Available estimates of the incidence and type of complications during pediatric esophagogastroduodenoscopy are inconsistent.
Dr Kalpesh Thakkar and colleagues from Oregon determined the frequency and the determinants of complications during esophagogastroduodenoscopy in children.
The research team assessed a cross-sectional database involving 13 pediatric facilities.
The pediatric facilities used the Pediatric Endoscopy Database System Clinical Outcomes Research Initiative.
Children aged 0 to 18 years who underwent esophagogastroduodenoscopy between 1999 and 2003.
|The overall immediate complication rate was 2%|
The researchers identified complications recorded shortly after the procedure.
The team then analyzed the occurrence of the complications with respect to procedure indication, and American Society of Anesthesiologists class.
The occurrence of complications were evaluated taking into consideration sex, age, anesthesia type, and unplanned interventions.
The researchers analyzed 10,236 procedures performed in 9234 patients.
Immediate complications were reported in 239 procedures.
The team observed that the most common complications were hypoxia, and bleeding.
The research team found that complication rates were higher in the youngest age group, and highest American Society of Anesthesiologists class.
Complication rates were also higher in female gender, the intravenous sedation group, and in the presence of a fellow.
The researchers reported that their study lacked explicit criteria for reported complications.
Dr Thakkar's team concludes, “The overall immediate complication rate of pediatric esophagogastroduodenoscopy is 2%.”
“All complications were nonfatal, and most were hypoxia related, and reversible.”
“Young age, higher American Society of Anesthesiologists class, female sex, and intravenous sedation are risk factors for developing complications.”