Paediatric GI emergencies

Best Pract Res Clin Gastroenterol. 2013 Oct;27(5):799-817. doi: 10.1016/j.bpg.2013.08.013. Epub 2013 Sep 5.

Abstract

Paediatric GI emergencies constitute a wide range of gut pathologies ranging from those that are common, easily diagnosed and treated to conditions that are rarer, often more severe and challenging to manage. Among a myriad of ordinary clinical symptoms and signs physicians have to identify the child with a serious, life-threatening pathology and initiate the appropriate diagnostic and therapeutic pathway. The aim of the review is to present and discuss a selection of key paediatric GI emergencies that provide challenges in diagnosis and treatment. These conditions are classified by their presentation or pathogenesis and include inflammatory conditions, those presenting with GI obstruction or haemorrhage and the ingestion of foreign bodies or caustic substances. The most recent advances regarding the management of these entities are discussed along with key areas of clinical practice and future research.

Keywords: Children; Emergencies; Foreign body ingestion; Gastrointestinal; Gastrointestinal bleeding; Intestinal obstruction; Paediatrics.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Emergencies
  • Foreign Bodies / diagnosis
  • Foreign Bodies / etiology*
  • Foreign Bodies / therapy
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / therapy
  • Gastrointestinal Tract
  • Humans
  • Intestinal Obstruction / diagnosis
  • Intestinal Obstruction / etiology*
  • Intestinal Obstruction / therapy