Pediatric Endoscopy and High-risk Patients: A Clinical Report From the NASPGHAN Endoscopy Committee

Journal of Pediatric Gastroenterology and Nutrition
Jenifer R LightdaleNASPGHAN Endoscopy and Procedures Committee


Pediatric gastrointestinal endoscopy has been established as safe and effective for diagnosis and management of many pediatric gastrointestinal diseases. Nevertheless, certain patient and procedure factors should be recognized that increase the risk of intra- and/or postprocedural adverse events (AEs). AEs associated with endoscopic procedures can broadly be categorized as involving sedation-related physiological changes, bleeding, perforation, and infection. Factors which may increase patient risk for such AEs include but are not limited to, cardiopulmonary diseases, anatomical airway or craniofacial abnormalities, compromised intestinal luminal wall integrity, coagulopathies, and compromised immune systems. Examples of high-risk patients include patients with congenital heart disease, craniofacial abnormalities, connective tissues diseases, inflammatory bowel disease, and children undergoing treatment for cancer. This clinical report is intended to help guide clinicians stratify patient risks and employ clinical practices that may minimize AEs during and after endoscopy. These include use of CO2 insufflation, endoscopic techniques for maneuvers such as biopsies, and endoscope loop-reduction to mitigate the risk of such compli...Continue Reading


Feb 1, 1989·Digestive Diseases and Sciences·S A ZinelisF Ismail-Beigi
Oct 1, 1987·The Australian and New Zealand Journal of Surgery·P H Wilde, C J Mullany
May 1, 1987·Anaesthesia·G L Samsoon, J R Young
Jul 1, 1985·Canadian Anaesthetists' Society Journal·S R MallampatiP L Liu
Jan 1, 1982·Journal of Pediatric Gastroenterology and Nutrition·W J ByrneK D Eisenach
Jan 1, 1980·Annals of Surgery·S G ReMine, D C McIlrath
Jan 15, 1993·Annals of Internal Medicine·D H SpachW E Stamm
May 1, 1993·Surgical Endoscopy·J M Church
Oct 1, 1996·Gastrointestinal Endoscopy·M el-BabaA Dajani
Nov 1, 1996·Gastrointestinal Endoscopy·S A LipsonR B Goldstein
Aug 1, 1997·Mayo Clinic Proceedings·D R FarleyD R Larson
Nov 5, 1997·Journal of Pediatric Gastroenterology and Nutrition·J Ramakrishna, W R Treem
Jan 11, 2001·The American Journal of Gastroenterology·M L AndersonJ A Leighton
Oct 24, 2002·Journal of Pediatric Gastroenterology and Nutrition·John Snyder, Barbara Bratton
Nov 1, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Chun Tao WaiKhek Yu Ho
Oct 2, 2003·Gastrointestinal Endoscopy·William K HirotaUNKNOWN Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy
Jun 3, 2004·Gastrointestinal Endoscopy·Bénédicte ProstJean Christophe Saurin
May 26, 2005·Current Gastroenterology Reports·Mark A Gilger, Benjamin D Gold
Mar 28, 2006·Gastrointestinal Endoscopy·Mohamad A EloubeidiC Mel Wilcox
May 11, 2006·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·T OkadaS Todo
Aug 23, 2006·Gastrointestinal Endoscopy·Khalid KhanRajaram Nagarajan
Sep 20, 2006·Pediatric Emergency Care·Kirsten BechtelAlyssa Abo
Sep 23, 2006·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·T KaltenbachS Friedland
Jan 30, 2007·Gastrointestinal Endoscopy·Kalpesh ThakkarMark A Gilger
Feb 28, 2007·Journal of Pediatric Gastroenterology and Nutrition·S RosseneuM Thomson
Jun 27, 2007·Gastrointestinal Endoscopy·Virender K SharmaDavid E Fleischer
Jul 24, 2007·Best Practice & Research. Clinical Gastroenterology·Michael D Saunders
Jan 16, 2008·The American Journal of the Medical Sciences·Antine Stenbit, Patrick A Flume
Mar 22, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Kalpesh ThakkarMark Gilger
Apr 1, 2008·Gastrointestinal Endoscopy·Subhas BanerjeeLeslie E Stewart
Jan 24, 2009·Digestive Diseases and Sciences·Yong Bum ParkSok Won Han
Feb 12, 2009·The American Journal of Gastroenterology·Kalpesh ThakkarMark A Gilger
May 13, 2009·Gut·M C AllisonUNKNOWN Endoscopy Committee of the British Society of Gastroenterology
Jun 11, 2009·Current Opinion in Anaesthesiology·Joseph P Cravero
Sep 10, 2009·Clinical Pediatrics·Jenifer R LightdaleDonald A Goldmann
Nov 6, 2009·Gastrointestinal Endoscopy·Michelle A AndersonJason A Dominitz
Feb 25, 2010·Journal of Pediatric Gastroenterology and Nutrition·John E FortunatoKathleen B Schwarz
Mar 2, 2010·Gastrointestinal Endoscopy·Peter B CottonJohn J Vargo
Jul 6, 2010·Gastrointestinal Endoscopy·Christopher W TeshimaPeter B F Mensink
Aug 5, 2010·Journal of Pediatric Gastroenterology and Nutrition·Anna Hunter, Petar Mamula

❮ Previous
Next ❯


Jul 16, 2020·Clinical Endoscopy·Byung-Ho Choe
Jan 11, 2021·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Manabu TagawaYuji Mizokami
Aug 3, 2021·Frontiers in Pediatrics·Conrad B CoxGirish Hiremath
Aug 31, 2021·Frontiers in Pediatrics·Kayla T HartjesJenifer R Lightdale

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.