ArticleBMC gastroenterology2019
Current role of colonoscopy in infants and young children: a multicenter study.
Article in BMC gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 25 citations in OpenAlex.
- Pediatric Lower Gastrointestinal Bleeding: Endoscopic and Histopathologic Spectrum in a 16-Year Tertiary-Center Cohort.Biomedicines · 2026Article
- Diagnosis and treatment of neonatal gastrointestinal diseases in extremely premature infants using ultrathin colonoscopy.Pediatric research · 2026Article
- Predictive Factors for Abnormal Diagnostic Colonoscopy Findings among Pediatric Patients: A Retrospective Cohort Study.Digestive diseases (Basel, Switzerland) · 2026Article
- Asian-Pacific perspectives on the management of very early-onset inflammatory bowel disease.Intestinal research · 2025Review
- Expert consensus on diagnostic guidelines for pediatric inflammatory bowel disease in Japan.Journal of gastroenterology · 2025Review
- [Colonoscopy in infants: procedure and disease spectrum analysis of 184 cases].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025Article
- A "one in a million" case of colorectal carcinoma - A case report from a tertiary care centre in Mumbai, India.International journal of surgery case reports · 2024Article
- Clinical analysis and identification of pediatric patients with colonic ulceration.BMC pediatrics · 2024Article
- Colonoscopic finding in children with lower gastrointestinal complaints.JGH open : an open access journal of gastroenterology and hepatology · 2023Article
- Fecal microbiota transplantation in childhood: past, present, and future.World journal of pediatrics : WJP · 2023Review
- Paediatric gastrointestinal endoscopy in the Asian-Pacific region: Recent advances in diagnostic and therapeutic techniques.World journal of gastroenterology · 2023Review
- Flexible Sigmoidoscopy Utility in the Diagnosis of Pediatric Gastrointestinal Disorders.Cureus · 2023Article
- The Changes in Trends of Lower Gastrointestinal Endoscopy Conducted in Children and Adolescents after the COVID-19 Outbreak in Korea.Medicina (Kaunas, Lithuania) · 2022Article
- Utility of Diagnostic Colonoscopy in Pediatric Intestinal Disease.Journal of clinical medicine · 2022Article
- Inflammatory cloacogenic polyps in children: diagnostic yield of rectal retroflexion during colonoscopy.BMC gastroenterology · 2022Article
- Insufflation of Carbon Dioxide versus Air During Colonoscopy Among Pediatric Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Clinical endoscopy · 2021Article
- Colonoscopic Diagnosis of Postoperative Gastrointestinal Bleeding in Patients With Hirschsprung's Disease.Frontiers in pediatrics · 2021Article
- Very Early-Onset Inflammatory Bowel Disease: A Challenging Field for Pediatric Gastroenterologists.Pediatric gastroenterology, hepatology & nutrition · 2020Review
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundTo evaluate the role of colonoscopy in infants and young children and clarify the distribution of colonoscopy-requiring diseases in this age group.
methodsCohorts of colonoscopies performed at three children's hospitals in Japan between April 2011 and March 2016 including infants and children younger than six years of age were retrospectively reviewed.
resultsIn total, 453 colonoscopies were performed in 276 infants and young children. Of these 275 (60.8%) were for diagnostic purposes, 177 (39.2%) were performed as follow-up, and one case was performed for treatment. The median patient age at the time of diagnostic colonoscopy was 2.49 years, and there was a male-to-female ratio of 1.72:1. Abnormal macroscopic and/or histopathological findings were noted in 212 (77.1%) cases. Of these, definite diagnoses were established for the presence of eosinophilic gastrointestinal disorders (EGIDs), inflammatory bowel disease (IBD), and polyp/polyposis in 23, 18.5, and 14% of patients, respectively. Among 51 IBD cases, ulcerative colitis, Crohn's disease, and IBD-unclassified were identified in 47.1, 33.3, and 7.8%, retrospectively via endoscopic examination. Of these, 11 (22%) were eventually diagnosed with monogenic diseases via genetic testing. Of those with rectal bleeding, EGIDs, polyps/polyposis, and IBD were found in 27, 19, and 18%, retrospectively. There were significantly more cases of EGIDs and fewer ones of IBD and polyps/polyposis in patients with rectal bleeding younger than two years of age. Furthermore, 68% of all follow-up colonoscopies were performed in children with IBD. There were no serious complications in our study cohort.
conclusionWe determined the role of colonoscopy in infants and young children. Diseases diagnosed using colonoscopy in this age group included IBD, EGIDs, and polyps/polyposis. The increasing trend of patients with IBD and EGIDs worldwide means that the role of colonoscopy in infants and younger children will be more important in the future.
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