Quality indicators in pediatric colonoscopy in a low-volume center: Implications for training

Table 1 Indications, diagnoses and quality indicators in 121 children who had 177 colonoscopies

	n	%
Sex, males	74	61
Age in yr, median ± SD	7.5 ± 4.5
Concomitant esophagogastroduodenoscopy	81	67
Indications, n = 1211
Suspected of inflammatory bowel disease, new patients	36	30
Per rectal bleeding/investigations of anemia	25	21
Investigation of gastrointestinal symptoms	21	17
Assessment of inflammatory bowel disease, diagnosed elsewhere	16	13
Suspected of colonic polyps	7	6
Exclusion of graft-versus-host disease or colonic malignancies	7	6
Assessment of failure to thrive/malabsorption	4	3.3
Others	10	8
Colonoscopic diagnosis, n = 121
Crohn’s disease	30	25
Ulcerative colitis	20	17
Non-specific colitis or solitary rectal ulcer syndrome	22	18
Infective colitis	9	7
Colonic polyps	8	7
Graft-versus-host disease	5	4
Malabsorption	2	2
Allergic colitis	2	2
Miscellaneous diagnosis	5	4
No diagnosis	18	15
Extent of colonoscopic examination, 177 colonoscopies
Terminal ileum	96	54
Cecum	38	21
Ascending colon	9	5
Transverse colon	13	7
Descending colon	12	7
Sigmoid colon	7	4
Rectum	1	0.6
Reached cecum but no terminal ileum intubation	134	76
Ileal intubation not intended, 177 colonoscopies2	36
Not indicated	18
Distorted anatomy due to previous surgery	1
External stricture	2
Previous colostomy in Crohn’s disease	4
Large polyp at rectum	2
Risk of perforation outweighs benefit of full examination due to	5
Severe colitis
Poor bowel preparation	4
Full colonoscopic examination intended, 177 colonoscopies2	141
Ileal intubation	96	68
Cecum examination	134	95

¹Some patients had more than one indication;

²Not intended include not indicated, not feasible or the risks of full examination outweigh the benefit of full examination.