Subject(s)
Humans , Male , Female , Middle Aged , Aged , Colorectal Neoplasms/diagnosis , Colonoscopy/statistics & numerical data , Early Detection of Cancer/standards , Outcome and Process Assessment, Health Care/statistics & numerical data , Time Factors , Colorectal Neoplasms/epidemiology , Patient Acceptance of Health Care/statistics & numerical data , Mass Screening/methods , Mass Screening/standards , Mass Screening/statistics & numerical data , Colonoscopy/standards , Sigmoidoscopy/standards , Sigmoidoscopy/statistics & numerical data , Practice Guidelines as Topic , Early Detection of Cancer/methods , Early Detection of Cancer/statistics & numerical data , Occult BloodABSTRACT
Background: 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.
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Infant , Male , Colonoscopy/standards , Outcome and Process Assessment, Health Care , Postoperative Care/standards , Preoperative Care/standards , Administration, Oral , Administration, Rectal , Analysis of Variance , Colonoscopy/adverse effects , Enema/adverse effects , Gastrointestinal Hemorrhage/surgery , Patient Satisfaction , Postoperative Care/adverse effects , Preoperative Care/adverse effects , Prospective Studies , Sigmoidoscopy/adverse effects , Sigmoidoscopy/standardsABSTRACT
Se revisan las historias clínicas de cuatro centros quirúrgicos y casos personales totalizando en 28 años de experiencia 1.203 pacientes operados. Estos Centros quirúrgicos se encuentran en Cochabamba-Bolivia y son Hospital Clínico Viedma, Caja Nacional de Salud, Instituto Gastroenterológico Boliviano-Japonés y caja Petrolera de Salud. En cuanto a sexo se refiere hay una relación de hombres (3) y mujeres(2). La edad más frecuente está comprendida en la década de 50 a 60 años con un 28.4 de pacientes. Menores de 30 años son el 3.6 y mayores de 80 años el 1