Pädiatrische Endoskopie – ein Update

Schreiber-Dietrich, Dagmar; Hocke, Michael; Gottschalk, Uwe; Meier, P. N.; Dietrich, Christoph F.

doi:10.1055/s-0042-118715

Cited by 2 publications

(2 citation statements)

References 84 publications

(51 reference statements)

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“…The most common indications are: Foreign body extraction, therapy-refractory reflux disease, and diagnostic of chronic inflammatory diseases [38,[41][42][43][44]. Esophageal dilations are the most common indication for endoscopic therapy in children and can lead to perforations, which require prompt diagnosis and management [6].…”

Section: Indicationsmentioning

confidence: 99%

“…The main indications for ERCP in pediatrics are: Choledocholithiasis, primary sclerosing cholangitis, biliary strictures, cholangiocystic diseases, leakage of the bile duct after surgery (transplantation or cholecystectomy), bile plug syndrome [34,97,101], and parasitosis (fascioliasis, ascariasis). Pancreatic indications are: Recurrent acute pancreatitis, chronic pancreatitis, pancreas divisum, pancreas anulare, and pancreatic duct leaks after surgery or traumatic rupture of the pancreatic duct [14,16,33,34,43,97,101]. Genetic (CFTR, SPINK1, PRSS1, CTRC) and obstructive risk factors are the most common causes for the development of chronic pancreatitis in children.…”

Section: Indicationsmentioning

confidence: 99%

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Pediatric Endoscopy, Update 2020

et al. 2019

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Optimal management of pediatric endoscopy requires a multidisciplinary approach. In most hospitals, endoscopy in pediatric patients is performed by conventional gastroenterologists and only a few centers have specialized pediatric gastroenterologists. This is due to the fact that the number of pediatric gastroenterologists is limited and not all of them are experienced in endoscopic techniques. However, there are also some pediatric centers offering a high-quality and high-volume endoscopy service provided by very experienced pediatric gastroenterologists. Up to now, the literature on pediatric endoscopy is rather sparse. In this article, we describe current knowledge and practice of endoscopic procedures in pediatric patients, which should be relevant for both the adult and pediatric gastroenterologists.

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Section: Indicationsmentioning

confidence: 99%

Section: Indicationsmentioning

confidence: 99%

Pediatric Endoscopy, Update 2020

et al. 2019

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Continuous infusion of lidocaine in pediatric colonoscopy

Yuan

Wang

et al. 2022

Saudi Journal of Gastroenterology

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Background: Propofol is commonly used for providing procedural sedation during pediatric colonoscopy. Intravenous ( i.v. ) lidocaine can mitigate visceral pain and reduce propofol requirements during surgery. The aim of this study is to investigate the effect of i.v. lidocaine on perioperative propofol and sufentanil dose, pulse oxygen saturation, postoperative pain score, and recovery time during pediatric colonoscopy. Methods: We designed a randomized, double-blind, placebo-controlled study and enrolled 40 children aged from 3 to 10 years who underwent colonoscopy. After titration of propofol to achieve unconsciousness, the patients were given i.v . lidocaine (1.5 mg/kg later 2 mg/kg / hour) or the same volume of saline. Sedation was standardized and combined propofol with sufentanil. The primary outcome variables were intraoperative propofol and sufentanil requirements, and the number of oxygen desaturation episodes. Secondary outcome variables were recovery time after colonoscopy and post-colonoscopy pain. Results: Lidocaine infusion resulted in a significant reduction in propofol requirements: (median (quartile) 1.8 (1.5-2.0) vs. 3.0 (2.8-3.3) mg/kg respectively; P < 0.001) and sufentanil requirements: (median (quartile) 0.06 (0.05-0.08) vs. 0.1 (0.1-0.1) μg/kg respectively; P < 0.001). The number of subjects who experienced oxygen desaturation below 95% in the lidocaine group was also significantly less than that in the control group: 1 vs. 6 ( P = 0.04). The mean (SD) recovery time was significantly shorter in the lidocaine group: (19.2 (2.6) vs. 13.3 (2.6) min respectively; P < 0.001). There was no significant difference in post-colonoscopy pain. Conclusion: Continuous infusion of lidocaine resulted in reduction of propofol and sufentanil requirements, recovery time, and risk of hypoxemia during pediatric colonoscopy.

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Pädiatrische Endoskopie – ein Update

Cited by 2 publications

References 84 publications

Pediatric Endoscopy, Update 2020

Pediatric Endoscopy, Update 2020

Continuous infusion of lidocaine in pediatric colonoscopy

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