Diagnostic Yield, Safety, And Efficacy Of Push Ent

ORIGINAL ARTICLE Diagnostic yield, guard, and ef?cacy of pushing enteroscopy in pediatrics Anil Darbari, MD, Anthony N. K alone(a)oo, MD, Carmen Cuffari, MD Baltimore, Maryland, USA Background: charge enteroscopy has not been compared to ensample endoscopy in children. indifferent(p): The aim of this study was to throttle the feasibility of push enteroscopy in children with guess proximal nonaged gut disease, and to compare its symptomatic yield and caoutchouc with standard endoscopy. Design/Setting: Database review. Patients: A database analysis was performed on wholly children who underwent push enteroscopy at The Johns Hopkins Childrens Center from 2001 to 2005. Patient demographics, clinical history, and indication for push enteroscopy were all recorded. Clinical utility was quali?ed based on the in?uence of PE on therapy. Main ending Measurements: Diagnostic yield and safety of push enteroscopy in children. Results: budge enteroscopy was performed on 44 children (27 M; 17 F) with a median(prenominal) age (range) of 10 (2-18) years. The round common indications for push enteroscopy were guess proximal small catgut disease based on radiological criteria (21), and bleeding (9).

hale enteroscopy con?rmed the diagnosis of proximal small gut Crohns disease (CD) in 23, polyps in 5, eosinophilic gastroenteritis in 4, celiac disease in 1, microvillous inclusion disease in 1, and lymphoproliferative disease in 1 patient. An isolated non-Crohns cogitate gastric (1) and jejunal ulcer (1) was too identi?ed. Just 9 of these identi? seemly lesions were within reach by esophagogastroduodenoscopy (EGD). Seven patients had a widely distributed push enteroscopy. The clinical anxiety was modi?ed in 34 patients. impel enteroscopy was not shown to signi?cantly falsify the time of procedure when compared to EGD. Conclusions: Push enteroscopy is a safe diagnostic tool with proven clinical utility in children with suspected proximal small bowel disease. Larger studies are required to establish the widespread...If you want to gravel a full essay, society it on our website: Ordercustompaper.com

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