Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease

Background: The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported. Methods: A retrospective analysis...
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Autor*in:	Masaru Morita [verfasserIn] Hidetoshi Takedatsu [verfasserIn] Shinichiro Yoshioka [verfasserIn] Keiichi Mitsuyama [verfasserIn] Kozo Tsuruta [verfasserIn] Kotaro Kuwaki [verfasserIn] Ken Kato [verfasserIn] Ryosuke Yasuda [verfasserIn] Tatsuki Mizuochi [verfasserIn] Yushiro Yamashita [verfasserIn] Takumi Kawaguchi [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	pediatric coloscopy sedation bowel cleansing preparation inflammatory bowel disease complication

Übergeordnetes Werk:	In: Journal of Clinical Medicine - MDPI AG, 2013, 11(2022), 19, p 5747
Übergeordnetes Werk:	volume:11 ; year:2022 ; number:19, p 5747

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/jcm11195747

Katalog-ID:	DOAJ084012064

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allfields	10.3390/jcm11195747 doi (DE-627)DOAJ084012064 (DE-599)DOAJd6cb14187b064822967771d0801d260b DE-627 ger DE-627 rakwb eng Masaru Morita verfasserin aut Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported. Methods: A retrospective analysis was conducted on pediatric patients aged ≤15 years, comparing those who underwent their first diagnostic colonoscopy between 1 January 2007 and 28 February 2015 with those who did so between 1 March 2015 and 28 February 2022 at Kurume University Hospital. Results: A total of 274 patients were included, including 110 in the previous study and 164 in the present study. The main indications were hematochezia in the previous study (63/110, 57.3%) and abdominal pain in the present study (64/164, 39.0%). Ulcerative colitis (74/274, 27.0%) was the most common diagnosis in both studies. The major difference from the previous study was an increase in the number of Crohn’s disease and eosinophilic gastrointestinal disorder cases. Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7–12 years. Conclusion: In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. The increasing trend of patients presenting with inflammatory bowel disease and eosinophilic gastrointestinal disorder worldwide indicates the importance of colonoscopy in infants and children. pediatric coloscopy sedation bowel cleansing preparation inflammatory bowel disease complication Medicine R Hidetoshi Takedatsu verfasserin aut Shinichiro Yoshioka verfasserin aut Keiichi Mitsuyama verfasserin aut Kozo Tsuruta verfasserin aut Kotaro Kuwaki verfasserin aut Ken Kato verfasserin aut Ryosuke Yasuda verfasserin aut Tatsuki Mizuochi verfasserin aut Yushiro Yamashita verfasserin aut Takumi Kawaguchi verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 19, p 5747 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:19, p 5747 https://doi.org/10.3390/jcm11195747 kostenfrei https://doaj.org/article/d6cb14187b064822967771d0801d260b kostenfrei https://www.mdpi.com/2077-0383/11/19/5747 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 19, p 5747
spelling	10.3390/jcm11195747 doi (DE-627)DOAJ084012064 (DE-599)DOAJd6cb14187b064822967771d0801d260b DE-627 ger DE-627 rakwb eng Masaru Morita verfasserin aut Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported. Methods: A retrospective analysis was conducted on pediatric patients aged ≤15 years, comparing those who underwent their first diagnostic colonoscopy between 1 January 2007 and 28 February 2015 with those who did so between 1 March 2015 and 28 February 2022 at Kurume University Hospital. Results: A total of 274 patients were included, including 110 in the previous study and 164 in the present study. The main indications were hematochezia in the previous study (63/110, 57.3%) and abdominal pain in the present study (64/164, 39.0%). Ulcerative colitis (74/274, 27.0%) was the most common diagnosis in both studies. The major difference from the previous study was an increase in the number of Crohn’s disease and eosinophilic gastrointestinal disorder cases. Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7–12 years. Conclusion: In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. The increasing trend of patients presenting with inflammatory bowel disease and eosinophilic gastrointestinal disorder worldwide indicates the importance of colonoscopy in infants and children. pediatric coloscopy sedation bowel cleansing preparation inflammatory bowel disease complication Medicine R Hidetoshi Takedatsu verfasserin aut Shinichiro Yoshioka verfasserin aut Keiichi Mitsuyama verfasserin aut Kozo Tsuruta verfasserin aut Kotaro Kuwaki verfasserin aut Ken Kato verfasserin aut Ryosuke Yasuda verfasserin aut Tatsuki Mizuochi verfasserin aut Yushiro Yamashita verfasserin aut Takumi Kawaguchi verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 19, p 5747 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:19, p 5747 https://doi.org/10.3390/jcm11195747 kostenfrei https://doaj.org/article/d6cb14187b064822967771d0801d260b kostenfrei https://www.mdpi.com/2077-0383/11/19/5747 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 19, p 5747
