Pediatric Endoscopic Procedure Complications

Current Gastroenterology Reports
Thomas M AttardMike Thomson

Abstract

This review summarizes the current body of research, define high-risk patients and endoscopic processes, and outline evidence-based countermeasures aimed at minimizing the incidence of complications during endoscopy in children. Significant complications of endoscopy requiring emergency department or inpatient admission in otherwise healthy children are unusual, but more common with therapeutic procedures; risk from procedures increases incrementally with preoperative coexisting conditions. Duodenal hematoma is predominantly a pediatric endoscopic complication and is more likely in hematology-oncology patients. Air embolism is a well-defined endoscopic retrograde cholangiopancreatography (ERCP) complication in adults and is likely to increase in children with increased performance of pediatric ERCP. Increased physician expertise is the most often proposed countermeasure, especially in the context of endoscopy complications in the higher-risk patient and procedure. Endoscopy in children remains a very safe group of procedures, although a more detailed understanding of risk factors and ideal training and practice organization is lacking.

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Citations

Feb 13, 2019·Journal of Pediatric Gastroenterology and Nutrition·Zhujun GuHaifeng Liu
Nov 1, 2020·Journal of Gastroenterology and Hepatology·Takahiro KudoToshiaki Shimizu
Aug 3, 2021·Frontiers in Pediatrics·Conrad B CoxGirish Hiremath

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