Abstract
Gastrointestinal endoscopy in children has recently become relatively safe, and its specificity is considered to be related to the children 10 years of age or less. Of 157 children (207 cases) who underwent gastrointestinal endoscopy during the past 14-year period, 100 (119 cases) were 10 years old or younger. Even if they were younger than 7 years or older than 8 years when pretreatment was undertaken, the endoscopic treatment was carried out under general anesthesia. Urgent endoscopic examination was undertaken in 14 children with gastrointestinal hemorrhage out of 72 (81 cases) with superior gastrointes-tinal diseases. Ten children were found to have gastric ulcer and one, esophageal ulcer. Endoscopic retrograde cholangiopancreatography (ERCP) was carried out in four, and abnormalities in the confluence of the pancreatic and bile ducts were observed in three. As endoscopic treatment, foreign bodies were excised in 32 patients, polypectomy was undertaken in one, and a stenotic site was incised in one. Of 28 children (38 cases) with inferior gastrointestinal diseases, the number of patients with gastrointestinal hemorrhage was largest, followed by colic polyp in six, ulcerative colitis in three, corrosive rectostenosis in one and stomal hemorrhage in one. Endoscopic polypectomy was undertaken in five children.
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