allfields_unstemmed	10.3390/jcm11195747 doi (DE-627)DOAJ084012064 (DE-599)DOAJd6cb14187b064822967771d0801d260b DE-627 ger DE-627 rakwb eng Masaru Morita verfasserin aut Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported. Methods: A retrospective analysis was conducted on pediatric patients aged ≤15 years, comparing those who underwent their first diagnostic colonoscopy between 1 January 2007 and 28 February 2015 with those who did so between 1 March 2015 and 28 February 2022 at Kurume University Hospital. Results: A total of 274 patients were included, including 110 in the previous study and 164 in the present study. The main indications were hematochezia in the previous study (63/110, 57.3%) and abdominal pain in the present study (64/164, 39.0%). Ulcerative colitis (74/274, 27.0%) was the most common diagnosis in both studies. The major difference from the previous study was an increase in the number of Crohn’s disease and eosinophilic gastrointestinal disorder cases. Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7–12 years. Conclusion: In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. The increasing trend of patients presenting with inflammatory bowel disease and eosinophilic gastrointestinal disorder worldwide indicates the importance of colonoscopy in infants and children. pediatric coloscopy sedation bowel cleansing preparation inflammatory bowel disease complication Medicine R Hidetoshi Takedatsu verfasserin aut Shinichiro Yoshioka verfasserin aut Keiichi Mitsuyama verfasserin aut Kozo Tsuruta verfasserin aut Kotaro Kuwaki verfasserin aut Ken Kato verfasserin aut Ryosuke Yasuda verfasserin aut Tatsuki Mizuochi verfasserin aut Yushiro Yamashita verfasserin aut Takumi Kawaguchi verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 19, p 5747 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:19, p 5747 https://doi.org/10.3390/jcm11195747 kostenfrei https://doaj.org/article/d6cb14187b064822967771d0801d260b kostenfrei https://www.mdpi.com/2077-0383/11/19/5747 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 19, p 5747
allfieldsGer	10.3390/jcm11195747 doi (DE-627)DOAJ084012064 (DE-599)DOAJd6cb14187b064822967771d0801d260b DE-627 ger DE-627 rakwb eng Masaru Morita verfasserin aut Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported. Methods: A retrospective analysis was conducted on pediatric patients aged ≤15 years, comparing those who underwent their first diagnostic colonoscopy between 1 January 2007 and 28 February 2015 with those who did so between 1 March 2015 and 28 February 2022 at Kurume University Hospital. Results: A total of 274 patients were included, including 110 in the previous study and 164 in the present study. The main indications were hematochezia in the previous study (63/110, 57.3%) and abdominal pain in the present study (64/164, 39.0%). Ulcerative colitis (74/274, 27.0%) was the most common diagnosis in both studies. The major difference from the previous study was an increase in the number of Crohn’s disease and eosinophilic gastrointestinal disorder cases. Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7–12 years. Conclusion: In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. The increasing trend of patients presenting with inflammatory bowel disease and eosinophilic gastrointestinal disorder worldwide indicates the importance of colonoscopy in infants and children. pediatric coloscopy sedation bowel cleansing preparation inflammatory bowel disease complication Medicine R Hidetoshi Takedatsu verfasserin aut Shinichiro Yoshioka verfasserin aut Keiichi Mitsuyama verfasserin aut Kozo Tsuruta verfasserin aut Kotaro Kuwaki verfasserin aut Ken Kato verfasserin aut Ryosuke Yasuda verfasserin aut Tatsuki Mizuochi verfasserin aut Yushiro Yamashita verfasserin aut Takumi Kawaguchi verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 19, p 5747 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:19, p 5747 https://doi.org/10.3390/jcm11195747 kostenfrei https://doaj.org/article/d6cb14187b064822967771d0801d260b kostenfrei https://www.mdpi.com/2077-0383/11/19/5747 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 19, p 5747
