Therapeutic pediatric upper endoscopy: a retrospective report from a low-volume center

Eyad Altamimi^1,2,*,
Reem AbuAssi³,
Sana`a Abdulnabi¹,
Esraa Al-Faris³,
Aya Zarraq³,
Lujain Leghzawe³,
Ma`moun Ali³ and
Naif Rawabdeh²

Gastroenterology & Hepatology Research 2023;5(4):16

doi: 10.53388/ghr2023-03-080

Published online: December 29, 2023

Author information

Citation: 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.

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 Â± 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

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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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
			December 29, 2023

DOI http://dx.doi.org/10.53388/ghr2023-03-080

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