[Upper gastrointestinal endoscopy in neonates--experience of pediatric gastroenterology unit].
The aim of our study was to assess the frequency of the different lesions occurring as well as to precise indications of upper gastrointestinal endoscopy in neonates.


METHODS
We have achieved a retrospective study about 128 neonatal gastrointestinal endoscopies. Three groups were constituted according to macroscopic findings: Group I: normal aspect (n=11); Group II: isolated esophagitis (n=19); Group III: esogastritis or gastroduodenitis or esogastroduodenitis (n=92).


RESULTS
The neonates undergoing endoscopy for malaise were more frequent in group I than in group II and III, respectively 36.5% versus 15.8% and 9.8% (P = 0.04). Digestive hemorrhage (hematemesis and/or melena) was more frequent in group III than in group II and I, respectively 90.2% versus 78.9% and 63.6% (P = 0.03). Digestive hemorrhage was in our study the main indication of upper gastrointestinal endoscopy in neonates (85.9%) which showed a macroscopic lesion in 93.5% of cases.


CONCLUSIONS
Hematemesis and suspicion of esophagitis are good indications for upper gastrointestinal endoscopy in neonates.
Mazigh M'rad
Sonia
S
Service de Mèdecine Infantile C, Hôpital d'Enfants de Tunis.
Boukthir
Sami
S
Aissa
Khaoula
K
Fetni
Ilham
I
Barsaoui
Sihem
S
D000367:Age Factors; D003627:Data Interpretation, Statistical; D004382:Duodenitis / Q000175:diagnosis*; D016099:Endoscopy, Gastrointestinal; D004941:Esophagitis / Q000175:diagnosis*; D005260:Female; D005756:Gastritis / Q000175:diagnosis*; D006396:Hematemesis / Q000175:diagnosis*; D006748:Hospital Departments; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008297:Male; D008551:Melena / Q000175:diagnosis; D012189:Retrospective Studies; D012737:Sex Factors