allfieldsSound	10.3390/jcm11195747 doi (DE-627)DOAJ084012064 (DE-599)DOAJd6cb14187b064822967771d0801d260b DE-627 ger DE-627 rakwb eng Masaru Morita verfasserin aut Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported. Methods: A retrospective analysis was conducted on pediatric patients aged ≤15 years, comparing those who underwent their first diagnostic colonoscopy between 1 January 2007 and 28 February 2015 with those who did so between 1 March 2015 and 28 February 2022 at Kurume University Hospital. Results: A total of 274 patients were included, including 110 in the previous study and 164 in the present study. The main indications were hematochezia in the previous study (63/110, 57.3%) and abdominal pain in the present study (64/164, 39.0%). Ulcerative colitis (74/274, 27.0%) was the most common diagnosis in both studies. The major difference from the previous study was an increase in the number of Crohn’s disease and eosinophilic gastrointestinal disorder cases. Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7–12 years. Conclusion: In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. The increasing trend of patients presenting with inflammatory bowel disease and eosinophilic gastrointestinal disorder worldwide indicates the importance of colonoscopy in infants and children. pediatric coloscopy sedation bowel cleansing preparation inflammatory bowel disease complication Medicine R Hidetoshi Takedatsu verfasserin aut Shinichiro Yoshioka verfasserin aut Keiichi Mitsuyama verfasserin aut Kozo Tsuruta verfasserin aut Kotaro Kuwaki verfasserin aut Ken Kato verfasserin aut Ryosuke Yasuda verfasserin aut Tatsuki Mizuochi verfasserin aut Yushiro Yamashita verfasserin aut Takumi Kawaguchi verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 11(2022), 19, p 5747 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:11 year:2022 number:19, p 5747 https://doi.org/10.3390/jcm11195747 kostenfrei https://doaj.org/article/d6cb14187b064822967771d0801d260b kostenfrei https://www.mdpi.com/2077-0383/11/19/5747 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 11 2022 19, p 5747
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author	Masaru Morita
spellingShingle	Masaru Morita misc pediatric coloscopy misc sedation misc bowel cleansing preparation misc inflammatory bowel disease misc complication misc Medicine misc R Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease
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topic_title	Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease pediatric coloscopy sedation bowel cleansing preparation inflammatory bowel disease complication
topic	misc pediatric coloscopy misc sedation misc bowel cleansing preparation misc inflammatory bowel disease misc complication misc Medicine misc R
topic_unstemmed	misc pediatric coloscopy misc sedation misc bowel cleansing preparation misc inflammatory bowel disease misc complication misc Medicine misc R
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title	Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease
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author_browse	Masaru Morita Hidetoshi Takedatsu Shinichiro Yoshioka Keiichi Mitsuyama Kozo Tsuruta Kotaro Kuwaki Ken Kato Ryosuke Yasuda Tatsuki Mizuochi Yushiro Yamashita Takumi Kawaguchi
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title_sort	utility of diagnostic colonoscopy in pediatric intestinal disease
title_auth	Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease
abstract	Background: The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported. Methods: A retrospective analysis was conducted on pediatric patients aged ≤15 years, comparing those who underwent their first diagnostic colonoscopy between 1 January 2007 and 28 February 2015 with those who did so between 1 March 2015 and 28 February 2022 at Kurume University Hospital. Results: A total of 274 patients were included, including 110 in the previous study and 164 in the present study. The main indications were hematochezia in the previous study (63/110, 57.3%) and abdominal pain in the present study (64/164, 39.0%). Ulcerative colitis (74/274, 27.0%) was the most common diagnosis in both studies. The major difference from the previous study was an increase in the number of Crohn’s disease and eosinophilic gastrointestinal disorder cases. Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7–12 years. Conclusion: In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. The increasing trend of patients presenting with inflammatory bowel disease and eosinophilic gastrointestinal disorder worldwide indicates the importance of colonoscopy in infants and children.
