caa a22 4500 477069096 CHVBK 20180405111420.0 cr unu---uuuuu 170330e19960901xx s 000 0 eng 10.1007/BF02730807 doi (NATIONALLICENCE)springer-10.1007/BF02730807 Therapeutic gastrointestinal endoscopy [Elektronische Daten] [S. Yachha, A. Srivastava, B. Sharma, A. Khanduri, S. Baijal] The safety, efficacy and utility of various therapeutic gastrointestinal (Gl) endoscopic procedures performed on children (January 1992 to July 1995) at a tertiary referral centre in India were studied. A total of 1,030 sessions (upper Gl 972 and lower Gl 58) of therapeutic Gl endoscopy were performed in 162 children (mean age 7.4±4 years; upper Gl 115, lower Gl 47). Various upper Gl endoscopie procedures done were injection sclerotherapy (EIS), endoscopie variceal ligation (EVL), bougie dilatation of oesphageal strictures, balloon dilatations of oesophageal stricture/pyloric obstruction and retrieval of foreign bodies in 75%, 6%, 9%, 4% and 12% of children respectively. Therapy for bleeding from oesophageal varices constituted the major group (75%). Repeated EIS (sessions total—876, mean 8, range 5-15) performed on 86 children resulted in control of bleeding in all and eradication of oesophageal varices in 85% of cases. Minor complications (oesophageal ulcers and oesophageal strictures) due to EIS were observed in 9% of children. EVL (10 sessions in 7 children) was effective in controlling bleeding and substantial decrease of varices in all without any complication. Oesophageal dilatation either by bougie (61 sessions in 10 children) or balloon (6 sessions in 3 children) were performed for benign strictures. Balloon dilatation of pyloric obstruction was successfully done in 2 children. Foreign bodies (retained or sharp) were retrieved from upper Gl tract in 14 children. No complications were observed with stricture dilatation/foreign body retrieval. Therapeutic lower Gl endoscopies were performed in 47 children (colonoscopic polypectomy in 92%, anal dilatation and piles banding in 4% each). One child with juvenile polyposis coli developed sigmoid colon performation following colonoscopic polypectomy which required surgical correction. We conclude that upper and lower Gl endoscopie therapeutic procedures in children are highly effective and safe. The risk of major complication is very small in experienced hands and occasional minor complications, can be managed conservatively. Dr. K C Chaudhuri Foundation, 1996 Endoscopy nationallicence Child nationallicence Oesophageal varices nationallicence Sclerotherapy nationallicence Foreign bodies nationallicence Oesophageal stenosis nationallicence Colonoscopy nationallicence Colonic polyps nationallicence Yachha S. Department of Gastroenterology (Pediatric GE), Sanjay Gandhi Post Graduate Institute of Medical Sciences, 226014, Lucknow aut Srivastava A. Department of Gastroenterology (Pediatric GE), Sanjay Gandhi Post Graduate Institute of Medical Sciences, 226014, Lucknow aut Sharma B. Department of Gastroenterology (Pediatric GE), Sanjay Gandhi Post Graduate Institute of Medical Sciences, 226014, Lucknow aut Khanduri A. Department of Gastroenterology (Pediatric GE), Sanjay Gandhi Post Graduate Institute of Medical Sciences, 226014, Lucknow aut Baijal S. Department of Gastroenterology (Pediatric GE), Sanjay Gandhi Post Graduate Institute of Medical Sciences, 226014, Lucknow aut The Indian Journal of Pediatrics Springer India 63/5(1996-09-01), 633-639 0019-5456 63:5<633 1996 63 12098 https://doi.org/10.1007/BF02730807 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02730807 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yachha S. Department of Gastroenterology (Pediatric GE), Sanjay Gandhi Post Graduate Institute of Medical Sciences, 226014, Lucknow aut NATIONALLICENCE 700 1- Srivastava A. Department of Gastroenterology (Pediatric GE), Sanjay Gandhi Post Graduate Institute of Medical Sciences, 226014, Lucknow aut NATIONALLICENCE 700 1- Sharma B. Department of Gastroenterology (Pediatric GE), Sanjay Gandhi Post Graduate Institute of Medical Sciences, 226014, Lucknow aut NATIONALLICENCE 700 1- Khanduri A. Department of Gastroenterology (Pediatric GE), Sanjay Gandhi Post Graduate Institute of Medical Sciences, 226014, Lucknow aut NATIONALLICENCE 700 1- Baijal S. Department of Gastroenterology (Pediatric GE), Sanjay Gandhi Post Graduate Institute of Medical Sciences, 226014, Lucknow aut NATIONALLICENCE 773 0- The Indian Journal of Pediatrics Springer India 63/5(1996-09-01), 633-639 0019-5456 63:5<633 1996 63 12098 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer