PMID- 30664560
OWN - NLM
STAT- MEDLINE
DCOM- 20200730
LR  - 20211118
IS  - 1536-4801 (Electronic)
IS  - 0277-2116 (Print)
IS  - 0277-2116 (Linking)
VI  - 68
IP  - 4
DP  - 2019 Apr
TI  - Pediatric Endoscopy and High-risk Patients: A Clinical Report From the NASPGHAN 
      Endoscopy Committee.
PG  - 595-606
LID - 10.1097/MPG.0000000000002277 [doi]
AB  - Pediatric gastrointestinal endoscopy has been established as safe and effective 
      for diagnosis and management of many pediatric gastrointestinal diseases. 
      Nevertheless, certain patient and procedure factors should be recognized that 
      increase the risk of intra- and/or postprocedural adverse events (AEs). AEs 
      associated with endoscopic procedures can broadly be categorized as involving 
      sedation-related physiological changes, bleeding, perforation, and infection. 
      Factors which may increase patient risk for such AEs include but are not limited 
      to, cardiopulmonary diseases, anatomical airway or craniofacial abnormalities, 
      compromised intestinal luminal wall integrity, coagulopathies, and compromised 
      immune systems. Examples of high-risk patients include patients with congenital 
      heart disease, craniofacial abnormalities, connective tissues diseases, 
      inflammatory bowel disease, and children undergoing treatment for cancer. This 
      clinical report is intended to help guide clinicians stratify patient risks and 
      employ clinical practices that may minimize AEs during and after endoscopy. These 
      include use of CO2 insufflation, endoscopic techniques for maneuvers such as 
      biopsies, and endoscope loop-reduction to mitigate the risk of such complications 
      such as bleeding and intestinal perforation. Endoscopic infection risk and 
      guidance regarding periprocedural antibiotics are also discussed.
FAU - Lightdale, Jenifer R
AU  - Lightdale JR
AD  - Division of Pediatric Gastroenterology and Nutrition, Department of Pediatrics, 
      UMass Memorial Children's Medical Center, University of Massachusetts, 
      Westborough, MA.
FAU - Liu, Quin Y
AU  - Liu QY
AD  - Cedars-Sinai Medical Center, Los Angeles, CA.
FAU - Sahn, Benjamin
AU  - Sahn B
AD  - Cohen Children's Medical Center, Northwell Health; New Hyde Park, NY.
FAU - Troendle, David M
AU  - Troendle DM
AD  - UT Southwestern Medical Center, Department of Pediatrics, Division of Pediatric 
      Gastroenterology, Children's Health - Children's Medical Center Dallas.
FAU - Thomson, Mike
AU  - Thomson M
AD  - Department of Paediatric Gastroenterology, Sheffield Children's NHS Foundation 
      Trust, Western Bank, Sheffield, UK.
FAU - Fishman, Douglas S
AU  - Fishman DS
AD  - Section of Pediatric Gastroenterology, Hepatology and Nutrition; Baylor College 
      of Medicine, Texas Childrens Hospital; Houston, Texas.
CN  - NASPGHAN Endoscopy and Procedures Committee
LA  - eng
GR  - U01 DK108334/DK/NIDDK NIH HHS/United States
PT  - Journal Article
PT  - Practice Guideline
PL  - United States
TA  - J Pediatr Gastroenterol Nutr
JT  - Journal of pediatric gastroenterology and nutrition
JID - 8211545
SB  - IM
MH  - Child
MH  - Endoscopy, Gastrointestinal/*adverse effects
MH  - Female
MH  - Gastrointestinal Diseases/*diagnosis/pathology
MH  - Humans
MH  - Male
MH  - Postoperative Complications
MH  - Societies, Medical
PMC - PMC8597353
MID - NIHMS1752919
COIS- The authors report no conflicts of interest.
EDAT- 2019/01/22 06:00
MHDA- 2020/07/31 06:00
PMCR- 2021/11/17
CRDT- 2019/01/22 06:00
PHST- 2019/01/22 06:00 [pubmed]
PHST- 2020/07/31 06:00 [medline]
PHST- 2019/01/22 06:00 [entrez]
PHST- 2021/11/17 00:00 [pmc-release]
AID - 10.1097/MPG.0000000000002277 [doi]
PST - ppublish
SO  - J Pediatr Gastroenterol Nutr. 2019 Apr;68(4):595-606. doi: 
      10.1097/MPG.0000000000002277.