PDF(Pubmed)
Abstract：
UNASSIGNED: Colonoscopy is an important tool for the diagnosis and treatment of lower gastrointestinal (LGI) diseases in both children and adults. This study describes an endoscopic profile of children at the Shinnwari Gastroenterology Diagnostic Clinic in Jalalabad, Afghanistan.
UNASSIGNED: This is a cross-sectional descriptive study conducted in children ≤16 years, taken from recorded colonoscopy reports from 1 January 2021 to 30 December 2022.
UNASSIGNED: Of the 672 colonoscopy procedures, 250 were diagnostic in children (7.41 years median age; 2.5:1 male/female ratio) without serious complications. Abnormal findings were recorded in 201 (81.2%) procedures; the most common presentation was hematochezia, which was higher in 5-8-year-olds. More frequent findings were colorectal polyps (50%), infection (16.4%), internal hemorrhoid (IH; 10%), and inflammatory bowel disease (IBD; 1.2%). Incidences of colorectal polyps were higher in those aged <9 years (37.2% vs 12.8%; P < 0.001). Conversely, internal IH and IBD tended to be higher in older children (aged ≥9 years) (IH: 6.8% vs 3.2%; P < 0.005; IBD: 1.2% vs 0%; P < 0.02). Colonoscopy procedures were completed without major complications.
UNASSIGNED: Colonoscopy is an important and safe procedure for the diagnosis of LGI compliants, especially hematochezia, which is frequently accompanied by colorectal polyps.
UNASSIGNED: This is a cross-sectional descriptive study conducted in children ≤16 years, taken from recorded colonoscopy reports from 1 January 2021 to 30 December 2022.
UNASSIGNED: Of the 672 colonoscopy procedures, 250 were diagnostic in children (7.41 years median age; 2.5:1 male/female ratio) without serious complications. Abnormal findings were recorded in 201 (81.2%) procedures; the most common presentation was hematochezia, which was higher in 5-8-year-olds. More frequent findings were colorectal polyps (50%), infection (16.4%), internal hemorrhoid (IH; 10%), and inflammatory bowel disease (IBD; 1.2%). Incidences of colorectal polyps were higher in those aged <9 years (37.2% vs 12.8%; P < 0.001). Conversely, internal IH and IBD tended to be higher in older children (aged ≥9 years) (IH: 6.8% vs 3.2%; P < 0.005; IBD: 1.2% vs 0%; P < 0.02). Colonoscopy procedures were completed without major complications.
UNASSIGNED: Colonoscopy is an important and safe procedure for the diagnosis of LGI compliants, especially hematochezia, which is frequently accompanied by colorectal polyps.
摘要：
■结肠镜检查是诊断和治疗儿童和成人下胃肠道（LGI）疾病的重要工具。这项研究描述了贾拉拉巴德Shinnwari胃肠病学诊断诊所儿童的内窥镜检查情况，阿富汗。
■这是一项在≤16岁儿童中进行的横断面描述性研究，取自2021年1月1日至2022年12月30日记录的结肠镜检查报告.
■在672例结肠镜检查中，250例诊断为儿童（中位年龄7.41岁；男女比例2.5：1），无严重并发症。异常发现记录在201（81.2％）程序中；最常见的表现是便血，在5-8岁的孩子中更高。更常见的发现是结直肠息肉（50％），感染（16.4%），内痔（IH;10%），和炎症性肠病（IBD；1.2％）。<9岁人群大肠息肉发生率较高(37.2%vs12.8%;P<0.001)。相反，年龄较大的儿童(≥9岁)的内部IH和IBD倾向于较高(IH:6.8%vs3.2%;P<0.005;IBD:1.2%vs0%;P<0.02)。结肠镜检查程序完成，无重大并发症。
■结肠镜检查是诊断LGI并发症的重要且安全的程序，尤其是便血,常伴有结直肠息肉。
■这是一项在≤16岁儿童中进行的横断面描述性研究，取自2021年1月1日至2022年12月30日记录的结肠镜检查报告.
■在672例结肠镜检查中，250例诊断为儿童（中位年龄7.41岁；男女比例2.5：1），无严重并发症。异常发现记录在201（81.2％）程序中；最常见的表现是便血，在5-8岁的孩子中更高。更常见的发现是结直肠息肉（50％），感染（16.4%），内痔（IH;10%），和炎症性肠病（IBD；1.2％）。<9岁人群大肠息肉发生率较高(37.2%vs12.8%;P<0.001)。相反，年龄较大的儿童(≥9岁)的内部IH和IBD倾向于较高(IH:6.8%vs3.2%;P<0.005;IBD:1.2%vs0%;P<0.02)。结肠镜检查程序完成，无重大并发症。
■结肠镜检查是诊断LGI并发症的重要且安全的程序，尤其是便血,常伴有结直肠息肉。
