1. Esophageal Capsule Endoscopy in Children and Young Adults With Portal Hypertension
- Author
-
Victor L. Fox, Anita K. Pai, and Maureen M. Jonas
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Esophageal and Gastric Varices ,Gastroenterology ,Capsule Endoscopy ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Esophageal varices ,030225 pediatrics ,Internal medicine ,Hypertension, Portal ,Medicine ,Humans ,Young adult ,Child ,Retrospective Studies ,Variceal Banding ,business.industry ,Retrospective cohort study ,medicine.disease ,Pediatrics, Perinatology and Child Health ,Portal hypertension ,Feasibility Studies ,030211 gastroenterology & hepatology ,Female ,business ,Complication ,Varices ,Gastrointestinal Hemorrhage ,Esophagitis - Abstract
OBJECTIVES Variceal hemorrhage (VH) is a serious complication of portal hypertension (PH). We evaluated the feasibility, safety, and clinical impact of esophageal capsule endoscopy (ECE) in pediatric and young adult patients with known or suspected PH. METHODS Children and young adults with PH at Boston Children's Hospital (2005-2017) were offered ECE for variceal screening or surveillance. Patient histories, ECE findings, and clinical outcomes were reviewed retrospectively. RESULTS One hundred and forty-nine ECE studies were performed in 98 patients (57.1% male patients) using 3 ECE devices for variceal screening (66.5%) or surveillance (33.5%). Three readers interpreted the studies (88.3%, 10.3%, and 1.4%, respectively). Median age was 16 years (IQR 13.7-18.5). One hundred and three ECE studies involved patients
- Published
- 2019