Clinical Audit on the Use of Upper Endoscopy in Assist University Children Hospital
Clinical Audit on the Use of Upper Endoscopy in Assist University Children Hospital
this protocol aides to evaluate:( 1)whether upper gastrointestinal endoscopy (UGE) is used
 appropriately according to the Guideline on pediatric GI endoscopy [1] commissioned by the
 European Society for Paediatric Gastroenterology Hepatology and Nutrition(ESPGHAN) and the
 European Society of Gastrointestinal Endoscopy(ESGE). In our hospital setting and(2) whether
 there is any relationship between appropriateness of gastrointestinal endoscopy and the
 presence of lesions detected by endoscopy.
gastrointestinal endoscopy is a safe and effective procedure. However,complications do exist
 and procedure-related costs are significant The rapid escalation of the cost of medical care,
 in the face of limited resources, is making the appropriateness of indications more and more
 essential to the rational utilization of such resources.Upper Gastrointestinal (UGI)
 endoscopy in the pediatric population has evolved during the last 30 years with an increasing
 number of diagnostic and therapeutic applications.

 years with an increasing number of diagnostic and therapeutic Technological improvements and
 endoscopic devices have contributed to the evolution This prospective study is to determine
 whether upper gastrointestinal endoscopy is used appropriately in our hospital setting
 according to, the Guideline on pediatric GI endoscopy [1] commissioned by the European
 Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) and the European
 Society of Gastrointestinal Endoscopy (ESGE). and whether the appropriateness of use Predicts
 the probability of detecting significant lesions by endoscopy
Inclusion Criteria:

 -  Weight loss,

 failure to thrive

 Unexplained anemia

 Abdominal pain with suspicion of an organic disease

 Dysphagia or odynophagia

 Caustic ingestion

 Recurrent vomiting exclusion criteria

 patients with perforated viscous