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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255

Abstract

GARCIA-BACALLAO, Elsa Francisca; CHIMBOLEMA-GUACHO, Ruth Isabel  and  SANCHEZ-GARCIA, Nélcido Luis. Pediatric colonoscopy. Our experience at the Institute of Gastroenterology. AMC [online]. 2019, vol.23, n.2, pp.165-177. ISSN 1025-0255.

Background:

colonoscopy allows endoscopic visualization of the colon for the diagnosis of disease and terminal ileum.

Objective:

to describe the results of the colonoscopy in pediatric patients at the Institute of Gastroenterology of Havana.

Methods:

a retrospective, descriptive study was performed in pediatric patients who underwent colonoscopy at the Institute of Gastroenterology, between 2007 and 2016.

Results:

the most frequent indication for colonoscopy was rectal bleeding, related to the presence of polyps, which together with lymphoid hyperplasia, were more frequent in males and in the 9 to 18 age group. The coincidence between endoscopic and histological diagnosis for the polyps was high, as it was not so for lymphoid hyperplasia and inflammatory bowel disease. The rate of cecal intubation and the complication rate coincided with that reported in the literature.

Conclusions:

the indications for colonoscopy and endoscopic findings coincide with reports from other studies. The most frequent endoscopic diagnoses were polyps and unspecific colitis. The majority of endoscopic diagnoses were more frequent in males and between 9 and 18 years. There was a diagnostic agreement between endoscopy and histology in polyps, but not in inflammatory diseases and lymphoid hyperplasia. The quality indicators evaluated behaved according to established standards.

Keywords : COLON; ENDOSCOPY, GASTROINTESTINAL; COLONOSCOPY/adverse effects; COLITIS/diagnosis; POLYPS/diagnosis.

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