Complications in pediatric endoscopy.
The experience of the "endoscopic community" in pediatric patients is limited, but during recent years increased skills of the endoscopists and technological improvements lead to a standardization of pediatric endoscopy and the development of specialized pediatric endoscopy unit. Adverse events related to diagnostic and therapeutic endoscopy in children are usually rare. Diagnosis, prevention and treatment of complications in pediatric endoscopy is crucial when dealing with benign diseases in children. The complication rate of diagnostic EGD and colonoscopy in children are extremely low. Therapeutic procedures have obviously an increased rate of adverse events. Esophageal dilations are the most common indication for endoscopic therapy in children and can lead to perforations which requires prompt diagnosis and management. Complications of ERCP in pediatric age are similar to those reported in adults. The experience in pediatric emergency endoscopy (mainly foreign body removal) is consolidated and related adverse events extremely rare. Sedation of children during endoscopy maybe needs further evaluation and standardization, to reduce the rate of specific complications.
['Tringali|Andrea|A|', 'Balassone|Valerio|V|', 'De Angelis|Paola|P|', 'Landi|Rosario|R|']
D000293:Adolescent D002648:Child D002675:Child, Preschool D002760:Cholangiopancreatography, Endoscopic Retrograde D003113:Colonoscopy D054810:Deep Sedation D004106:Dilatation D016145:Endoscopy, Digestive System D004940:Esophageal Stenosis D004945:Esophagoscopy D005547:Foreign Bodies D006801:Humans D007223:Infant
Complications Pediatrics Endoscopy Adverse events Sedation Anesthesia Bleeding Foreign body extraction Polypectomy Stenting