Endoscopic diagnostics of causes of anemia in children with abnormal psycho-emotional development

Abstract

Anemia is one of the most common pediatric diseases, caused by various factors of both endogenic and exogenic origin. Modern diagnostic tools, including endoscopy, make it possible to identify the very etiology within a short period of time. However there still exists a certain category of patients with prolonged diagnostic process associated with elevated risk of severe complications. Those are children with some abnormalities of psycho-emotional development, having difficulties in communication and, at the same time, non-specific clinical picture. Such patients are usually treated conservatively for a long time without any endoscopic diagnostics because of insufficient surgical vigilance at the outpatient stage. Herein we demonstrate several clinical cases in which endoscopy had served not just as basic diagnostic method, but also as a therapeutic one. Analysis of such cases suggests necessity of active and timely use of endoscopy in pediatric practice concerning treatment of anemia in patients with specific neurologic status.