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Upper gastro-intestinal endoscopy in chidren

E Kessler, J S Chappell

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |October 6, 1979
    PubMed

    Insights

    Upper gastro-intestinal endoscopy using fibre-optic technology was successful in 55 patients. General anaesthesia was essential for most pediatric patients undergoing this diagnostic procedure.

    Area of Science:

    • Pediatric Gastroenterology
    • Endoscopic Procedures
    • Anesthesiology

    Background:

    • Fibre-optic endoscopy is a key diagnostic tool for pediatric gastro-intestinal issues.
    • General anaesthesia is often a consideration for pediatric endoscopic procedures.

    Purpose of the Study:

    • To evaluate the safety and efficacy of fibre-optic upper gastro-intestinal endoscopy in pediatric patients.
    • To determine the necessity and impact of general anaesthesia in this population.

    Main Methods:

    • Performed 60 fibre-optic endoscopies on 55 patients aged 1-14 years.
    • Utilized Olympus GIF-K and GIF-P2 gastroscopes.
    • Administered general anaesthesia for most examinations, with a few performed without.

    Main Results:

    • Successful endoscopy in 55 patients with only one complication related to general anaesthesia.
    • Indications included bleeding, ulceration, vomiting, pain, and reflux.
    • General anaesthesia was deemed essential for the majority of pediatric patients.

    Conclusions:

    • Fibre-optic upper gastro-intestinal endoscopy is a safe and effective procedure in children.
    • Careful patient selection is crucial, with general anaesthesia recommended for most pediatric cases.
    • The study highlights the importance of anaesthetic management in pediatric endoscopy.

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