Evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricos

Colonoscopy is a well established diagnostic and therapeutic procedure in pediatrics. Aim: To evaluate colon preparation alternatives for colonoscopy or sigmoidoscopy, type of sedation, clinical indications and findings. Patients and methods: Prospective study of 123 children referred for colonoscop...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Gana A,Juan Cristóbal, Glenz A,Constanza, Marchant A,Pamela, Vaca Z,Carina, García R,Ximena, Larraín B,Francisco, Harris D,Paul
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2006
Materias:	Child Colonoscopy Midazolam Meperidine
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000500010
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:scielo:S0034-98872006000500010
record_format	dspace
spelling	oai:scielo:S0034-988720060005000102006-06-22Evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricosGana A,Juan CristóbalGlenz A,ConstanzaMarchant A,PamelaVaca Z,CarinaGarcía R,XimenaLarraín B,FranciscoHarris D,Paul Child Colonoscopy Midazolam Meperidine Colonoscopy is a well established diagnostic and therapeutic procedure in pediatrics. Aim: To evaluate colon preparation alternatives for colonoscopy or sigmoidoscopy, type of sedation, clinical indications and findings. Patients and methods: Prospective study of 123 children referred for colonoscopy. Demographic data, type of colon preparation, sedation, type of endoscope and endoscopic results were obtained. The following day, a phone interview was carried out inquiring about duration, quality and adverse effects of the sedation and procedure. Results: Seventy one boys (58%) and 52 girls (42%) with a mean age of 6.7±4.4 years, were recruited. The main indication was lower gastrointestinal bleeding (71%). The different colon preparations produced elimination of clear liquid stools in 50%, non transparent liquid in 23%, semi liquid in 22% and solid in 6% of the patients. Most common side effects were abdominal distension (20%) and nausea (16.8%). The most commonly used drugs were midazolam (76%) and demerol (43%). The average duration of the procedure was 18.3 minutes (range: 4-50). The most common findings were rectal polyps (18.7%) and hemorrhagic colitis (14.6%). In 77% of cases, the sedation was considered very good or good. Colon visualization was described as very good (51%) or good (36%). Seventy three percent of children had complete amnesia. The most common adverse effect was vomiting (7.5%). Conclusion: Lower endoscopies are feasible procedures to carry out in children, in an ambulatory basis, with intravenous sedation and minimum adverse effectsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.5 20062006-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000500010es10.4067/S0034-98872006000500010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Child Colonoscopy Midazolam Meperidine
spellingShingle	Child Colonoscopy Midazolam Meperidine Gana A,Juan Cristóbal Glenz A,Constanza Marchant A,Pamela Vaca Z,Carina García R,Ximena Larraín B,Francisco Harris D,Paul Evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricos
description	Colonoscopy is a well established diagnostic and therapeutic procedure in pediatrics. Aim: To evaluate colon preparation alternatives for colonoscopy or sigmoidoscopy, type of sedation, clinical indications and findings. Patients and methods: Prospective study of 123 children referred for colonoscopy. Demographic data, type of colon preparation, sedation, type of endoscope and endoscopic results were obtained. The following day, a phone interview was carried out inquiring about duration, quality and adverse effects of the sedation and procedure. Results: Seventy one boys (58%) and 52 girls (42%) with a mean age of 6.7±4.4 years, were recruited. The main indication was lower gastrointestinal bleeding (71%). The different colon preparations produced elimination of clear liquid stools in 50%, non transparent liquid in 23%, semi liquid in 22% and solid in 6% of the patients. Most common side effects were abdominal distension (20%) and nausea (16.8%). The most commonly used drugs were midazolam (76%) and demerol (43%). The average duration of the procedure was 18.3 minutes (range: 4-50). The most common findings were rectal polyps (18.7%) and hemorrhagic colitis (14.6%). In 77% of cases, the sedation was considered very good or good. Colon visualization was described as very good (51%) or good (36%). Seventy three percent of children had complete amnesia. The most common adverse effect was vomiting (7.5%). Conclusion: Lower endoscopies are feasible procedures to carry out in children, in an ambulatory basis, with intravenous sedation and minimum adverse effects
author	Gana A,Juan Cristóbal Glenz A,Constanza Marchant A,Pamela Vaca Z,Carina García R,Ximena Larraín B,Francisco Harris D,Paul
author_facet	Gana A,Juan Cristóbal Glenz A,Constanza Marchant A,Pamela Vaca Z,Carina García R,Ximena Larraín B,Francisco Harris D,Paul
author_sort	Gana A,Juan Cristóbal
title	Evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricos
title_short	Evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricos
title_full	Evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricos
title_fullStr	Evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricos
title_full_unstemmed	Evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricos
title_sort	evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricos
publisher	Sociedad Médica de Santiago
publishDate	2006
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000500010
work_keys_str_mv	AT ganaajuancristobal evaluacionprospectivadelaseguridadytoleranciadelosprocedimientoscolonoscopicosenpacientespediatricos AT glenzaconstanza evaluacionprospectivadelaseguridadytoleranciadelosprocedimientoscolonoscopicosenpacientespediatricos AT marchantapamela evaluacionprospectivadelaseguridadytoleranciadelosprocedimientoscolonoscopicosenpacientespediatricos AT vacazcarina evaluacionprospectivadelaseguridadytoleranciadelosprocedimientoscolonoscopicosenpacientespediatricos AT garciarximena evaluacionprospectivadelaseguridadytoleranciadelosprocedimientoscolonoscopicosenpacientespediatricos AT larrainbfrancisco evaluacionprospectivadelaseguridadytoleranciadelosprocedimientoscolonoscopicosenpacientespediatricos AT harrisdpaul evaluacionprospectivadelaseguridadytoleranciadelosprocedimientoscolonoscopicosenpacientespediatricos
_version_	1718436262124191745

Evaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricos

Ejemplares similares