- Case Report
- OPEN ACCESS
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Therapeutic pediatric upper endoscopy: a retrospective report from a low-volume center
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Eyad Altamimi1,2,*,
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Reem AbuAssi3,
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Sana`a Abdulnabi1,
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Esraa Al-Faris3,
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Aya Zarraq3,
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Lujain Leghzawe3,
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Ma`moun Ali3 and
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Naif Rawabdeh2
Author information
Pediatric Department, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan.
Pediatric Department, King Abdullah UniversityHospital, Irbid 22110, Jordan
Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan
Correspondence to: Eyad Altamimi, Pediatric Department, Faculty of Medicine, Jordan University of Science and Technology, Irbid 22110, Jordan. E-mail:
emaltamimi@just.edu.jo
Abstract
Background
Pediatric endoscopy has become an essential diagnostic and therapeutic tool for a range of gastrointestinal conditions in children, according to published guidelines. This study aimed to assess the indications, outcomes, and complications of therapeutic endoscopy in children at King Abdullah University Hospital (KAUH) in Jordan.
Methods
This study conducted a retrospective chart review of therapeutic endoscopic procedures, including esophageal dilation, variceal and non-variceal hemostasis, foreign body retrieval, and percutaneous endoscopic gastrostomy (PEG) Tube insertion, performed between January 2014 and December 2020 at the Gastrointestinal Endoscopy Unit (a mixed adult and pediatric unit) at KAUH. Demographic data, indications for intervention, comorbidities, procedural outcomes, postprocedural treatment, complications, readmission, and patient follow-up data were extracted from the patient's medical records.
Results
During the study period, 185 patients underwent 260 therapeutic endoscopic procedures. 110 (60%) of the patients were boys. The average age of the patients was 81.8 ± 51.46 (standard deviation) months. Foreign body retrieval was the most common procedure, with accidental ingestion being the primary cause and coins being the most commonly impacted foreign body. Followed by esophageal dilatation and PEG tube insertion. Complications were mild and rare.
Conclusion
The success rates and post-procedural complications of pediatric endoscopy procedures are similar between low- and high-volume hospitals worldwide, and procedural volume is not the only factor contributing to procedural outcomes and complication rates.
Keywords
pediatrics,
endoscopy,
gastrostomy,
foreign body,
esophagus,
dilatation
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Copyright © 2025 Authors.
This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 License (CC BY-NC 4.0), permitting all non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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About this Article
Cite this article
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Altamimi E, AbuAssi R, Abdulnabi S, Al-Faris E, Zarraq A, Leghzawe L, et al. Therapeutic pediatric upper endoscopy: a retrospective report from a low-volume center. Gastroenterol & Hepatol Res. 2023;5(4):16. doi: 10.53388/ghr2023-03-080.
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Article History
| Received |
Revised |
Accepted |
Published |
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December 29, 2023
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DOI
http://dx.doi.org/10.53388/ghr2023-03-080
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Gastroenterology & Hepatology Research
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eISSN 2703-173X