ORIGINAL ARTICLE Diagnostic yield, guard, and ef?cacy of push enteroscopy in pedology Anil Darbari, MD, Anthony N. Kall(a)(a)oo, MD, Carmen Cuffari, MD Baltimore, Maryland, USA Background: charge enteroscopy has not been compared to ensample endoscopy in children. neutral: The aim of this study was to assign the feasibility of push enteroscopy in children with suspect proximal petty(a) catgut disease, and to compare its symptomatic yield and safety with standard endoscopy. Design/Setting: Database review. Patients: A database analysis was performed on all children who underwent push enteroscopy at The Johns Hopkins Childrens Center from 2001 to 2005. Patient demographics, clinical history, and indication for push enteroscopy were all recorded. Clinical utility was quali?ed based on the in?uence of PE on therapy. Main event Measurements: Diagnostic yield and safety of push enteroscopy in children. Results: charge enteroscopy was performed on 44 children (27 M; 17 F) w ith a median(prenominal) age (range) of 10 (2-18) years. The some common indications for push enteroscopy were surmise proximal small catgut disease based on radiological criteria (21), and bleeding (9).
Push enteroscopy con?rmed the diagnosis of proximal small bowel Crohns disease (CD) in 23, polyps in 5, eosinophilic gastroenteritis in 4, celiac disease in 1, microvillous inclusion disease in 1, and lymphoproliferative disease in 1 patient. An isolated non-Crohns associate gastric (1) and jejunal ulcer (1) was overly identi?ed. Just 9 of these identi? adequate lesions were within reach by esophagogastroduodeno scopy (EGD). Seven patients had a general p! ush enteroscopy. The clinical trouble was modi?ed in 34 patients. Push enteroscopy was not shown to signi?cantly qualify the time of procedure when compared to EGD. Conclusions: Push enteroscopy is a safe symptomatic tool with proven clinical utility in children with suspected proximal small bowel disease. Larger studies are required to establish the widespread...If you want to bind a full essay, society it on our website: OrderCustomPaper.com
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