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.
■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。