| Article Details : |
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| | | Article Name : | | | Colonoscopic Experience in the Department of
Paediatric Gastroenterology, BSMMU | | Author Name : | | | FAHMIDA BEGUM1
WAHIDUZZAMAN MAZUMDER, FAHMIDA ISLAM, KHAN LAMIA NAHID, Md RUKUNUZZAMAN, ASM BAZLUL KARIM | | Publisher : | | | Bridge Center | | Article URL : |  | | | Abstract : | | | Background: Colonoscopies are now widely and routinely
performed as a diagnostic and a therapeutic tool worldwide. Although
the safety and effectiveness of colonoscopies in adults has been well
established in the past two decades, however, its utility for pediatric
patients is only recently emerging. Lower GI bleeding, unrelieved
abdominal pain and unexplained diarrhea are the common
indications of colonoscopy.
Objective: The aim of this study was to assess the clinical
manifestations and colonoscopic findings of children who underwent
the procedure during study period. Patients and methods: This cross-sectional study was conducted on
217 children who underwent colonoscopy in the Department of
Paediatric Gastroenterology, BSMMU from 1st January, 2015 to 31st
January, 2017. Among them 62% were male and 38% were female
with ages ranging from 8 months to 16 years.
Results; Hematochezia (43%) and abdominal pain (25%) were
the most common presentations preceding colonoscopy. No serious
complications occurred during the procedures. A total of 137 patients
(65%) received a positive diagnosis, including 94 (43%) patients with
colorectal polyps and 47 (22%) with erythema and ulcerations. Rectum
(68%) was the most common site of all colorectal polyp. Among the
pathological findings Juvenile polyps (62%) were the most common
findings followed by non specific colitis (26.7%), inflammatory bowel
disease (8%).
Conclusion: Colonoscopy in pediatric patients is a safe and
effective procedure. Hematochezia is the commonest indication for
colonoscopy in Paediatric Gastroenterology Department and polyps are
the common finding during colonoscopy. | | Keywords : | | | Colonoscopy, hematochezia, polyp. |
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