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Study to determine guidelines for pediatric colonoscopy
| Content Provider | Semantic Scholar |
|---|---|
| Author | Yoshioka, Shinichiro Takedatsu, Hidetoshi Fukunaga, S. Kuwaki, Kotaro Yamasaki, Hiroshi Yamauchi, Ryosuke Mori, Atsushi Kawano, Hiroshi Yanagi, Tadahiro Mizuochi, Tatsuki Ushijima, Katsuro Mitsuyama, Keiichi Tsuruta, Osamu Torimura, Takuji |
| Copyright Year | 2017 |
| Abstract | AIM To investigated characteristics, diagnosis, bowel-cleansing preparation, sedation, and colonoscope length and diameter in Japanese pediatric patients receiving total colonoscopy. METHODS The present study evaluated consecutive patients aged ≤ 15 years who had undergone their first colonoscopy in Kurume University between January 2007 and February 2015. Data were retrospectively analyzed. We identified 110 pediatric patients who had undergone colonoscopy that had reached the cecum, allowing the observation of the total colon. RESULTS Hematochezia, abdominal pain, and diarrhea were the most common symptoms. For bowel-cleansing preparation, pediatric patients aged ≤ 12 years were treated with magnesium citrate, and patients aged 13-15 years were treated with polyethylene glycol 4000. For sedation, thiamylal with pentazocine, which has an analgesic effect, was used in patients aged ≤ 6 years, and midazolam with pentazocine was used in patients aged ≥ 7 years. Regarding the choice of endoscope, short and thin endoscopes were selected for younger patients, particularly patients aged ≤ 3 years. Positive diagnoses were made in 78 patients (70.9%). Inflammatory bowel disease (n = 49, 44.5%), including ulcerative colitis (n = 37, 33.6%) and Crohn's disease (n = 12, 10.9%), was the most common diagnosis. CONCLUSION Colonoscopy offers a high diagnostic capability for pediatric patients with gastrointestinal symptoms. The selection of appropriate management the performance of colonoscopy is important in pediatric patients. |
| Starting Page | 5773 |
| Ending Page | 5779 |
| Page Count | 7 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 28883703v1 |
| Alternate Webpage(s) | https://doi.org/10.3748/wjg.v23.i31.5773 |
| DOI | 10.3748/wjg.v23.i31.5773 |
| Journal | World journal of gastroenterology |
| Volume Number | 23 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Abdominal Pain Analgesics Colonoscopes Crohn Disease Diarrhea Endoscopes Forty Nine Intestinal Diseases Intestines Irritable Bowel Syndrome Midazolam Paget's Disease, Mammary Patients Pentazocine Polyethylene Glycols Sedation procedure Signs and Symptoms, Digestive Thiamylal Ulcer Ulcerative Colitis magnesium citrate |
| Content Type | Text |
| Resource Type | Article |
