Endoscopic Findings and Associated Factors in Children with Hematemesis
Publish place: International Journal of Pediatrics، Vol: 9، Issue: 2
Publish Year: 1400
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_INJPM-9-2_010
تاریخ نمایه سازی: 5 شهریور 1402
Abstract:
Background Gastrointestinal bleeding (GIB) and especially upper GIB in children under ۱۸ years, is underestimated compared to the adult population. Although mortality rate in this group of patients is reported to be about ۲ percent, the role of early endoscopy in diagnosis and treatment of underlying causes and prevention of recurrence is essential. We aimed to evaluate endoscopic findings in children with hematemesis and assess the relationships between these findings and demographic/clinical variables. Materials and Methods: In this cross-sectional study, we have studied the medical records of ۱۰۲ patients from November ۲۰۱۷ to November ۲۰۱۸, under ۱۸ years who referred to Children’s Medical Center with hematemesis and had undergone the endoscopic procedure. The demographic information, past medical history, history of using NSAIDs (Non-Steroidal Anti-inflammatory Drugs), accompanying symptoms, laboratory records, and endoscopic findings were investigated. Results: Participants are mostly between ۶-۱۱ years old (۵۲.۹%, n=۵۴). The most common accompanying symptom is non-bleeding vomiting (۵۲%, n=۵۱). Patients with a history of using NSAIDs had a significantly higher rate of gastric ulcers (P-value
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Authors
Soroush Moradi
Tehran University of Medical Sciences, Tehran, Iran
Amirhossein Parsaei
Tehran University of Medical Sciences, Tehran, Iran
Roya Feyzollahi
Tabriz University of Medical Sciences, Tabriz, Iran
Hooman Ahmadzadeh
Tehran University of Medical Sciences, Tehran, Iran
Koohyar Ahmadzadeh
Iran University of Medical Sciences, Tehran, Iran
Hosein Alimadadi
Pediatric Gastroenterology and Hepatology Research Center, Children’s Medical Center, Tehran, Iran.