Pediatric colonoscopy in South China: a 12-year experience in a tertiary center.
<h4>Objective</h4>To investigate: 1) the demographics and clinical characteristics, 2) the findings, and 3) the safety and effectiveness in a cohort of Chinese pediatric patients undergoing colonoscopy.<h4>Methods</h4>The study participants were consecutive patients aged ≤14...
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Public Library of Science (PLoS)
2014-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0095933&type=printable |
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| author | Pingguang Lei Fang Gu Liru Hong Yuli Sun Minrui Li Huiling Wang Bihui Zhong Minhu Chen Yi Cui Shenghong Zhang |
| author_facet | Pingguang Lei Fang Gu Liru Hong Yuli Sun Minrui Li Huiling Wang Bihui Zhong Minhu Chen Yi Cui Shenghong Zhang |
| author_sort | Pingguang Lei |
| collection | DOAJ |
| description | <h4>Objective</h4>To investigate: 1) the demographics and clinical characteristics, 2) the findings, and 3) the safety and effectiveness in a cohort of Chinese pediatric patients undergoing colonoscopy.<h4>Methods</h4>The study participants were consecutive patients aged ≤14 years old that underwent their first colonoscopy in the endoscopy center at the First Affiliated Hospital, Sun Yat-sen University between Jan. 1, 2001 and Dec. 31, 2012. Demographic, clinical, endoscopic, and pathological findings were collected.<h4>Results</h4>The cohort consisted of 322 patients, including 218 boys (67.7%) and 104 girls (32.3%). The median age was 8.0 years old and ranged from 9 months to 14 years old. Hematochezia (48.8%) and abdominal pain/discomfort (41.3%) were the most common presentations preceding pediatric colonoscopy. The caecal intubation success rate was 96.3%. No serious complications occurred during the procedures. A total of 227 patients (70.5%) received a positive diagnosis under endoscopy, including 138 patients with polyps and 53 patients with inflammatory bowel disease (IBD). Among the patients with polyps, 71.0% were juvenile polyps. Comparisons between years 2001-2006 and 2007-2012 showed that the IBD detection rate increased significantly (4.6% vs. 22.4%, P<0.001), while the opposite occurred for the polyp detection rate (73.1% vs. 27.6%, P<0.001).<h4>Conclusion</h4>Colonoscopy in pediatric patients is a safe and effective procedure. Polyps are the primary finding during colonoscopy. In South China there has been an increase in pediatric patients diagnosed with IBD over the past decade. However, a large epidemiological study is needed to confirm our findings. |
| format | Article |
| id | doaj-art-6cd13278e10c4fcdb143db1a623b18a3 |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-6cd13278e10c4fcdb143db1a623b18a32025-08-20T02:14:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0194e9593310.1371/journal.pone.0095933Pediatric colonoscopy in South China: a 12-year experience in a tertiary center.Pingguang LeiFang GuLiru HongYuli SunMinrui LiHuiling WangBihui ZhongMinhu ChenYi CuiShenghong Zhang<h4>Objective</h4>To investigate: 1) the demographics and clinical characteristics, 2) the findings, and 3) the safety and effectiveness in a cohort of Chinese pediatric patients undergoing colonoscopy.<h4>Methods</h4>The study participants were consecutive patients aged ≤14 years old that underwent their first colonoscopy in the endoscopy center at the First Affiliated Hospital, Sun Yat-sen University between Jan. 1, 2001 and Dec. 31, 2012. Demographic, clinical, endoscopic, and pathological findings were collected.<h4>Results</h4>The cohort consisted of 322 patients, including 218 boys (67.7%) and 104 girls (32.3%). The median age was 8.0 years old and ranged from 9 months to 14 years old. Hematochezia (48.8%) and abdominal pain/discomfort (41.3%) were the most common presentations preceding pediatric colonoscopy. The caecal intubation success rate was 96.3%. No serious complications occurred during the procedures. A total of 227 patients (70.5%) received a positive diagnosis under endoscopy, including 138 patients with polyps and 53 patients with inflammatory bowel disease (IBD). Among the patients with polyps, 71.0% were juvenile polyps. Comparisons between years 2001-2006 and 2007-2012 showed that the IBD detection rate increased significantly (4.6% vs. 22.4%, P<0.001), while the opposite occurred for the polyp detection rate (73.1% vs. 27.6%, P<0.001).<h4>Conclusion</h4>Colonoscopy in pediatric patients is a safe and effective procedure. Polyps are the primary finding during colonoscopy. In South China there has been an increase in pediatric patients diagnosed with IBD over the past decade. However, a large epidemiological study is needed to confirm our findings.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0095933&type=printable |
| spellingShingle | Pingguang Lei Fang Gu Liru Hong Yuli Sun Minrui Li Huiling Wang Bihui Zhong Minhu Chen Yi Cui Shenghong Zhang Pediatric colonoscopy in South China: a 12-year experience in a tertiary center. PLoS ONE |
| title | Pediatric colonoscopy in South China: a 12-year experience in a tertiary center. |
| title_full | Pediatric colonoscopy in South China: a 12-year experience in a tertiary center. |
| title_fullStr | Pediatric colonoscopy in South China: a 12-year experience in a tertiary center. |
| title_full_unstemmed | Pediatric colonoscopy in South China: a 12-year experience in a tertiary center. |
| title_short | Pediatric colonoscopy in South China: a 12-year experience in a tertiary center. |
| title_sort | pediatric colonoscopy in south china a 12 year experience in a tertiary center |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0095933&type=printable |
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