Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Guideline Executive summary

Tringali, Andrea; Thomson, Mike; Dumonceau, Jean‐Marc; Tavares, Marta; Tabbers, Merit M.; Furlano, Raoul I.; Spaander, Manon C.W.; Hassan, Cesare; Tzvinikos, Christos; IJsselstijn, Hanneke; Viala, Jérôme; Dall’Oglio, Luigi; Benninga, Marc A.; Orel, Rok; Vandenplas, Yvan; Keil, Radan; Romano, Claudio; Brownstone, Eva; Hlava, Štěpán; Gerner, Patrick; Dolak, Werner; Landi, Rosario; Huber, Wolf Dietrich; Everett, Simon; Vécsei, Andreas; Aabakken, Lars; Amil‐Dias, Jorge; Zambelli, A.

doi:10.1055/s-0042-111002

Cited by 165 publications

(230 citation statements)

References 6 publications

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“…20 Median weight of children undergoing EUS drainage was 33.5 kg (12-59 kg) in the present study. These include uncommonness of PFC in the pediatric age group precluding conductance of large trials, limited knowledge of natural history of PFC in children, lack of dedicated devices or accessories for pediatric use and inadequate experience of pediatric gastroenterologists in therapeutic EUS.…”

Section: N the Present Study Eus-guided Drainage Of Pfc Inmentioning

confidence: 54%

Endoscopic drainage of pancreatic fluid collections: Long‐term outcomes in children

Nabi

Lakhtakia

Basha

et al. 2017

Digestive Endoscopy

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Section: N the Present Study Eus-guided Drainage Of Pfc Inmentioning

confidence: 54%

Endoscopic drainage of pancreatic fluid collections: Long‐term outcomes in children

Nabi

Lakhtakia

Basha

et al. 2017

Digestive Endoscopy

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“…Based on earlier published international guidelines [9, 14], we encourage following course of actions. If a button battery ingestion is suspected, parents and/or caretakers should immediately contact a physician.…”

Section: Discussionmentioning

confidence: 99%

Serious complications after button battery ingestion in children

et al. 2018

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Serious and fatal complications after button battery ingestion are increasing worldwide. The aim of this study is to describe serious complications after battery ingestion in children in the Netherlands.All pediatric gastroenterologists in the Netherlands performing upper endoscopies were asked to report all serious complications after battery ingestion in children (0–18 years) between 2008 and 2016 retrospectively.Sixteen serious complications were reported: death after massive bleeding through esophageal-aortal fistula (n = 1), esophageal-tracheal fistula (n = 5), stenosis after (suspected) perforation and mediastinitis (n = 5), (suspected) perforation and mediastinitis (n = 3), vocal cord paralysis (n = 1), and required reintubation for dyspnea and stridor (n = 1). The median time interval between ingestion and presentation was 5 (IQR 2–258) h. All children were ≤ 5 (median 1.4; IQR 0.9–2.1) years. Vomiting (31.3%), swallowing/feeding problems (31.3%), and fever (31.3%) were the most common presenting symptoms; however, 18.8% of the patients were asymptomatic (n = 1 missing). All batteries were button batteries (75% ≥ 20 mm; 18.8% < 20 mm; n = 1 missing). The batteries were removed by esophagogastroduodenoscopy (50%) and rigid endoscopy (37.5%) or surgically (12.5%).Conclusion: Sixteen serious complications occurred after small and large button batteries ingestion between 2008 and 2016 in both symptomatic and asymptomatic children in the Netherlands. Therefore, immediate intervention after (suspected) button battery ingestion is required. What is Known: • Button battery ingestion may result in serious and fatal complications. • Serious and fatal complications after button battery ingestion are increasing worldwide. What is New: • Sixteen serious complications after button battery ingestion occurred during 2008–2016 in children in the Netherlands. • Serious complications were also caused by small batteries (< 20 mm) in the Netherlands and also occurred in asymptomatic Dutch children.

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“…The size of a standard adult EUS scope (about 14 mm) may be prohibitive for its use in small children (< 15 kg). Therefore, caution is advised while performing EUS-drainage in small children (< 15 kg)[81]. …”

Section: Management Of Pfcs In Paediatric Populationmentioning

confidence: 99%

Endoscopic management of pancreatic fluid collections-revisited

Nabi

Basha

Reddy

2017

WJG

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The development of pancreatic fluid collections (PFC) is one of the most common complications of acute severe pancreatitis. Most of the acute pancreatic fluid collections resolve and do not require endoscopic drainage. However, a substantial proportion of acute necrotic collections get walled off and may require drainage. Endoscopic drainage of PFC is now the preferred mode of drainage due to reduced morbidity and mortality as compared to surgical or percutaneous drainage. With the introduction of new metal stents, the efficiency of endoscopic drainage has improved and the task of direct endoscopic necrosectomy has become easier. The requirement of re-intervention is less with new metal stents as compared to plastic stents. However, endoscopic drainage is not free of adverse events. Severe complications including bleeding, perforation, sepsis and embolism have been described with endoscopic approach to PFC. Therefore, the endoscopic management of PFC is a multidisciplinary affair and involves interventional radiologists as well as GI surgeons to deal with unplanned adverse events and failures. In this review we discuss the recent advances and controversies in the endoscopic management of PFC.

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Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Guideline Executive summary

Cited by 165 publications

References 6 publications

Endoscopic drainage of pancreatic fluid collections: Long‐term outcomes in children

Endoscopic drainage of pancreatic fluid collections: Long‐term outcomes in children

Serious complications after button battery ingestion in children

Endoscopic management of pancreatic fluid collections-revisited

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