Briefly noted: T Martensson et al. JPGN 2018; 66: 744-50.
This retrospective study with 44 children (81 procedures) examined the yield of endoscopy for graft-versus-host disease (GVHD). They found that sigmoidoscopy had a sensitivity of 85% whereas Ileocolonoscopy OR combined EGD-sigmoidoscopy both had a sensitivity of 97.4%. The authors, thus, advocate more extensive evaluation in the majority of children with possible GVHD. “Sigmoidoscopy may be an approach to consider in severely ill children with contraindications to full endoscopy, for example, general anesthesia.”
Related blog post: Image Only: GVHD