Sedación, Seguridad y Utilidad de la Endoscopia Digestiva Alta en Pediatría

introduction: upper gastrointestinal studies are routine diagnostic and therapeutic procedures. in pediatrics, however, they are limited by the need for sedation and monitoring. objectives: po evaluate sedation, indication, and parent perception of these exams. patients and methods: aprospective study of 190 pediatric upper gastrointestinal endoscopies was undertaken. demographic data, as well as information regarding the exam was obtained. results: patients' average age was 8.5 ± 4.2, mostly referred by pediatricians (60%) main reason for referral was recurrent abdominal pain (29.8%). patients were classified according to asa criteria (93% asa i and ii). most patients required two or more medications for optimal sedation, with satisfactory procedure in over 90%. over 75.5% had complete amnesia, 42.7% presented minor discomfort after the procedure. findings of these procedures included 61% of normal exams, 13.9% esophagitis. more findings were there result of analyses according to children's weight (over or under 14 kg), age, asa, reason for referral, nurse's evaluation of sedation. conclusión: ambulatory endoscopio procedures can be performed safely in children, with modérate sedation. requirements are adequate monitoring, and deep knowledge of resuscitation techniques.