Clinical profiles and Outcomes of Pediatric Patients undergoing gastroscopic and Colonoscopic procedures at TikurAnbessa Specialized Hospital from September, 2013 to January,2017. (A 5years pediatrics endoscopic trend analysis)
AbstractBackground: Gastrointestinal diseases are important healthcare problems in pediatric age groups across the world. Patients can have diverse clinical manifestations of gastrointestinal problems. Since the inception of pediatric endoscopy in 1970â€™s, it has been used widely in clinical practice to identify the causes of different upper and lower gastrointestinal complaints and, hence has become standard of care towards diagnosing and treating ( like esophageal band ligation, sclerotherapy, balloon dilatation, polypectomy, biopsy taking, etc) of different pediatric gastrointestinal problems.Objective: This study assessed the clinical profiles and outcomes of children with gastrointestinal problems, atTikurAnbessa specialized hospital, Addis Ababa, Ethiopia.
Methods:A retrospective-cross-sectional descriptive study was conducted through chart review of all pediatric patients who underwent Esophagogastroduodenoscopy& colonoscopy performed at TASH (TikurAnbessa Specialized Hospital) from September 2013 to January 2017, and data was analyzed using Statistical package for social sciences (SPSS) version 25.0.
Results: In this study, there were 615 patients, male, 340(55.3%) and female, 275(44.7%) for whom endoscopy was done. The commonest indication for gastroscopy was bloody vomiting, 186/420(44.3%) with gastroscopic finding being esophageal varices, 159/420(37.9%), colonoscopic indication was rectal bleeding, 96/195 (49.2%) with findings revealing rectal polyps, 130/195(66.7%).
Conclusions: This study clearly demonstrated that the commonest indication for gastroscopic and colonoscopic procedureswere bloody vomiting and rectal bleeding respectively.Esophageal varices, polyps and IBD (inflammatory bowel disease) were found to be the commonestgastroscopic&colonoscopic findings, indicating that endoscopy is the modality of procedure for diagnosis and treatment of gastrointestinal problems in children.
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