Endoscopy in HIV infected children

Endoscopy is considered as the method of choice for the diagnosis, and in certain cases the treatment, of gastrointestinal manifestations of HIV infection in adults. The pediatric experience, although limited, tends to support the crucial role of endoscopy as a diagnostic tool for esophageal symptoms or chronic diarrhea, the most frequent gastrointestinal manifestations in HIV-infected children. In these circumstances, endoscopic examination can demonstrate signs of intestinal dysfunction and lead to the detection of infectious agents. However, the technique is relatively invasive and is not without risks, especially of secondary infections in immunocompromised children. The indications of endoscopic examination therefore remain limited to situations where an etiologic diagnosis is required for severe gastrointestinal manifestations.SCOPUS: re.j