What is Upper Endoscopy?
Upper endoscopy, also known as esophagogastroduodenoscopy (EGD), is a diagnostic medical procedure used to visualize the upper part of the gastrointestinal tract, which includes the esophagus, stomach, and the first part of the small intestine (duodenum). This procedure is performed using an
endoscope, a flexible tube with a light and camera attached to it.
How to Prepare a Child for Upper Endoscopy?
Preparation for an upper endoscopy in children involves several steps to ensure the procedure goes smoothly. The healthcare provider will give specific instructions, but general guidelines include:
Fasting: The child will need to fast for a certain period before the procedure, usually 6-8 hours.
Medications: Discuss with the healthcare provider about any medications the child is taking, as some may need to be adjusted or stopped.
Pre-procedure discussion: Explain the procedure to the child in an age-appropriate manner to reduce anxiety.
What Happens During the Procedure?
During the upper endoscopy, the child will be given sedation to help them relax and minimize discomfort. The steps typically involved are:
The child lies on their side.
A bite block may be placed in the mouth to protect the teeth and endoscope.
The endoscope is gently inserted through the mouth and guided down the esophagus to the stomach and duodenum.
The physician examines the lining of these organs and may take
biopsies for further analysis.
The procedure usually lasts about 20-30 minutes.
Post-Procedure Care
After the procedure, the child will be monitored until the effects of the sedation wear off. Common post-procedure care includes: Observation for any immediate complications like bleeding or difficulty breathing.
Instructions on when the child can resume eating and drinking.
Advising parents on signs of potential complications to watch for, such as severe abdominal pain, fever, or persistent vomiting.
Risks and Complications
While upper endoscopy is generally safe, there are some potential risks and complications, including: Reactions to sedation
Bleeding from biopsy sites
Perforation of the esophagus, stomach, or duodenum (rare)
Infections
It is important to discuss these risks with the healthcare provider to make an informed decision about the procedure.
Benefits of Upper Endoscopy
Despite the risks, upper endoscopy offers several benefits, particularly in the pediatric population: Accurate diagnosis of gastrointestinal conditions
Ability to take biopsies for histological examination
Therapeutic interventions, such as removing foreign bodies or treating bleeding sites
These benefits can significantly improve the management and treatment outcomes for children with gastrointestinal issues.
