All issues > Volume 30(8); 1987

Original Article

J Korean Pediatr Soc. 1987;30(8):868-873. Published online August 31, 1987.

Upper Gastrointestinal Fiberoptic Endoscopy in Children.

Dong Hyup Lee¹, Chong Woo Bae¹, Yong Mook Choi¹, Chang Il Ahn¹, Young Il Min²

¹Department of Pediatrics, Kyung Hee University, School of Medicine
²Department of Internal Medicine, Kyung Hee University, School of Medicine

Abstract

We observed 63 cases ranging in age from 3 years to 15 years seen by gastrofibroscopy in Dept, of Int. Med. and Dept, of Ped. of Kyung hee Univ. Hospital from January 1980 to December 1985 and following results were obtained 1) The male to female ratio was about 1:1.17. The frequency of the age distribution was 1.6% below 5 years, 25.4% in 6-10 years and 73% in 11-15 years. 2) The chronic recurrent epigastric pain (72.4%) and the UGI bleeding (8%) were the most frequent in according to the classification of indication. 3) The mucosal lesion(29 cases, 57%) was the most common abnormal finding and the superficial gastritis(14 cases) was the most common among the lesion. The ulcerative lesion(13 cases, 26.5%) was the second most common. The gastric ulcer to duodenal ulcer ratio was about 3:1. 4) We experienced 5 cases of biopsy and its results were same as the gastrofibroscopy. The removal of foreign body (needle-1 case) and the alcohol injection therapy(l case) were successful. 5) There were no complication above the procedures. In conclusion, the endoscope is a safe, highly accurate instrument, which produces little patient discomfort and provides invaluable information. Especially, it is one of the necessary and important procedures in chronic recurrent abdominal pain and UGI bleeding respectively.

Keywords :Gastrointestinal fiberoptic endoscopy; Recurrent abdominal pain, Children.