ArticleWorld journal of pediatrics : WJP2012
Upper gastrointestinal bleeding in children: an 11-year retrospective endoscopic investigation.
Article in World journal of pediatrics : WJP, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Advances in standardized diagnosis and management of pediatric gastrointestinal bleeding.World journal of pediatrics : WJP · 2025Pooled it
- The Sheffield Scoring System: An 8-Year Descriptive Cohort Analysis of a Tool for Predicting the Need for Endoscopic Hemostatic Intervention in Pediatric Patients with Upper Gastrointestinal Bleeding at a Tertiary Hospital in Khon Kaen, Thailand.Pediatric gastroenterology, hepatology & nutrition · 2026Article
- A clear approach: Hemostatic gel as a novel adjunct for pediatric upper gastrointestinal bleeding.JPGN reports · 2025Article
- Descriptive analysis of common causes of upper gastrointestinal bleeding in pediatric patients in Kerman: a study from 2022 to 2023.BMC gastroenterology · 2025Article
- Trends in Upper Gastrointestinal Bleeding in Children: The Impact ofAntibiotics (Basel, Switzerland) · 2024Article
- Gastrointestinal bleeding in children: diagnostic approach.Italian journal of pediatrics · 2024Review
- Upper gastrointestinal bleeding in Bangladeshi children: Analysis of 100 cases.World journal of gastrointestinal endoscopy · 2024Article
- Age-specific causes of upper gastrointestinal bleeding in children.World journal of gastroenterology · 2023Review
- Gastrointestinal Bleeding in Children: The Role of Endoscopy and the Sheffield Scoring System in a Resource-Limited Setting.JPGN reports · 2023Article
- Changing trend in the spectrum of upper gastrointestinal bleeding in children-A multicentre experience.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023Article
- Practical Aspects of Upper Gastrointestinal Bleeding in Children.Journal of clinical medicine · 2023Article
- Causes of gastrointestinal bleeding in children based on endoscopic evaluation at a tertiary care center in Bahrain.World journal of gastrointestinal endoscopy · 2023Article
- Current status and future challenges in the endoscopic management of non-variceal upper gastrointestinal bleeding in children.Pediatric surgery international · 2020Article
- Upper Gastrointestinal Bleeding in Children: A Tertiary United Kingdom Children's Hospital Experience.Children (Basel, Switzerland) · 2017Article
- Pediatric gastrointestinal bleeding: Perspectives from the Italian Society of Pediatric Gastroenterology.World journal of gastroenterology · 2017Review
- Availability of blood urea nitrogen/creatinine ratio in gastrointestinal bleeding with melena in children.Pediatric gastroenterology, hepatology & nutrition · 2015Article
- Diagnostic endoscopy and clinical characteristics of gastrointestinal bleeding in children: a 10-year retrospective study.Iranian Red Crescent medical journal · 2013Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUpper gastrointestinal bleeding (UGIB) may present as hematemesis, coffee-ground emesis, or melena requiring esophagogastroduodenoscopy (EGD) for diagnosis and/or therapy. Worldwide, differences exist for the etiology of UGIB reflecting geographical differences in common disease states. In the past 25 years, there have been improvements in endoscopic optics. This study was undertaken to determine: 1) if identifying a bleeding source in UGIB have improved with better endoscopic optics, 2) geographic differences in causes of UGIB, 3) differences in severity of UGIB based on clinical factors, and 4) the likelihood of finding a bleeding source based on symptom duration and time to endoscopy.
methodsA retrospective chart review was made on children having EGD for evaluation of UGIB. Data collected included type, etiology, and degree of bleeding.
resultsOf 2569 diagnostic procedures, 167 (6.5%) were performed for UGIB. The most common presentation was hematemesis (73.4%). Melena was associated with lower hemoglobin levels and higher transfusion rates. A source of UGIB was found in 57.0%, no cause in 11.4% and a questionable cause in 29.7%. A source was found less commonly in children with a history of UGIB less than one month and in those undergoing endoscopy over 48 hours after a bleeding episode.
conclusionsImproved endoscopic optics has not changed diagnostic ability for UGIB. Etiologic differences for UGIB in children from varying geographic areas are related to indication for endoscopy, patient selection, and co-morbid conditions. Duration of bleeding and time to endoscopy after a bleeding episode may help predict when endoscopy should be performed to determine a bleeding source.
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