Hallazgos en la endoscopia digestiva alta en niños con talla baja

  • Julio César Castro-Murillo Hospital Universitario del Valle "Evaristo García"
  • Carlos Alberto Velasco-Benitez Hospital Universitario del Valle "Evaristo García" http://orcid.org/0000-0001-5647-3024
  • Otto Gerardo Calderón Guerrero Clínica Materno Infantil Los Farallones - Cali
Palabras clave: insuficiencia de crecimiento, niños, endoscopia

Resumen

Introducción: en el estudio de la baja talla de origen digestivo en niños no hay un patrón de paraclínicos preestablecido; sin embargo, la endoscopia de vías digestivas puede ser una herramienta útil para tal fin.

Objetivo: reportar una serie de casos de niños con diagnóstico de baja talla a quienes se les indicó una endoscopia de vías digestivas altas como parte de su estudio.

Reporte de casos: se incluyeron 15 niños entre los 2 y 16 años de edad, 53,3 % niñas, 26,7 % desnutridos según el índice de masa corporal y la talla para la edad, 66,7% con baja talla grave y 33,3% con baja talla moderada. El 53,3 % presentó dolor abdominal, el 46,7 % no tuvo ganancia de peso, el 26,7 % tuvo inapetencia y el 13,3 % tuvo vómito, entre otros. Entre el 40,0 % y el 93,4 % presentaron macro- o microscópicamente esofagitis, gastritis y duodenitis. Los hallazgos microscópicos más importantes fueron duodenitis crónica con giardiasis, úlceras duodenales, hiperplasia nodular linfoide duodenal, Helicobacter pylori y duodenitis crónica eosinofílica.

Conclusiones: a pesar de que la endoscopia de vías digestivas es un método poco utilizado y no bien descrito en el estudio de niños con baja talla, este reporte de casos describe organicidad en un 80,0 % de los niños analizados.

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Biografía del autor/a

Julio César Castro-Murillo, Hospital Universitario del Valle "Evaristo García"

Médico y cirujano, estudiante de postgrado en pediatría. Universidad del Valle. Cali

Carlos Alberto Velasco-Benitez, Hospital Universitario del Valle "Evaristo García"

Pediatra, gastroenterólogo y Nutriólogo. Profesor titular distinguido, Universidad del Valle. Cali

Otto Gerardo Calderón Guerrero, Clínica Materno Infantil Los Farallones - Cali

Pediatra, Gastroenterólogo. Profesor, Pontificia Universidad Javeriana. Cali

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Figura 1. Niña de 2 años de edad con duodenitis crónica y giardiasis. Cortesía de Ramiro Pineda
Publicado
2021-03-08
Cómo citar
Castro-Murillo, J. C., Velasco-Benitez, C. A., & Calderón Guerrero, O. G. (2021). Hallazgos en la endoscopia digestiva alta en niños con talla baja. Revista Colombiana De Gastroenterología, 36(1), 130-137. https://doi.org/10.22516/25007440.494
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