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Causes of gastrointestinal bleeding in children based on endoscopic evaluation at a tertiary care center in Bahrain

World Journal of Gastrointestinal Endoscopy 2023年第4期15卷 297-308页

作者： Hasan M Isa Fatema A Alkharsi Hana A Ebrahim Kamel J Walwil jumana a diab Nafelah M Alkowari Department of Pediatrics Salmaniya Medical ComplexManama 26671Bahrain Department of Pediatrics Arabian Gulf UniversityManama 26671Bahrain Department of Pediatrics Royal College of Surgeons in Ireland-Medical University of BahrainBusaiteen 15503Bahrain Department of Pediatrics King Hamad University HospitalMuharraq 24343Bahrain

BACKGROUND Gastrointestinal bleeding(GIB)is a serious health problem worldwide,particularly during *** can be an alarming sign of an underlying *** endoscopy(GIE)is a safe method for the diagnosis and treatment of GIB in most *** To determine the incidence,clinical presentation,and outcomes of GIB in children in Bahrain over the last two *** This was a retrospective cohort review of the medical records of children with GIB who underwent endoscopic procedures in the Pediatric Department at Salmaniya Medical Complex,Bahrain,between 1995 and *** data,clinical presentation,endoscopic findings,and clinical outcomes were *** was classified into upper(UGIB)and lower(LGIB)GIB according to the site of *** were compared with respect to patients’sex,age,and nationality using the Fisher’s exact,Pearson’sχ2,or the Mann-Whitney U *** A total of 250 patients were included in this *** median incidence was 2.6/100000 per year(interquartile range,1.4-3.7)with a significantly increasing trend over the last two decades (P < 0.0001). Most patients were males (n = 144, 57.6%). Themedian age at diagnosis was 9 years (5-11). Ninety-eight (39.2%) patients required upper GIEalone, 41 (16.4%) required colonoscopy alone, and 111 (44.4%) required both. LGIB was morefrequent (n = 151, 60.4%) than UGIB (n = 119, 47.6%). There were no significant differences in sex (P = 0.710), age (P = 0.185), or nationality (P = 0.525) between the two groups. Abnormalendoscopic findings were detected in 226 (90.4%) patients. The common cause of LGIB was inflammatorybowel disease (IBD) (n = 77, 30.8%). The common cause of UGIB was gastritis (n = 70, 28%).IBD and undetermined cause for bleeding were higher in the 10-18 years group (P = 0.026 and P =0.017, respectively). Intestinal nodular lymphoid hyperplasia, foreign body ingestion, andesophageal varices were more common in the 0-4 years group (P = 0.034, P < 0.0001

关键词： Pediatric Gastrointestinal bleeding Endoscopy Causes Outcome Bahrain

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