INDICATIONS, COMPLICATIONS AND ENDOSCOPIC FINDINGS OF COLONOSCOPY IN PAEDIATRIC POPULATION sejalgrover98@gmail.com

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INDICATIONS, COMPLICATIONS AND ENDOSCOPIC FINDINGS OF COLONOSCOPY IN PAEDIATRIC POPULATION

2

 

 

 

 

India

Oral or Poster

Pediatric colonoscopy differs significantly from adult colonoscopy in almost all aspects including patient management and preparation, selection criteria for sedation and general anesthetic, bowel preparation, expected diagnoses, instrument selection, imperative for terminal ileal intubation, and requirement for biopsies from macroscopically normal mucosa. Despite the high diagnostic yield, colonoscopy is still an under-utilized tool and information regarding its efficacy is scanty in most of the developing countries. This research aims to study the frequency of indications for colonoscopy in paediatrics, assess its diagnostic and therapeutic yield and correlate with histopathological and radiological findings, and to study the frequency and types of complications encountered.

The medical records of all patients under the age of 12 years, who underwent colonoscopy, from August 2015 to March 2025, were reviewed using the database of our hospital. All of the pediatric patients in whom colonoscopy was performed during the study period were included in the study.

600 procedures were performed in this time interval. 72% showed abnormal macroscopic and/or histopathological findings. There were 53 cases of EGIDs (20%), 56 cases of IBD (22.5%), 28 cases of polyps/polyposis (17%), 29 cases of nonspecific colitis (23.5%), 13 cases of hemorrhoid/anal fissure (4.7%). No complications were reported during or immediately after the procedures.

Colonoscopy offers a high diagnostic capability for pediatric patients with gastrointestinal symptoms. The selection of appropriate management the performance of colonoscopy is important in pediatric patients