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Related Experiment Videos

Unsedated upper endoscopy in children.

Phyllis R Bishop1, Michael J Nowicki, Warren L May

  • 1Division of Pediatric Gastroenterology and Nutrition, University of Mississippi Medical Center, Jackson, Mississippi 39216, USA.

Gastrointestinal Endoscopy
|April 30, 2002
PubMed
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Unsedated esophagogastroduodenoscopy (EGD) is safe and effective in children, reducing procedure time. Most children would choose no sedation for future EGDs, showing good tolerance.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures

Background:

  • Esophagogastroduodenoscopy (EGD) is crucial for diagnosing pediatric GI disorders.
  • Sedation during EGD in children carries cardiopulmonary risks.
  • Unsedated EGD in children lacks sufficient study.

Purpose of the Study:

  • To assess the safety, efficacy, and feasibility of unsedated EGD in children.
  • To compare outcomes between sedated and unsedated EGD in pediatric patients.

Main Methods:

  • Children were offered a choice between sedation or no sedation for EGD.
  • Pain and anxiety were assessed using validated scales before and after the procedure.
  • Procedure preparation, EGD, and recovery times were recorded.

Main Results:

Related Experiment Videos

  • EGD completion rates were similar: 96.3% for sedated and 95.2% for unsedated.
  • Children choosing sedation had higher pre-procedure anxiety.
  • Unsedated EGD significantly reduced total procedure time.
  • 80% of children would opt for unsedated EGD again.

Conclusions:

  • Unsedated EGD is a safe and successful option for motivated children.
  • It offers reduced procedure time and good patient tolerance.
  • Unsedated EGD should be considered a viable alternative.