WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals
World Journal of Advance Healthcare Research (WJAHR) has indexed with various reputed international bodies like : Google Scholar , Index Copernicus , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , Cosmos Impact Factor , Scientific Indexing Services (SIS) , UDLedge Science Citation Index , International Impact Factor Services , International Society for Research Activity (ISRA) Journal Impact Factor (JIF) , IFSIJ Measure of Journal Quality , Scientific Journal Impact Factor (SJIF) , International Scientific Indexing, UAE (ISI) (Under Process) , International Impact Factor Services (IIFS) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , 

ISSN 2457-0400

Impact Factor  :  5.464

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    Venue: FCT Education Resource Center, Abuja-Nigeria

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Indexing

Abstract

ETIOLOGY AND ENDOSCOPIC FINDINGS OF GASTROINTESTINAL BLEEDING IN CHILDREN

*Maria Adnan Naamah, Zeina Alkilany, Ali Ibrahim and Ali Mohamed

ABSTRACT

Background: Gastrointestinal (GI) bleeding in children, although uncommon, can be life-threatening. The purpose of the present study is to review the causes of gastrointestinal bleeding in pediatric patients according to age, determine the endoscopic findings in these children, and highlight of the important role of gastrointestinal endoscopy. Methods: A three-year prospective cross-sectional study included 150 children with upper or lower GI bleeding aged between 1 month and 14 years, who had referred to the pediatric gastrointestinal center at Tishreen University Hospital, Lattakia, Syria over 3 years from June 2017 to June 2020.Patients were categorized as infants, pre-school aged, school-aged, and adolescents. Each patient underwent an esophagogastroduodenoscopy and/or colonoscopy and several mucosal biopsies were taken. History and clinical information as well as endoscopy and pathology findings were reported. Results: The results showed that erosive gastritis was the most common upper endoscopic finding, and rectal colon polyp was the most common colonoscopic finding. HP related Gastritis and juvenile polyp were the most common causes of upper and lower gastrointestinal bleeding. Cow’s milk protein intolerance was the most common cause of gastrointestinal bleeding in the younger age group (under 2 years), and Inflammatory Bowel Disease is becoming more common at younger ages. Conclusion: Causes of gastrointestinal bleeding in children are multiple, thus specific etiologies at different age groups should be kept in mind, while assessing pediatric patients with Gastrointestinal Bleeding.

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