RESUMO
Gastrointestinal endoscopy is a safe, efficient technique with minimal complications, and a useful diagnostic tool for the pediatric population. Under ideal conditions endoscopies for children should be performed by experienced pediatric endoscopists. In this study we report our experience with pediatric endoscopy at the general adult endoscopy unit in our hospital. Our goal is to quantify the number of endoscopies performed in children, as well as their indications and findings, the type of sedation or anesthesia used, and the time waiting for the test to occur. Our experience demonstrates that endoscopists in a general adult gastroenterology department, working together with pediatricians, may perform a relevant number of endoscopies in children in a fast, safe, effective manner.
Assuntos
Endoscopia Gastrointestinal/estatística & dados numéricos , Adolescente , Adulto , Fatores Etários , Anestesia Geral/estatística & dados numéricos , Tamanho Corporal , Criança , Pré-Escolar , Sedação Consciente/estatística & dados numéricos , Endoscópios Gastrointestinais , Endoscopia Gastrointestinal/métodos , Feminino , Corpos Estranhos/cirurgia , Gastroenteropatias/diagnóstico , Gastroenteropatias/cirurgia , Unidades Hospitalares , Humanos , Masculino , Estudos Retrospectivos , Fatores de TempoRESUMO
Extraintestinal respiratory manifestations in inflammatory bowel disease (IBD) are rare. We present a case of bronchiolitis obliterans organizing pneumonia (BOOP) in a patient with Crohn s disease, with clinical remission with no drug therapy.
Assuntos
Doença de Crohn/complicações , Pneumonia em Organização Criptogênica/complicações , Adulto , Humanos , MasculinoRESUMO
Acute esophageal necrosis is a rare disorder, and its etiology is unknown, the mechanism of damage being usually multifactorial and secondary to ischemic compromise, acute gastric outlet obstruction, and malnutrition. Endoscopic findings show circumferential black discoloration of the distal esophagus with proximal extension ending sharply at the gastroesophageal junction, which is the most common presentation. Prognosis depends on comorbid illnesses. In this study we analyze all cases reported in a retrospective analysis over a 2-year period to define risk factors, clinical presentation, endoscopic features, histological appearance, treatment and outcome. Our department has recorded 7 cases from 6,003 endoscopies performed in the last 2 years. The finding of a "black esophagus" represented 0.11% of cases.