title: [Oesophago-gastro-duodenoscopy in a teenager and esophageal achalasia].
abstract: Oesophago-gastro-duodenoscopy for diagnostic is daily performed in adults and in children during sedation with propofol. This is administrated in France by anaesthesiologists. Pulmonary or cardiovascular complications are rare. We report a case of massive inhalation during an EGD with a teenager. The assessment has revealed an oesophageal achalasia, a condition rare in children and atypical development. This case highlights the importance of systematic screening for risk of a full stomach during the anaesthesia consultation, and the difficulty in evaluation in case of medical migrant patient.
authors.affiliation: Service d'anesthésie réanimation III, hôpital des Enfants, centre hospitalier universitaire de Bordeaux, France. xtremnico@yahoo.fr
authors.forename: N
authors.initials: N
authors.lastname: Francois
authors.forename: M
authors.initials: M
authors.lastname: Chouraqui
authors.forename: F
authors.initials: F
authors.lastname: Babre
authors.forename: P
authors.initials: P
authors.lastname: Maurette
authors.forename: K
authors.initials: K
authors.lastname: Nouette-Gaulain
mesh_terms: D000293:Adolescent; D002177:Candidiasis / Q000150:complications / Q000188:drug therapy; D016292:Procedural Sedation; D003251:Constriction, Pathologic; D003680:Deglutition Disorders / Q000150:complications; D016145:Endoscopy, Digestive System / Q000009:adverse effects*; D004931:Esophageal Achalasia / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D006993:Hypnotics and Sedatives; D008168:Lung / Q000000981:diagnostic imaging; D010102:Oxygen Inhalation Therapy; D015742:Propofol; D011859:Radiography; D014839:Vomiting / Q000209:etiology / Q000628:therapy
chemical_list: D006993:Hypnotics and Sedatives; D015742:Propofol