{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T01:42:04Z","timestamp":1793497324892,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2007,4,1]],"date-time":"2007-04-01T00:00:00Z","timestamp":1175385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2007,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Upper gastrointestinal endoscopy (UGIE) is appropriate in many situations in adults and children. Recommendations for UGIE use in children were published recently by the French\u2010language Paediatric Hepatology, Gastroenterology, and Nutrition Group (GFHGNP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>\n                      We retrospectively reviewed the 293 UGIE procedures undertaken in 251 children between January 1, 2001 and June 30, 2003 by 2 senior endoscopists. The UGIE procedures were categorized as appropriate or inappropriate based on GFHGNP recommendations, and diagnostic efficiency was compared in the 2 groups with the \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      test followed by multivariate logistic regression analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the 293 UGIE procedures, 52 (17.7%) were considered inappropriate. Diagnostic efficiency was 51% in the appropriate group versus 17.3% in the inappropriate group (odds ratio, 4.2; 95% CI, 2\u20138.7;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 10\n                      <jats:sup>\u22123<\/jats:sup>\n                      ). The proportion of appropriate UGIE procedures was higher among inpatients than outpatients (odds ratio, 2.51; 95% CI, 1.24\u20135.08;\n                      <jats:italic>P<\/jats:italic>\n                      = 0.01). Inappropriate reasons for performing UGIE included isolated failure to thrive and follow\u2010up after neonatal esophagogastroduodenitis. Nine inappropriate UGIE procedures contributed useful information: ulcerative esophagitis in 1 patient, hemorrhagic esophagitis in 4 patients, duodenitis in 1 patient, and malabsorption in 3 patients caused in 1 case by cow's milk allergy and in 2 cases to fully documented celiac disease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>UGIE was usually performed appropriately in our pediatric hospital. Inappropriate UGIE procedures were more common in outpatients than in admitted patients. Awareness of the recommendations for appropriate UGIE use needs to be improved among office\u2010based and hospital\u2010based physicians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/mpg.0b013e31802c6847","type":"journal-article","created":{"date-parts":[[2007,3,19]],"date-time":"2007-03-19T04:01:10Z","timestamp":1174276870000},"page":"440-445","source":"Crossref","is-referenced-by-count":12,"title":["Appropriateness of Upper Gastrointestinal Endoscopy in Children: A Retrospective Study"],"prefix":"10.1002","volume":"44","author":[{"given":"Pr\u00e9vost","family":"Jantchou","sequence":"first","affiliation":[{"name":"Pediatrics Department Besan\u00e7on Teaching Hospital Besan\u00e7on France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Schirrer","sequence":"additional","affiliation":[{"name":"Pediatrics Department Besan\u00e7on Teaching Hospital Besan\u00e7on France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Bocquet","sequence":"additional","affiliation":[{"name":"Pediatrics Department Besan\u00e7on Teaching Hospital Besan\u00e7on France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2007,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1052-5157(18)30524-5"},{"key":"e_1_2_7_3_1","first-page":"664","volume-title":"Gastro\u2010ent\u00e9rologie P\u00e9diatrique","author":"Mougenot JF","year":"2000"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-1999-71"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(00)70219-7"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.310.6983.853"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005176-199608000-00002"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0929-693X(02)00041-6"},{"key":"e_1_2_7_9_1","unstructured":"Mappy software.Available at:http:\/\/www.mappy.fr. 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