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

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dc.catalogadorpau
dc.contributor.authorGana, Juan Cristobal
dc.contributor.authorGlenz, Constanza
dc.contributor.authorMarchant, Pamela
dc.contributor.authorVaca, Carina
dc.contributor.authorGarcía, Ximena
dc.contributor.authorLarraín, Francisco
dc.contributor.authorHarris, Paul R.
dc.date.accessioned2024-01-19T19:22:44Z
dc.date.available2024-01-19T19:22:44Z
dc.date.issued2006
dc.description.abstractBackground: 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.
dc.fuente.origenORCID-ene24
dc.identifier.issn0717-9367
dc.identifier.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-33745666039&partnerID=MN8TOARS
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/80836
dc.information.autorucEscuela de Medicina; Harris Diez, Paul Richard; 0000-0001-6226-0957; 80706
dc.issue.numero5
dc.language.isoes
dc.nota.accesoContenido completo
dc.revistaRevista Médica de Chile
dc.rightsacceso abierto
dc.subjectChildes_ES
dc.subjectColonoscopyes_ES
dc.subjectMeperidinees_ES
dc.subjectMidazolames_ES
dc.titleEvaluación prospectiva de la seguridad y tolerancia de los procedimientos colonoscópicos en pacientes pediátricoses_ES
dc.title.alternativeProspective evaluation of safety and tolerance of colonoscopy in children
dc.typeartículo
dc.volumen134
sipa.codpersvinculados80706
sipa.trazabilidadORCID;2024-01-08
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