Nonsurgical Treatments for Gastrointestinal Bleeding in Children

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  • 消化管出血に対する非手術的治療　　小児消化管出血症例の非手術的治療

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Abstract

We examined the use of nonsurgical treatments for gastrointestinal bleeding in children. Over the past 25 years, 93 children with gastrointestinal bleeding were treated at our hospital nonsurgical treatments were performed in 39 patients (16 cases of intussusception, 9 cases of esophageal varices, 7 cases of colorectal polyp, 2 cases of duodenal ulcer, 1 case of bleeding colitis, and 4 cases of bacterial enterocolitis). Enemal redressment for intussusceptions, endoscopic injection sclerotherapy and endoscopic variceal ligation for the esophageal varices, and endoscopic polypectomy for the colorectal polyps were performed as nonsurgical treatments. Eradication therapy for Helicobacter pylori was performed in a duodenal ulcer patient who was infected with H pylofi. Gastrointestinal bleeding in children frequently exhibits disease characteristics that are specific to children, and nonsurgical treatments may be useful if the patient has been properly diagnosed. On the other hand, diseases like midgut volvulus, ulcerative colitis, Meckel diverticulum, gastroesophageal reflux, Crohn disease, malignant neoplasm, and enteric duplication always require surgery.

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