Abstract

Objective: Gastrointestinal (GI) procedures in the pediatric age group are painful and the duration of the procedure is longer. The aim of the study is to evaluate the applications of sedation in pediatric patients who underwent colonoscopy.

Material   and   Methods:  Between  2012-2017,  Gastrointestinal  (GI)  endoscopy  cases  under  sedation  were retrospectively screened. Patients’ age, gender, indications, anesthetic drugs, procedure times and complications were recorded. Patients were divided according to age groups. (Group 1:0-2 years, Group 2:2-6 years, Group 3:6-11 years, Group 4:11-17 years)

Results: 273 patient files between 0-17 years of age were included in the study. gastroscopy + colonoscopy was performed in 122 of the patients and colonoscopy was performed in 151 patients. 18 patients in group 1, 30 patients in group 2, 32 patients in group 3, 4 patients in 71 patients underwent colonoscopy. Colonoscopy indications of patients were rectal bleeding, chronic diarrhea, polyps, ülcerative colitis, Familial Mediterranean fever (FMF) crohn’s disease and Celiac sprue. The mean duration of colonoscopy in Group 1: 40.9±16.9 min. Group 2: 41.3±13.3 min, Group 3: 45.6±13 min, Group 4: 47±14.6 min. Sedation was administered with propofol in 65% and midazolam in 70% Ketamin in %13 of patients in Group 1. There were no complications in this age group. Propofol was used in all patients in group 2 and midazolam was used in 80% of the patients. 1 patient had developed bronchospasm. Propofol was used in all patients in group 3 and midazolam was used in 76% of patients. 1 patient had bronchospasm and 1 patient had bradycardia. Propofol was used in all of the patients in group 4 and midazolam was used in 77% of the patients. Complications were seen in 3 patients, including bradycardia in 1 patient and bronchospasm in 2 patients.

Conclusion: Consequently, while the GI endoscopy procedures might cause pain and mild discomfort for most patients there are still no guidelines for standard methods for application of anesthesiology and further study is needed.

Keywords: Child, Colonoscopy

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Copyright and license

Copyright © 2019 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Döger C. Sedation in Pediatric Patients For Colonoscopy. Turk J Pediatr Dis [Internet]. 2019 Sep. 23 [cited 2025 Aug. 23];13(5):335-40. Available from: https://turkjpediatrdis.org/article/view/570