Francois N, Chouraqui M, Babre F, Maurette P, Nouette-Gaulain K
Service d'anesthésie réanimation III, hôpital des Enfants, centre hospitalier universitaire de Bordeaux, France.
Ann Fr Anesth Reanim. 2012 Jan;31(1):72-5. doi: 10.1016/j.annfar.2011.08.023. Epub 2011 Dec 6.
Oesophago-gastro-duodenoscopy for diagnostic is daily performed in adults and in children during sedation with propofol. This is administrated in France by anaesthesiologists. Pulmonary or cardiovascular complications are rare. We report a case of massive inhalation during an EGD with a teenager. The assessment has revealed an oesophageal achalasia, a condition rare in children and atypical development. This case highlights the importance of systematic screening for risk of a full stomach during the anaesthesia consultation, and the difficulty in evaluation in case of medical migrant patient.
在成人和儿童中，使用丙泊酚镇静进行诊断性食管胃十二指肠镜检查是日常操作。在法国，这由麻醉医生实施。肺部或心血管并发症很少见。我们报告了一例在对一名青少年进行食管胃十二指肠镜检查时发生大量误吸的病例。评估显示患有食管贲门失弛缓症，这在儿童中罕见且发育不典型。该病例凸显了在麻醉会诊时系统筛查饱胃风险的重要性，以及对医疗移民患者进行评估的困难。
