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Endoscopic management of gastrointestinal bleeding in children
Gastrointestinal bleeding,a major and frequent urgency in pediatric gastroenterology can develop self-limited (75- 85% of cases) or severe, with hemodynamic compromised, when require clinical assessment, resuscitation and digestive endoscopy for diagnosis and possible treatment. Application of endoscopic parameters (Forrest classification) to assess recurrence and prognosis of gastrointestinal bleeding peg subsequent attitude. Therapeutic endoscopy within circumstances established by The North American Society of Pediatric Gastroenterology, Hepatology and Nutrition choosing one of the techniques of injection, or mechanical coagulation in an individualized manner to etiopathogeny of gastrointestinal bleeding, it decreases the number of surgical intervention and frequency of deaths. Both early endoscopic diagnosis and endoscopic haemostatic therapy with endovenous administration of proton pump inhibitors, are measures that reduce bleeding and hemorrhage recurrence rate of 80-90%. Endoscopist experience will influence the readiness of surgical recommendation in serious, life-threatening cases.
Key words: gastrointestinal bleeding, endoscopic treatment, hemostasis