Esophagogastroduodenoscopy




Indications



Listen






  • • Vomiting.


    • Hematemesis.


    • Melena.


    • Chronic diarrhea.


    • Failure to thrive.


    • Abdominal pain.


    • Dysphagia, odynophagia.


    • Foreign body.


    • Caustic ingestion.


    • Histopathologic, biochemical, and microbial evaluations of pinhead-sized biopsy specimens and sampled fluids (eg, pancreatic).





Contraindications



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Absolute





  • • Cardiorespiratory collapse.


    • Unstable airway.


    • Intestinal perforation.


    • Peritonitis.


    • Cervical spine trauma.





Relative





  • • Coagulopathy (prothrombin time > 18 sec).


    • Thrombocytopenia (platelet count < 100,000/μL).


    • Intestinal tract surgery within previous 1 month.


    • Food intake within previous 6 hours.


    • Bowel obstruction.





Equipment



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  • • Fiberoptic or video endoscopes.


    • Biopsy forceps.


    • Snares.


    • Nets and baskets.


    • Sclerotherapy needles.


    • Banding devices.


    • Heater probes.


    • Electrocautery probes.


    • Balloon-dilation devices.


    • Guidewires and wire-guided bougie dilators.





Risks



Listen






  • • Anesthesia complications.


    • Bleeding.


    • Perforation.





Pearls and Tips



Listen






  • • Biopsies are required because characteristics of many disorders may only be detectable under the microscope.


    • Retroflection with a good view of the cardia may demonstrate source of bleeding or prolapse gastropathy.



Jan 4, 2019 | Posted by in PEDIATRICS | Comments Off on Esophagogastroduodenoscopy

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