[Fiber colonoscopy in children under 18. Our experience with 112 patients studied in the digestive endoscopy section of a general hospital].
The aim of the study was to evaluate the indications of colonoscopy, diagnostic accuracy and efficacy treatment of procedure in young patients aged less than eighteen years using standard forward colonoscopes Olympus CF LB2, CF LBw and CF HL20. Among 5,400 procedures done along eleven years, 112 (2.07 per 100) were performed in patients aged less than eighteen years, 37.6 per 100 of which were performed in children under ten years. In this group general anaesthesia was employed without complications. The most frequent indication of colonoscopy in young patients was rectal bleeding (62.5 per 100). Related to the frequency, in this series, the control of graft versus host disease in patients submitted to bone marrow transplantation was the second indication (11 per 100), followed by the study of chronic anaemia (4.2 per 100) and control of the chronic inflammatory bowel disease (4.2 per 100). Diagnostic accuracy reached 93.75 per 100. In 6 per 100 of the cases the exploration were considered unsatisfactory because inadequate cleaning of the colon. The most frequent diagnostic was "normal colon" (29.6 per 100 of the cases). Polyp was found in 21.2 per 100 of the cases. Polypectomy was performed in all indicated cases. One patient with multiple polyposis were submitted to surgery. Colonoscopy reached the right colon in 25.4 per 100 of the cases. In 54 per 100 of the procedures reached splenic angle and in 83.8 per 100 of the cases, all sigmoid colon was explored. From this experience we suggests that colonoscopy, using standard endoscopes, is a very useful diagnostic and therapeutic technique in child and in young people.(ABSTRACT TRUNCATED AT 250 WORDS)
Sotomayor
J
J
Sección de Endoscopia Digestiva, Hospital Clínico y Provincial, Barcelona.
Bordas
J M
JM
Parri
F
F
Juliá
V
V
Mondelo
F
F
Morales
L
L
Teres
J
J
D000293:Adolescent; D002648:Child; D003108:Colonic Diseases / Q000175:diagnosis; D020685:Colonoscopes; D003113:Colonoscopy / Q000379:methods; D005336:Fiber Optic Technology; D006769:Hospitals, General; D006801:Humans; D013030:Spain
Fibrocolonoscopia en menores de dieciocho años. Experiencia en 112 pacientes estudiados por una sección de endoscopia digestiva en un hospital general.