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Small bowel capsule biopsy in children: parents' opinions on children's discomfort
L Högberg1, M Nordwall, L Stenhammar
1Department of Paediatrics, Linköping University, Norrköping Hospital, Sweden. lotta.hogberg@lio.se
Insights
Parents preferred intravenous over intranasal midazolam sedation for pediatric small bowel capsule biopsy. Intravenous sedation minimized discomfort, leading to a more satisfactory experience for children undergoing this diagnostic procedure.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Diagnostics
- Sedation Techniques
Background:
- Small bowel capsule biopsy is a key diagnostic tool in pediatric gastroenterology.
- Sedation is often employed to manage patient discomfort during the procedure.
- Comparing sedation routes is crucial for optimizing patient experience.
Purpose of the Study:
- To evaluate parental satisfaction with pediatric small bowel capsule biopsy.
- To compare parental perceptions of discomfort associated with intravenous versus intranasal midazolam sedation.
- To assess parental reactions to the biopsy procedure itself.
Main Methods:
- A questionnaire-based study involving parents of 62 children undergoing small bowel capsule biopsy.
- Children were randomized to receive midazolam sedation either intravenously or intranasally.
- Parental feedback on procedure and sedation discomfort was collected.
Main Results:
- 94% of parents had no objections to the biopsy procedure.
- Intravenous sedation was associated with less perceived discomfort compared to intranasal.
- 79% of parents reported no significant discomfort with sedation; intranasal administration caused nasal discomfort in 10%.
Conclusions:
- The small bowel capsule biopsy procedure is generally well-tolerated by children, according to parental reports.
- Intravenous midazolam sedation is preferred over intranasal administration for pediatric small bowel capsule biopsy due to reduced discomfort.
- Optimizing sedation methods can significantly enhance the overall satisfaction with endoscopic procedures in children.
Unlabelled:
This questionnaire study asked the parents of 62 children undergoing small bowel capsule biopsy for their reactions to the discomfort experienced by their children. The children were randomized to receive sedation with midazolam either intravenously or intranasally. With regard to the biopsy procedure the parents of 94% of the children had no objections. The parents of 3% of the children found the biopsy very unpleasant and another 3% suggested that the biopsy should be performed under general anaesthesia. The proportion of parents with negative reactions to the biopsy procedure did not differ significantly between the intravenously and intranasally sedated children. With regard to the sedation given, the parents of 79% of the children did not think that their children were in any discomfort at all. Ten percent of the children had obvious signs of nasal discomfort using the intranasal administration. In the remaining 11% of the children the parents reported various symptoms.
Conclusion:
The vast majority of parents of children undergoing small bowel capsule biopsy found the procedure satisfactory providing that the sedative medication was given intravenously rather than intranasally.
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