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Objectives:To investigate the clinical value of endoscopy and mucosal histology for digestive tract diseases in infants.Methods:Clinical data of 357 infants who underwent 422 gastrointestinal endoscopies from January 2010 to December 2021 were collected. The indications, endoscopic manifestations, histological features of mucosa and diagnosis were analyzed.Results:A total of 159 gastroscopies and 263 colonoscopies were performed. Diarrhea (185 cases), bloody stool (178 cases) and vomiting (46 cases) were common symptoms. Endoscopy showed manifestations including non-specific inflammatory changes (265 cases), ulcer-like changes (72 cases), and normal mucusa (48 cases). A total of 373 biopsies were performed, including 260 cases of abnormal mucosal histology, 109 cases of normal mucosal histology, and 4 cases of too small biopsy specimens for analysis. Diagnoses were 208 cases of anaphylactic disease, 45 cases of inflammatory bowel disease, 15 cases of variation of structure, 10 cases of intestinal lymphangiectasis, 2 cases of autoimmune enteropathy, and 1 case of celiac disease. There was only 1 colonic perforation complicating endoscopy in terms of endoscopic complication.Conclusions:It is safe and effective to perform endoscopy standardly for digestive tract diseases in infants. Endoscopy with biopsies is a greatly informative test for diagnosis in infants.
RESUMO
Objective:The purpose of this paper is to study the utilization condition of basic medical service of rural residents in Zhongxian Village,especially the vulnerable groups,and to provide evidence for making suggestions.Methods:The individual interview was created to investigate the rural residents of 24 families in Zhongxian Village.The second data of the third investigation of health care service in Chongqing was also used.Results:The low income and poor health care awareness are vital factors influenting the utilization of health care.Conclusions:In order to improve the health level of rural residents,we should improve the medical quality of working staffs,make more health care knowledge known to the rural residents and promote the establishment of medical and health security system in rural areas.