title: Modifications in endoscopic practice for pediatric patients.
abstract: We recommend that endoscopy in children be performed by pediatric-trained endoscopists whenever possible. We recommend that adult-trained endoscopists coordinate their services with pediatricians and pediatric specialists when they are needed to perform endoscopic procedures in children. We recommend that endoscopy be performed within 24 hours in symptomatic pediatric patients with known or suspected ingestion of caustic substances. We recommend emergent foreign-body removal of esophageal button batteries, as well as 2 or more rare-earth neodymium magnets. We recommend that procedural and resuscitative equipment appropriate for pediatric use should be readily available during endoscopic procedures. We recommend that personnel trained specifically in pediatric life support and airway management be readily available during sedated procedures in children. We recommend the use of endoscopes smaller than 6 mm in diameter in infants and children weighing less than 10 kg. We recommend the use of standard adult duodenoscopes for performing ERCP in children who weigh at least 10 kg. We recommend the placement of 12F or 16F percutaneous endoscopic gastrostomy tubes in children who weigh less than 50 kg.
authors.forename: Jenifer R
authors.initials: JR
authors.lastname: Lightdale
authors.forename: Ruben
authors.initials: R
authors.lastname: Acosta
authors.forename: Amandeep K
authors.initials: AK
authors.lastname: Shergill
authors.forename: Vinay
authors.initials: V
authors.lastname: Chandrasekhara
authors.forename: Krishnavel
authors.initials: K
authors.lastname: Chathadi
authors.forename: Dayna
authors.initials: D
authors.lastname: Early
authors.forename: John A
authors.initials: JA
authors.lastname: Evans
authors.forename: Robert D
authors.initials: RD
authors.lastname: Fanelli
authors.forename: Deborah A
authors.initials: DA
authors.lastname: Fisher
authors.forename: Lisa
authors.initials: L
authors.lastname: Fonkalsrud
authors.forename: Joo Ha
authors.initials: JH
authors.lastname: Hwang
authors.forename: Mouen
authors.initials: M
authors.lastname: Kashab
authors.forename: V Raman
authors.initials: VR
authors.lastname: Muthusamy
authors.forename: Shabana
authors.initials: S
authors.lastname: Pasha
authors.forename: John R
authors.initials: JR
authors.lastname: Saltzman
authors.forename: Brooks D
authors.initials: BD
authors.lastname: Cash
mesh_terms: D000293:Adolescent; D000700:Analgesics / Q000627:therapeutic use; D002400:Cathartics / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D054810:Deep Sedation; D016145:Endoscopy, Digestive System / Q000295:instrumentation / Q000592:standards*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016343:Monitoring, Intraoperative; D019990:Perioperative Care
chemical_list: D000700:Analgesics; D002400:Cathartics