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Endoscopic examination and treatment of upper gastrointestinal diseases in children



Endoscopic examination and treatment of upper gastrointestinal diseases in children



Tohoku Igaku Zasshi 99(1-2): 1-4



During the 11 year period since 1974, diagnostic and therapeutical endoscopy was performed in 129 children under 15 years of age. The subjects consisted of 84 boys and 45 girls, and included one case under the age of one year (1%), 11 cases (8%) between 3 and 6 years and remaining 117 cases (91%) over 7 years. Endoscopy was conducted under general anesthesia in pre-school children, uncooperative children and those with strong fears. In other patients endoscopy was performed under local anesthesia of the pharynx with appropriate sedatives. In pre-kindergarteners, a bronchial fiberscope FBS (Machida Co.) was used, while children older than the kindergarten age were examined by a fiberscope of GIF-P (Olympus Co.). 37 cases (28.7%) showed lesions such as: duodenal ulcers in 9 cases (24%), gastric ulcers in 7 cases (18%) and esophageal varices in 5 cases (14%) etc. Intragastric foreign body was also removed endoscopically in 2 cases. During these examinations and treatments no complications occurred. Endoscopy for upper gastrointestinal tract was proven to be safe even in children and useful for diagnosing and treating various diseases. We believe that in the future endoscopic surgery will be common for children as well as for adults.

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Accession: 005359245

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