Oh Seak Hee
Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.
Clin Endosc. 2018 Mar;51(2):120-128. doi: 10.5946/ce.2018.028. Epub 2018 Mar 30.
Pediatric esophagogastroduodenoscopy (EGD) has become an established diagnostic and therapeutic modality in pediatric gastroenterology. Effective sedation strategies have been adopted to improve patient tolerance during pediatric EGD. For children, safety is a fundamental consideration during this procedure as they are at a higher risk of severe adverse events from procedural sedation compared to adults. Therefore, a detailed risk evaluation is required prior to the procedure, and practitioners should be aware of the benefits and risks associated with sedation regimens during pediatric EGD. In addition, pediatric advanced life support by endoscopists or immediate intervention by anesthesiologists should be available in the event that severe adverse events occur during pediatric EGD.
小儿食管胃十二指肠镜检查（EGD）已成为小儿胃肠病学中既定的诊断和治疗方式。已采用有效的镇静策略来提高小儿EGD期间患者的耐受性。对于儿童而言，在此操作过程中安全性是一项基本考量，因为与成人相比，他们因操作镇静而发生严重不良事件的风险更高。因此，在操作前需要进行详细的风险评估，并且从业者应了解小儿EGD期间镇静方案相关的益处和风险。此外，在内镜检查期间若发生严重不良事件，内镜医师应具备小儿高级生命支持能力或麻醉医师应能立即进行干预。
