AI Article Synopsis
- This study aimed to evaluate the effectiveness of oesophagogastroduodenoscopy (OGD) in diagnosing gastrointestinal or respiratory issues in young children at a Finnish hospital.
- A total of 1850 children under 7 were analyzed, but only 666 met the criteria; most had normal OGD findings, with the majority having non-specific symptoms.
- The findings suggest that OGD is not necessary for younger children unless they display significant alarming symptoms, as the diagnostic results were mostly unremarkable.
Article Abstract
Aim: This study estimated the diagnostic yield of oesophagogastroduodenoscopy (OGD) in young children with non-acute, non-specific gastrointestinal or respiratory symptoms who were treated by a Finnish tertiary level referral centre.
Methods: A retrospective chart analysis was performed on 1850 Finnish children under 7 years of age who underwent their first diagnostic OGDs at Helsinki University Hospital during 2006-2016. We noted the endoscopy indications, macroscopic findings, the histology of the mucosal biopsies and the follow-up data.
Results: After the exclusion criteria were applied, we enrolled 666 patients (57.7% boys) at a median age of 3.5 years. The number of children with non-specific symptoms referred for OGD increased 2.3-fold in 11 years. A routine set of biopsies was obtained in 644/666 (96.7%) of the endoscopies. The OGD was both macroscopically and histologically normal in 519/644 (80.6%) of cases. The most common indication was to rule out gastro-oesophageal reflux disease in 268/666 (40.2%) cases, and the most frequent histological diagnosis was mild to moderate oesophagitis in 57/644 (8.9%) cases. There was no erosive oesophagitis.
Conclusion: The diagnostic yield of macroscopic and histological OGD findings was low in our cohort. Unless there are alarming symptoms, younger children do not need OGD.
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| http://dx.doi.org/10.1111/apa.15027 | DOI Listing |
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