Gülseren ŞAHİN, Erhun KASIRGA, Evren SEMİZEL, Çiğdem ÖMÜR ECEVİT, Ayşegül CEBE, Hakan ERDOĞAN, Fatih ÜNAL

Çocuklarda üst gastrointestinal sistem kanamalarına tanısal ve tedavi edici endoskopik yaklaşımlar

Giriş: Çocuklarda üst gastrointestinal sistem (GİS) kanamaları her zaman ileri araştırmayı gerektiren önemli bir sorundur. Bu çalışmanın amacı çocukluk çağında üst GİS kanamalarının nedenlerini ortaya çıkarmak ve bunlara yönelik terapötik endoskopik yaklaşımlar ile bunların tedavi edici etkinliklerini retrospektif olarak incelemektir. Gereç ve Yöntem: Pediatrik gastroenteroloji bölümlerimizce takip edilen üst GİS kanamalı 139 (K/E:63/76) hasta yaş gruplarına, etyolojiye, kanamanın varislerden ve varis dışından olmasına, ilaç alım öyküsü olup olmamasına göre sınıflandırıldı. Ayrıca peptik ülseri olan hastaların kanaması Forrest sınıflandırılmasına göre değerlendirildi. Çalışmada p0,68). Sonuç: Endoskopinin çocukluk dönemi üst GİS kanamanın etyolojisinin aydınlatılmasında ve kanamanın tedavisinde son derece yararlı olduğu düşünüldü. (Güncel Pediatri 2012; 10: 1-7)

Diagnostic and therapeutic endoscopic approaches to upper gastrointestinal system bleeding in children

In tro duc ti on: Upper gastrointestinal system bleeding in children is always very important problems requiring further investigation. The aim of the study was to investigate retrospectively the etiologies of upper gastrointestinal bleeding, the therapeutic endoscopic approach to the bleeding, and the efficacy of the endoscopy in the treatment of pediatric age group.Materials and Methods: In this study, 139 (F/M: 63/76) cases diagnosed as upper gastrointestinal bleeding and followed up by the Department of Pediatric Gastroenterology were classified into groups according to the age, etiology, the presence of varicose veins, and history of drug ingestion. In addition bleedings caused by peptic ulcer disease were classified according to Forrest classification. Values of p0.68).Discussion: Endoscopic procedure is very useful in both the determination of etiology of upper gastrointestinal bleeding and the treatment of upper gastrointestinal bleeding in childhood. (Jo ur nal of Cur rent Pe di at rics 2012; 10: 1-7)

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