The gastroscopic findings of the pediatric patients with hematemesis Çocuk acil polikliniğine hematemesis Şikayetiyle başvuran hastaların Gastroskopik Bulguları
Medical Journal of Bakirkoy, cilt.17, sa.2, ss.149-153, 2021 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 17 Sayı: 2
- Basım Tarihi: 2021
- Doi Numarası: 10.4274/bmj.galenos.2021.39358
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.149-153
- Anahtar Kelimeler: Upper gastrointestinal bleeding, hematemesis, gastroscopy, children, adolescents
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Hematemesis is a common symptom of upper gastrointestinal bleeding, bleeding from the mouth that appears fresh red or looks like “coffee grounds.” It is a rare, life-threatening emergency condition and potentially requires emergency intervention in children. Our study aims to evaluate the gastroscopy findings of pediatric patients who presented with vomiting of blood. Methods: Seventy children and adolescents (35 females, 35 males) presented with hematemesis were evaluated retrospectively. Patients’ demographic characteristics, gastroscopic findings, pre- and post-operative laboratory results were compared and evaluated. Results: Male patients (6.91±5.21) were significantly younger than female patients (10.51±4.79) at the time of diagnosis (p=0.005). Of these, 92.9% had no symptoms. According to the gastroscopy findings performed at the time of diagnosis, the underlying pathology was detected in 65.7% of cases. Esophagitis was the most common pathology with a rate of 52.2% and followed by pangastritis (30.4%). As a result of post-treatment gastroscopy, 21.7% (n=15) of cases had pathological findings. Moreover, the mean hemoglobin value measured during diagnosis was significantly lower in cases with underlying pathology according to post-treatment gastroscopy results (p=0.025). Conclusion: Hematemesis was observed at an early age in male children with a higher rate of underlying pathology after treatment. In addition, the significantly low hemoglobin levels reported in the cases with positive gastroscopy have reaffirmed the diagnostic and therapeutic importance of gastroscopy. It has also highlighted the requirement for immediately monitoring vital symptoms following the patient’s admission.