Objective:
To present and discuss the endoscopic and histological results, as well as the
incidence of
Helicobacter pylori and other
diseases, indications and characteristics of upper digestive endoscopies performed in
children. Material and
methods:
Twenty-five endoscopies were performed in
children aged six months to 11 years (mean 7.69 years), from February 2013 to January 2016. In 200
patients, endoscopies were diagnostic and serial
biopsies were performed (
esophagus,
stomach and
duodenum), in 120 of them.
Results:
The indication of
endoscopy was diagnosed in 88.89% of the
patients, and in 26
patients, a
therapeutic procedure was performed. The most frequent endoscopic findings were
esophagitis in 49
patients,
gastritis in 84 and
duodenitis in 16
patients. Four
duodenal ulcers were diagnosed. In the
therapeutic endoscopies, six
gastrostomies were performed, 14
foreign body withdrawals, five nasoenteral tube passages and esophageal
dilatation. The H. pylori
survey was performed by anatomopathological
method and was positive in 26 (13%) of the 200
patients in whom it was searched.
Conclusion:
pediatric
endoscopy is an important niche of the digestive
endoscopy, where it is important to emphasize the relevance of the institutional structure that performs these
procedures, in order to conduct them safely, being able to treat possible and feasible
complications