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Urgent endoscopy in children: epidemiology in a large region of France

机译:儿童紧急内窥镜检查:法国大区的流行病学

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Background and study aims?The real burden of urgent endoscopy in children has not been studied yet. Our aim was to evaluate the need for urgent endoscopy in children. Patients and methods?Information was collected about all the calls that were received during the 24 hour on-call shift for pediatric endoscopy in the region of Ile-de-France (12.1 million inhabitants) during a 6 months period (February-July 2017). Results?A total of 237 calls (19 calls/y/100,000 children) were collected regarding children of an average age of 3.2 years (range 2 days-18 years). Most of the calls (68?%) were for foreign body ingestions. Gastroscopy was required in 32?% of children: 24?% of those calling for foreign body ingestion, 48?% for gastrointestinal bleeding, 63?% for caustic ingestions (P?=?0.01). The average time between the call and the urgent endoscopy were below the international recommendations for each situation. Conclusions?Calling the endoscopist seems to have become a recurrent practice, although in most cases, urgent endoscopy did not appear necessary, especially for foreign body ingestion. This organization of pediatric endoscopy on call was able to guarantee the performance of urgent endoscopy in adequate timing for a highly populated region.
机译:背景和学习症状?尚未研究儿童紧急内窥镜检查的真正负担。我们的目标是评估儿童紧急内窥镜检查的需求。患者和方法?收集信息是关于在6个月期间(2017年2月至7月)的ILE-甲板(1210万居民)区域的24小时儿科内窥镜检查期间收到的所有呼叫。 。结果?在平均年龄为3.2岁的儿童(范围 - 18岁之间),共收集237个电话(19个电话/ y / 100,000名儿童)。大部分电话(68?%)是对异物摄取的。胃镜检查是在32个?%的儿童中所需的:24个?呼吁异物摄取的人,48?%用于胃肠道出血,63〜%用于苛性摄入(p?= 0.01)。呼叫与紧急内窥镜检查之间的平均时间低于每种情况的国际建议。结论?呼唤内窥镜师似乎已成为经常性的实践,尽管在大多数情况下,紧急内窥镜检查没有必要,特别是对于异物摄取。这种儿科内窥镜检查的组织能够保证在高度填充区域的充足时期的迫切内窥镜检查中的性能。

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