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Revista chilena de pediatría

Print version ISSN 0370-4106

Abstract

RIERA C, FRANCISCA et al. Sedation, Safety and Usefulness of Upper Gastrointestinal Endoscopy in Pediatrics. Rev. chil. pediatr. [online]. 2010, vol.81, n.1, pp.37-45. ISSN 0370-4106.  http://dx.doi.org/10.4067/S0370-41062010000100005.

Introduction: Upper gastrointestinal studies are routine diagnostic and therapeutic procedures. In pediatrics, however, they are limited by the need for sedation and monitoring. Objectives: Po evaluate sedation, indication, and parent perception of these exams. Patients and Methods: Aprospective study of 190 pediatric upper gastrointestinal endoscopies was undertaken. Demographic data, as well as information regarding the exam was obtained. Results: Patients' average age was 8.5 ± 4.2, mostly referred by pediatricians (60%) Main reason for referral was recurrent abdominal pain (29.8%). Patients were classified according to ASA criteria (93% ASA I and II). Most patients required two or more medications for optimal sedation, with satisfactory procedure in over 90%. Over 75.5% had complete amnesia, 42.7% presented minor discomfort after the procedure. Findings of these procedures included 61% of normal exams, 13.9% esophagitis. More findings were there result of analyses according to children's weight (over or under 14 kg), age, ASA, reason for referral, nurse's evaluation of sedation. Conclusión: Ambulatory endoscopio procedures can be performed safely in children, with modérate sedation. Requirements are adequate monitoring, and deep knowledge of resuscitation techniques.

Keywords : Children; gastrointestinal endoscopy; sedation.

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