RESUMO
The aim of our study was to assess the frequency of the dif-ferent lesions occurring as well as to precise indications of upper gastrointestinal endoscopy in neonates
Method: We have achieved a retrospective study about 128 neonatal gastrointestinal endoscopies. Three groups were constituted according to macroscopic findings:- Group I: normal aspect [n=1]- Group II: isolated esophagitis [n=19]- Group III: esogastritis or gastroduodenitis or esogastroduo-denitis [n=92
Results: The neonates undergoing endoscopy for malaise were more frequent in group I than in group II and III, respectively 36.5% versus 15.8% and 9.8% [P = 0.04]. Digestive hemorrhage [hematemesis and/or melena] was more frequent in group III than in group II and I, respectively 90.2% versus 78.9% and 63.6% [P = 0.03], Digestive hemorrhage was in our study the main indication of upper gastrointestinal endoscopy in neonates [85.9%] which showed a macroscopic lesion in 93.5% of cases
Conclusion: Hematemesis and suspicion of esophagitis are good indications for upper gastrointestinal endoscopy in neonates