 4.7 years (1 month-13 years). Indications were as follows: esophageal stenosis (n= 46; 47.9%), rectal polyp resection (n=21; 19.8%), esophageal varices ligation (n=19; 19.7%), foreign body extractions (n= 8; 8.3%) and percutaneous endoscopic gastrostomy (n= 2; 2.1%). One hundred and thirteen esophageal dilations (61.1% of procedures) were performed in 46 patients: caustic stenosis (n=22; 22.9%), peptic stenosis (n=13; 13.5%) and anastomotic stenosis (n= 11; 11.4%).
Conclusion: The main indication of interventional GI endoscopy in this series was oesophageal stenosis followed by rectal polyp resection, esophageal varices ligation and foreign body extractions.

Keywords:

Endoscopy, interventional, gastrointestinal tract, oesophageal dilatation, foreign bodies, gastrostomy, oesophageal varices, polyp, child

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