Unsedated In-office Transgastrostomy Esophagoscopy to Monitor Therapy in Pediatric Esophageal Disease.

Abstract:

:Monitoring therapy in esophageal inflammatory disorders such as eosinophilic esophagitis and reflux esophagitis often requires frequent endoscopic evaluation. We recently reported the effective use of unsedated in-office transnasal esophagoscopy that significantly decreased costs and anesthetic exposure associated with pediatric esophagoscopy in eosinophilic esophagitis. Here we report a series of pediatric patients with esophagitis with gastrostomy tubes who underwent unsedated transgastrostomy esophagoscopy (TGE) in an office setting. Nine patients (ages 16 months-21 years) tolerated TGE without significant adverse events. Biopsy specimens were adequate for evaluation. This series confirms that unsedated in-office TGE can be used to successfully obtain mucosal biopsies to monitor esophageal inflammatory conditions in children without the use of sedation.

authors

Hall CHT,Nguyen N,Furuta GT,Prager J,Deboer E,Deterding R,Menard-Katcher C,Capocelli KE,Kramer RE,Friedlander JA

doi

10.1097/MPG.0000000000001631

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

33-36

issue

1

eissn

0277-2116

issn

1536-4801

journal_volume

66

pub_type

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