Pediatric Endoscopic Procedure Complications.

Document Type

Article

Publication Date

9-1-2018

Identifier

DOI: 10.1007/s11894-018-0646-5

Abstract

PURPOSE OF REVIEW: This review summarizes the current body of research, define high-risk patients and endoscopic processes, and outline evidence-based countermeasures aimed at minimizing the incidence of complications during endoscopy in children.

RECENT FINDINGS: Significant complications of endoscopy requiring emergency department or inpatient admission in otherwise healthy children are unusual, but more common with therapeutic procedures; risk from procedures increases incrementally with preoperative coexisting conditions. Duodenal hematoma is predominantly a pediatric endoscopic complication and is more likely in hematology-oncology patients. Air embolism is a well-defined endoscopic retrograde cholangiopancreatography (ERCP) complication in adults and is likely to increase in children with increased performance of pediatric ERCP. Increased physician expertise is the most often proposed countermeasure, especially in the context of endoscopy complications in the higher-risk patient and procedure. Endoscopy in children remains a very safe group of procedures, although a more detailed understanding of risk factors and ideal training and practice organization is lacking.

Journal Title

Current gastroenterology reports

Volume

20

Issue

10

First Page

48

Last Page

48

MeSH Keywords

Child; Endoscopy, Digestive System; Humans

Keywords

Abdominal pain; Child; Endoscopy; Endoscopy complications; Gastrointestinal bleeding; Quality improvement

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