Gastroscopy in Pediatric Surgery: Indications, Complications, Outcomes, and Ethical Aspects
Background. The aim of this study was to map gastroscopies performed at a single tertiary pediatric surgery centre to investigate indications, complications, outcomes, and ethical aspects. Material and Methods. A retrospective study of gastroscopies performed during two time periods (2001–2004 and 2...
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2015-01-01
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Online Access: | http://dx.doi.org/10.1155/2015/820340 |
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doaj-95720d0881774cbaa303f825af02e2ce2020-11-24T20:58:50ZengHindawi LimitedGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/820340820340Gastroscopy in Pediatric Surgery: Indications, Complications, Outcomes, and Ethical AspectsLouise Roth0Martin Salö1Mette Hambraeus2Pernilla Stenström3Einar Arnbjörnsson4Department of Pediatrics, Clinical Sciences Lund, Lund University, 22185 Lund, SwedenDepartment of Pediatrics, Clinical Sciences Lund, Lund University, 22185 Lund, SwedenDepartment of Pediatrics, Clinical Sciences Lund, Lund University, 22185 Lund, SwedenDepartment of Pediatrics, Clinical Sciences Lund, Lund University, 22185 Lund, SwedenDepartment of Pediatrics, Clinical Sciences Lund, Lund University, 22185 Lund, SwedenBackground. The aim of this study was to map gastroscopies performed at a single tertiary pediatric surgery centre to investigate indications, complications, outcomes, and ethical aspects. Material and Methods. A retrospective study of gastroscopies performed during two time periods (2001–2004 and 2011–2014) was conducted. Data regarding indications, outcomes, and complications of pediatric gastroscopies were analysed from a prospectively collected database. Results. The indications for gastroscopies changed over time. Therefore, 376 gastroscopies performed from 2011 through 2014 were studied separately. The median patient was four years old. The predominant indications were laparoscopic gastrostomy (40%), investigation of gastroenterological conditions (22%), obstruction in the upper gastrointestinal tract (20%), gastroesophageal reflux disease (GERD) (15%), and other indications (3%). Percentages of gastroscopies with no positive findings for each condition were laparoscopic gastrostomy, 100%; gastroenterological conditions, 46%; obstruction in the upper gastrointestinal tract, 36%; GERD, 51%. Furthermore, gastroscopies did not lead to any further action or change in treatment in 45% of gastroenterological conditions and 72% of GERD cases. The overall complication rate was 1%. Conclusion. The results are valuable to educate pediatric surgeons and to inform health care planning when including gastroscopy within clinical practice.http://dx.doi.org/10.1155/2015/820340 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Louise Roth Martin Salö Mette Hambraeus Pernilla Stenström Einar Arnbjörnsson |
spellingShingle |
Louise Roth Martin Salö Mette Hambraeus Pernilla Stenström Einar Arnbjörnsson Gastroscopy in Pediatric Surgery: Indications, Complications, Outcomes, and Ethical Aspects Gastroenterology Research and Practice |
author_facet |
Louise Roth Martin Salö Mette Hambraeus Pernilla Stenström Einar Arnbjörnsson |
author_sort |
Louise Roth |
title |
Gastroscopy in Pediatric Surgery: Indications, Complications, Outcomes, and Ethical Aspects |
title_short |
Gastroscopy in Pediatric Surgery: Indications, Complications, Outcomes, and Ethical Aspects |
title_full |
Gastroscopy in Pediatric Surgery: Indications, Complications, Outcomes, and Ethical Aspects |
title_fullStr |
Gastroscopy in Pediatric Surgery: Indications, Complications, Outcomes, and Ethical Aspects |
title_full_unstemmed |
Gastroscopy in Pediatric Surgery: Indications, Complications, Outcomes, and Ethical Aspects |
title_sort |
gastroscopy in pediatric surgery: indications, complications, outcomes, and ethical aspects |
publisher |
Hindawi Limited |
series |
Gastroenterology Research and Practice |
issn |
1687-6121 1687-630X |
publishDate |
2015-01-01 |
description |
Background. The aim of this study was to map gastroscopies performed at a single tertiary pediatric surgery centre to investigate indications, complications, outcomes, and ethical aspects. Material and Methods. A retrospective study of gastroscopies performed during two time periods (2001–2004 and 2011–2014) was conducted. Data regarding indications, outcomes, and complications of pediatric gastroscopies were analysed from a prospectively collected database. Results. The indications for gastroscopies changed over time. Therefore, 376 gastroscopies performed from 2011 through 2014 were studied separately. The median patient was four years old. The predominant indications were laparoscopic gastrostomy (40%), investigation of gastroenterological conditions (22%), obstruction in the upper gastrointestinal tract (20%), gastroesophageal reflux disease (GERD) (15%), and other indications (3%). Percentages of gastroscopies with no positive findings for each condition were laparoscopic gastrostomy, 100%; gastroenterological conditions, 46%; obstruction in the upper gastrointestinal tract, 36%; GERD, 51%. Furthermore, gastroscopies did not lead to any further action or change in treatment in 45% of gastroenterological conditions and 72% of GERD cases. The overall complication rate was 1%. Conclusion. The results are valuable to educate pediatric surgeons and to inform health care planning when including gastroscopy within clinical practice. |
url |
http://dx.doi.org/10.1155/2015/820340 |
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