Abstract
Twenty-three children and adolescents with Crohn's disease had systematic upper and lower gastrointestinal (GI) endoscopy as part of the initial diagnostic assessment. Twenty (86%) had evidence of some involvement of the upper GI tract (oesophagus-4, stomach-19, duodenum-5). In 13 children, the upper GI findings were instrumental in making the diagnosis of Crohn's disease. The ileum was viewed in 18 and found to be abnormal in 14 (78%). The colon was affected to some extent in 16 (70%); the proximal colon was affected twice as frequently as the distal colon and rectum. Early upper and lower GI endoscopy is recommended as part of the assessment of suspected inflammatory bowel disease in children.
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