A DESCRIPTIVE STUDY OF UPPER ENDOSCOPY IN PEDIATRIC
PATIENTS: MACROSCOPY VERSUS MICROSCOPY
Granquist A,
Fork T, Toth E, Axelsson I
Malmo
University Hospital, Malmo, Sweden
Objective:
To evaluate if the
macroscopical appearance of ventricle and duodenum could predict the
outcome of PAD in children and adolescents with gastrointestinal symptoms
Methods: During a period of 8 years (930101-201231)
347 patients (age 0.3-18 years, F/M 163/184) with gastrointestinal symptoms
were referred to the Endoscopy Unit of Malmö University Hospital for upper
endoscopy. The endoscopic findings were catalogued consecutively. When
available the outcome of PAD was compared to the documented macroscopic
appearance. A subgrouping of patients with known Helicobacter pylori (HP)
status was done.
Results:
Macroscopic normal duodenum
was found in 194 patients. Of those patients the PAD revealed duodenitis in
11.5%. In Hp infected patients (41/194) with macroscopically normal
duodenum the PAD showed duodenitis in 29%. PAD of macroscopically normal
ventricle (n=134) showed gastritis in 34%. In HP infected patients (29/134)
with normal appearance of the ventricle the PAD showed gastritis in 86%.
Conclusion: macroscopic appearance is not sufficient to predict the outcome
neither of culture nor of PAD in symptomatic children and adolescents. We
recommend a generous biopsy taking while upper endoscopy is performed.