Gastrointestinal bleeding in pediatric age group

Abstract

Gastrointestinal hemorrhage during infancy and childhood is common and accounts for up to 20% of referrals to pediatric gastroenterologists. Most causes are self-limited and benign, 75% to 85% of gastrointestinal tract bleeding (GITB)   arrest spontaneously. 
This is a descriptive single center retrospective study done on 200  patients  less  than19  years  old  whom  attend  the gastrointestinal center / Rzgari hospital in Hawler from the first of January 2015 till first of December 2017; 110 (55%) were females and 90 (45%) were  males. 137 patients were adolescence (68.5%), 47 patients were school age (23.5%), 9 patients were preschool age (4.5%) and 7 patients were in toddler  age  group  (3.5%)  .  it  was  found  that  89  (44.5%) patients  had  upper  GIT  bleeding,  111(55.5%)  patients  had lower  GIT  bleeding.  Esophagogastroduodenoscopy  (EGD) results of 34(38.20 %) patients with upper GIT bleeding were normal while 17(19.10 %) had duodenal ulcer, 11(12.36 %) had gastric ulcer , and 6(6.74 %) had antral gastropathy. lower GIT  bleeding  found  in  111(55.5%)  patients;  from  these, finding of colonoscopy in 41patients (36.94 %) were normal, 16(14.41 %) were have internal pile, 15(13.51 %) were have colonic  polyp,  11(9.90%)  for  solitary  rectal  ulcer  and  10 (9.00%) ulcerative colitis, and 7(6.31%) patients were have Crohns disease.