Diagnostic Yield, Safety, And Efficacy Of Push Ent

ORIGINAL ARTICLE Diagnostic yield, guard, and ef?cacy of push enteroscopy in pediatric medicine Anil Darbari, MD, Anthony N. K each(prenominal)(a)oo, MD, Carmen Cuffari, MD Baltimore, Maryland, USA Background: charge enteroscopy has not been compared to measure endoscopy in children. neutral: The aim of this study was to picture the feasibility of push enteroscopy in children with hazard proximal puny catgut disease, and to compare its symptomatic yield and safety with standard endoscopy. Design/Setting: Database review. Patients: A database analysis was performed on all 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 government issue Measurements: Diagnostic yield and safety of push enteroscopy in children. Results: budge enteroscopy was performed on 4 4 children (27 M; 17 F) with a median(a) age (range) of 10 (2-18) years. The some common indications for push enteroscopy were venture proximal small catgut disease based on radiological criteria (21), and bleeding (9).

Push enteroscopy con?rmed the diagnosis of proximal small bowel 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 associate gastric (1) and jejunal ulcer (1) was in like manner identi?ed. Just 9 of these identi? adequate lesions were within reach by esophagogastroduodenoscopy (EGD). Seven patients had a general push ent eroscopy. The clinical trouble was modi?ed ! in 34 patients. Push enteroscopy was not shown to signi?cantly deviate 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 essential to establish the widespread...If you want to bind a full essay, battle array it on our website: OrderEssay.net

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