Upper gastrointestinal bleeding in children: an 11-year retrospective endoscopic investigation.

World Journal of Pediatrics : WJP
Katherine ClevelandMichael Nowicki

Abstract

Upper gastrointestinal bleeding (UGIB) may present as hematemesis, coffee-ground emesis, or melena requiring esophagogastroduodenoscopy (EGD) for diagnosis and/or therapy. Worldwide, differences exist for the etiology of UGIB reflecting geographical differences in common disease states. In the past 25 years, there have been improvements in endoscopic optics. This study was undertaken to determine: 1) if identifying a bleeding source in UGIB have improved with better endoscopic optics, 2) geographic differences in causes of UGIB, 3) differences in severity of UGIB based on clinical factors, and 4) the likelihood of finding a bleeding source based on symptom duration and time to endoscopy. A retrospective chart review was made on children having EGD for evaluation of UGIB. Data collected included type, etiology, and degree of bleeding. Of 2569 diagnostic procedures, 167 (6.5%) were performed for UGIB. The most common presentation was hematemesis (73.4%). Melena was associated with lower hemoglobin levels and higher transfusion rates. A source of UGIB was found in 57.0%, no cause in 11.4% and a questionable cause in 29.7%. A source was found less commonly in children with a history of UGIB less than one month and in those undergoi...Continue Reading

References

May 1, 1977·Gastrointestinal Endoscopy·Y AkasakaK Kawai
Sep 25, 1976·The Medical Journal of Australia·G P YoungA J Wall
Mar 1, 1975·British Medical Journal·A T Axon, A Clarke
Dec 1, 1969·American Journal of Surgery·D H WeaverK B Castleton
Oct 1, 1966·Archives of Surgery·F W Clemenz, R G Dawson
Nov 1, 1983·Gastrointestinal Endoscopy·J C ProllaT R Silveira
Feb 1, 1984·Digestive Diseases and Sciences·H A ShepherdD G Colin-Jones
Jan 1, 1993·Journal of Clinical Gastroenterology·J Y KangM V Math
Dec 1, 1998·Gastrointestinal Endoscopy·F ByfieldR J Garcia-Carrasquillo
Jun 13, 2008·BMC Gastroenterology·Anke J E de VeerAnneke L Francke
Oct 31, 2008·Journal of Digestive Diseases·Christoph Heinrich HoubenChung Kwong Yeung
Apr 25, 2009·Indian Journal of Pediatrics·Seyed Mohsen DehghaniMahmood Reza Tabebordbar

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Citations

Dec 1, 2015·Gastrointestinal Endoscopy Clinics of North America·Richard A Lirio
Mar 19, 2015·Journal of Pediatric Surgery·S JayakumarN Ade-Ajayi
Apr 14, 2015·Pediatric Gastroenterology, Hepatology & Nutrition·Kyu Seon KimJae Young Kim
Aug 3, 2016·European Journal of Gastroenterology & Hepatology·Chaowapong JarasvaraparnSuporn Treepongkaruna
Nov 5, 2016·Journal of Pediatric Gastroenterology and Nutrition·Anna M Banc-HusuPetar Mamula
Mar 8, 2018·Journal of Orthodontics·Romeo PatiniPatrizia Gallenzi
Mar 16, 2017·World Journal of Gastroenterology : WJG·Claudio RomanoFilippo Torroni
Jul 31, 2018·Paediatrics and International Child Health·Ujjal Poddar
Oct 3, 2021·Pediatrics in Review·Robert D Baker, Susan S Baker

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