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Investigation of children with chronic diarrhoea.

OBJECTIVE
To study the lower G.I. endoscopic and histopathological findings in children with chronic diarrhoea.


DESIGN
Prospective analysis.


SETTING
Hospital based.


SUBJECT
83 children with age up to 14 years admitted in Umaid Hospital, Jodhpur including 33 subjects with chronic diarrhoea and 50 normal children in control group.


METHODS
All 83 children including study (33) and control group (50) underwent lower G.I. Endoscopy using FUJINON-SIG-ET sigmoidoscope in older children and PENTAX FG-23H gastroscope in younger children after proper preparation. Rectal biopsies were taken in all the subjects except one and was sent for histopathological examination.


RESULTS
Majority (90.8%) were in 0-5 year age group with median age of 3.8 years. We could finally reach to definitive diagnosis in 13% patients with chronic diarrhoea. Over all, colitis was the most common cause.


CONCLUSION
Both, endoscopy and biopsy are needed to reach final diagnosis.