Bibliographic Details
| Title: |
Hallazgos en la endoscopia digestiva alta en niños con talla baja. |
| Alternate Title: |
Findings of upper gastrointestinal endoscopy in children with short stature. |
| Authors: |
César Castro-Murillo, Julio1, Alberto Velasco-Benítez, Carlos2 carlos.velasco@correounivalle.edu.co, Gerardo Calderón-Guerrero, Otto3 |
| Source: |
Revista Colombiana de Gastroenterología. ene-mar2021, Vol. 36 Issue 1, p130-137. 8p. |
| Abstract (English): |
Introduction: The study of short stature of digestive origin in children shows no pre-established laboratory patterns. However, endoscopy of the digestive tract may be a useful tool for this purpose. Objective: To report a series of cases of children with a diagnosis of short stature who underwent upper digestive tract endoscopy as part of their study. Case report: 15 children between the ages of 2 and 16 years were included; 53.3 % were girls. 26.7 % presented with malnutrition according to their body mass index and height-for-age, 66.7 % had short stature, and 33.3 % moderate short stature. Abdominal pain was reported in 53.3 % of the cases, and no weight gain in 46.7 %. Other symptoms were lack of appetite in 26.7 %, vomiting in 13.3 %, among others. Between 40 % and 93.4 % of the children presented macro and/or microscopic esophagitis, gastritis, and duodenitis. The most important microscopic findings were chronic duodenitis with giardiasis, duodenal ulcers, duodenal nodular lymphoid hyperplasia, Helicobacter pylori, and chronic eosinophilic duodenitis. Conclusions: Although endoscopy of the digestive tract is a method barely used and not well described in the study of children with short stature, this case report describes organicity in 80 % of the children analyzed. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Introducción: en el estudio de la baja talla de origen digestivo en niños no hay un patrón de paraclínicos preestablecido; sin embargo, la endoscopia de vías digestivas puede ser una herramienta útil para tal fin. Objetivo: reportar una serie de casos de niños con diagnóstico de baja talla a quienes se les indicó una endoscopia de vías digestivas altas como parte de su estudio. Reporte de casos: se incluyeron 15 niños entre los 2 y 16 años de edad, 53,3 % niñas, 26,7 % desnutridos según el índice de masa corporal y la talla para la edad, 66,7% con baja talla grave y 33,3% con baja talla moderada. El 53,3 % presentó dolor abdominal, el 46,7 % no tuvo ganancia de peso, el 26,7 % tuvo inapetencia y el 13,3 % tuvo vómito, entre otros. Entre el 40,0 % y el 93,4 % presentaron macro-o microscópicamente esofagitis, gastritis y duodenitis. Los hallazgos microscópicos más importantes fueron duodenitis crónica con giardiasis, úlceras duodenales, hiperplasia nodular linfoide duodenal, Helicobacter pylori y duodenitis crónica eosinofílica. Conclusiones: a pesar de que la endoscopia de vías digestivas es un método poco utilizado y no bien descrito en el estudio de niños con baja talla, este reporte de casos describe organicidad en un 80,0 % de los niños analizados. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