abstractGer	Background: The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported. Methods: A retrospective analysis was conducted on pediatric patients aged ≤15 years, comparing those who underwent their first diagnostic colonoscopy between 1 January 2007 and 28 February 2015 with those who did so between 1 March 2015 and 28 February 2022 at Kurume University Hospital. Results: A total of 274 patients were included, including 110 in the previous study and 164 in the present study. The main indications were hematochezia in the previous study (63/110, 57.3%) and abdominal pain in the present study (64/164, 39.0%). Ulcerative colitis (74/274, 27.0%) was the most common diagnosis in both studies. The major difference from the previous study was an increase in the number of Crohn’s disease and eosinophilic gastrointestinal disorder cases. Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7–12 years. Conclusion: In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. The increasing trend of patients presenting with inflammatory bowel disease and eosinophilic gastrointestinal disorder worldwide indicates the importance of colonoscopy in infants and children.
abstract_unstemmed	Background: The roles and methods of diagnostic colonoscopy in pediatric patients were previously demonstrated. With advances in medical equipment and the increasing need for pediatric endoscopic diagnosis, we compared recent results with those previously reported. Methods: A retrospective analysis was conducted on pediatric patients aged ≤15 years, comparing those who underwent their first diagnostic colonoscopy between 1 January 2007 and 28 February 2015 with those who did so between 1 March 2015 and 28 February 2022 at Kurume University Hospital. Results: A total of 274 patients were included, including 110 in the previous study and 164 in the present study. The main indications were hematochezia in the previous study (63/110, 57.3%) and abdominal pain in the present study (64/164, 39.0%). Ulcerative colitis (74/274, 27.0%) was the most common diagnosis in both studies. The major difference from the previous study was an increase in the number of Crohn’s disease and eosinophilic gastrointestinal disorder cases. Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7–12 years. Conclusion: In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. The increasing trend of patients presenting with inflammatory bowel disease and eosinophilic gastrointestinal disorder worldwide indicates the importance of colonoscopy in infants and children.
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title_short	Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease
url	https://doi.org/10.3390/jcm11195747 https://doaj.org/article/d6cb14187b064822967771d0801d260b https://www.mdpi.com/2077-0383/11/19/5747 https://doaj.org/toc/2077-0383
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author2	Hidetoshi Takedatsu Shinichiro Yoshioka Keiichi Mitsuyama Kozo Tsuruta Kotaro Kuwaki Ken Kato Ryosuke Yasuda Tatsuki Mizuochi Yushiro Yamashita Takumi Kawaguchi
author2Str	Hidetoshi Takedatsu Shinichiro Yoshioka Keiichi Mitsuyama Kozo Tsuruta Kotaro Kuwaki Ken Kato Ryosuke Yasuda Tatsuki Mizuochi Yushiro Yamashita Takumi Kawaguchi
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up_date	2024-07-03T20:39:50.999Z
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Bowel preparation with magnesium citrate was significantly increased across all ages in the present study (142/164, 86.6%). Midazolam + pentazocine was used for sedation in most cases (137/164, 83.5%). An ultrathin upper endoscope was mainly used in patients aged ≤6 years, while ultrathin colonoscopes were applied in patients aged 7–12 years. Conclusion: In the present study, appropriate changes were found in the roles and methods of diagnostic colonoscopy in pediatric patients compared to the previous study. 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Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease

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