抄録
In our clinic, the early or urgent endoscopy had been performed safely and effectively in 420 cases of upper G-I bleeding. In 25 pediatric patients with hematemesis and/or melena, the age ranged from 3 months to 15 years. They were examined without complications by the various kinds of fiberscopes as GIF-P, GIF-P2, JF-B2 or GIF-K SIF-B (Olympus Optical Co). In 21 of 25 patients, pediatric upper G-I endoscopy was carried out by preparation of both pharyngeal anesthesia and intramuscular injection of antispasmodic agent. Two patients were examined with general anesthesia and other 2 patients were done without anesthesia. In 20 patients, upper G-I barium radiography had been obtained prior to endoscopy which was done within 7 days after hematemesis and/or melena. In 14 of 20 patients, the bleeding lesions were identified radiologically and endoscopically, In 6 patients, the bleeding lesions were not identified radiologically but were detected endoscopically. In the remaining 5 patients, only endoscopy was performed and the bleeding lesions were identified in each patient. On infants and children with upper G-I bleeding, the ordinary endoscopy for adult patients could be done easily and safely in children older than 10 years, and pediatric endoscopy for infants and children under 5 year-old must be performed carefully with the use of general anesthesia and small caliber fiberscopes.
