Application of microprobe endoscopic ultrasonography in diagnosis and treatment of protuberant lesions in the upper gastrointestinal tract of children
10.3760/cma.j.cn101070-20211030-01281
- VernacularTitle:微探头超声内镜在儿童上消化道隆起病变诊治中的应用
- Author:
Hongling CHEN
1
;
Junjie XU
;
Xuxia WEI
;
Xiaoli FU
;
Ning XUE
Author Information
1. 济南市儿童医院/山东大学附属儿童医院消化科，济南 250022
- Keywords:
Child;
Microprobe endoscopic ultrasonography;
Protuberant lesions in the upper gastrointestinal tract
- From:
Chinese Journal of Applied Clinical Pediatrics
2022;37(23):1803-1806
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical value of microprobe endoscopic ultrasonography in the diagnosis and treatment of children with protuberant lesions in the upper gastrointestinal tract.Methods:A retrospective study was performed to analyze the clinical data of children who underwent microprobe endoscopic ultrasonography for treating protuberant lesions in the upper gastrointestinal tract in the Department of Gastroenterology, Jinan Children′s Hospital from January 2018 to June 2021.The endoscopic ultrasound characteristics of children with protuberant lesions in the upper gastrointestinal tract were summarized and compared with the pathological results.Results:Microprobe endoscopic ultrasonography was performed in 29 children.Ectopic pancreas was found in 12 cases (41.4%), Brunner gland hyperplasia in 4 cases (13.8%), cysts in 3 cases (10.3%), duodenum accessory nipple in 3 cases (10.3%), extragastric compression in 2 cases (6.9%), lymphoma in 2 cases (6.9%), gastric duplication malformation in 1 case (3.4%), stromal tumor in 1 case (3.4%) and leiomyoma in 1 case (3.4%). According to the results of microprobe endoscopic ultrasonography, 15 cases with protuberant lesions were treated by deep biopsy and handled under endoscope.The tissue was checked by pathological examination.The microprobe endoscopic ultrasonography diagnosis of 14 cases were in accordance with their pathological diagnosis[93.3% (14/15)].Conclusions:Microprobe endoscopic ultrasonography can effectively diagnose and differentiate protuberant lesions in the upper gastroi-ntestinal tract of children, so it can be used to guide the clinical treatment under endoscope.Microprobe endoscopic ultrasonography is a safe and reliable treatment for children.
