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Gastroscopy in pediatric surgery: indications, complications, outcomes, and ethical aspects.

Roth, Louise; Salö, Martin LU ; Hambraeus, Mette LU ; Stenström, Pernilla LU and Arnbjörnsson, Einar LU (2015) In Gastroenterology Research and Practice 2015.
Abstract
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... (More)
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. (Less)
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author
organization
publishing date
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Contribution to journal
publication status
published
subject
in
Gastroenterology Research and Practice
volume
2015
publisher
Hindawi Publishing Corporation
external identifiers
  • pmid:25883646
  • wos:000352405100001
  • scopus:84926652402
ISSN
1687-630X
DOI
10.1155/2015/820340
language
English
LU publication?
yes
id
c6058744-6489-499d-9455-865c6fda511c (old id 5341494)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25883646?dopt=Abstract
date added to LUP
2015-05-05 15:11:51
date last changed
2017-01-01 03:40:28
@article{c6058744-6489-499d-9455-865c6fda511c,
  abstract     = {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.},
  articleno    = {820340},
  author       = {Roth, Louise and Salö, Martin and Hambraeus, Mette and Stenström, Pernilla and Arnbjörnsson, Einar},
  issn         = {1687-630X},
  language     = {eng},
  publisher    = {Hindawi Publishing Corporation},
  series       = {Gastroenterology Research and Practice},
  title        = {Gastroscopy in pediatric surgery: indications, complications, outcomes, and ethical aspects.},
  url          = {http://dx.doi.org/10.1155/2015/820340},
  volume       = {2015},
  year         = {2015},
}