1. To evaluate the diagnostic role, and outcomes of upper and lower gastrointestinal (GI) endoscopy in identifying gastrointestinal disorders among infants and pediatric patients attending Assiut University Children Hospital. 2. To determine which pediatric patients require endoscopy as part of the diagnostic process. 3. To assess the safety and effectiveness of endoscopic procedures in the detection and management of various gastrointestinal disorders among pediatric patients at Assiut University Children Hospital.
Children aged from 1day to 18 years undergoing diagnostic endoscopy.
Incomplete patient data.
Patients undergoing follow-up procedures.
Children admitted to Assiut University Children Hospital who present with gastrointestinal symptoms (such as abdominal pain, vomiting, hematemesis, melena, diarrhea, or unexplained anemia) and are referred for diagnostic gastrointestinal endoscopy as part of their clinical evaluation.
Other
Prospective
Gastrointestinal Endoscopy
Procedure/SurgeryChildren undergoing evaluation for gastrointestinal symptoms (such as abdominal pain, bleeding, vomiting, chronic diarrhea, suspected foreign body ingestion, or growth failure) will undergo diagnostic gastrointestinal endoscopy (upper or lower as clinically indicated). The procedure will be performed under appropriate sedation/anesthesia using a standard pediatric endoscope. During endoscopy, visualization of the mucosa will be carried out, and biopsies may be taken if needed for histopathological examination.
Diagnostic yield of gastrointestinal endoscopy
Proportion (%) of pediatric patients in whom gastrointestinal endoscopy provides a definitive diagnosis based on endoscopic and histopathological findings.
Distribution of clinical indications for pediatric endoscopy
Proportion (%) of children undergoing endoscopy for each indication (e.g., abdominal pain, GI bleeding, chronic diarrhea).
Correlation between clinical suspicion and confirmed diagnosis
Level of agreement between pre-procedure clinical suspicion and final diagnosis based on endoscopic and histopathological findings (reported as percentage concordance).
Types and frequencies of gastrointestinal disorders diagnosed by endoscopy
Frequency distribution of gastrointestinal disorders diagnosed in pediatric patients undergoing endoscopy.
Safety and complication rates of pediatric endoscopy
Incidence (%) of procedure-related complications (e.g., bleeding, perforation, infection).
change in awareness among healthcare providers
Change in awareness and knowledge about pediatric gastrointestinal endoscopy, assessed by structured questionnaire score before and after educational sessions.
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