Postprocedural effects of gastrointestinal endoscopy performed as a day case procedure in children: implications for patient and family education

Area of Science:

• Pediatric Gastroenterology
• Ambulatory Surgery
• Patient Outcomes

Background:

• Gastrointestinal endoscopy is a common day procedure for children.
• Understanding post-procedural effects on children and families is crucial for optimizing care.

Purpose of the Study:

• To determine the physical symptoms, behavioral issues, and economic factors experienced by children and families post-gastrointestinal endoscopy.
• To identify key areas for improving pre-procedural information and discharge management.

Main Methods:

• Prospective study design utilizing survey tools, nursing records, and telephone interviews.
• Inclusion of 121 children undergoing gastrointestinal endoscopy under general anesthesia.
• Assessment of effects within 72 hours post-procedure, including pain, nausea, school/daycare attendance, and parental work attendance.

Main Results:

• 57% of children experienced pain in the hospital post-procedure, with 60% reporting pain at home on the procedure day.
• Throat pain was the most common symptom; nausea/vomiting affected 31% of children.
• 51% of children missed day care/school the day after the procedure, and 40% of parents missed work.

Conclusions:

• Pediatric gastrointestinal endoscopy leads to significant post-procedural pain and functional limitations for children and families.
• Findings highlight the need for enhanced pre-procedural education and discharge planning to mitigate these effects.
• Improvements in patient information and care management can reduce the impact of endoscopy on pediatric patients and their families.