Comprehensive approach to endoscopies in children and adolescents
Abstract
For children, endoscopies are very unpleasant and difficult to cope with. Endoscopies require a very good teamwork.
The objective of the endoscopic team is to perform endoscopic procedures skillfully, safely, quickly, and as painlessly for children as possible.
To perform a good endoscopic procedure, good preparation of the child and parents is essential. They should all be actively involved in all phases of the procedure, including during the endoscopy. We have to provide children holistic care. We have to abide physiological, developmental, social and cultural aspects of the child.
Sedation of children during endoscopy minimizes bad experience for them, and allows better performance of the procedure or intervention. We perform gastroscopy under sedation in children younger than ten years of age, with rare exceptions. Colonoscopies are always performed under sedation.
Capsule endoscopy is a newer diagnostic method in gastroenterology that enables examination of the whole small bowel. In children, it is an important and safe diagnostic method that is being successfully used in young children as well.
A child scheduled for capsule endoscopy receives nursing care from admission onwards. The primary care nurse and graduate nurse work together in all phases of the diagnostic procedure: in the preparation of the child for the procedure, and in the introduction of capsule (with or without an endoscope). The nurse is responsible for the child’s safety during the procedure, for his correct timing of feeding, his well-being, regular defecation, and for monitoring the child for any side effects following the procedure. The child’s parents, when necessary, are included in all these activities.
The aim of nursing care is good preparation of the child for the procedure, inclusion of his parents and teamwork to provide a safe, child-friendly and well-performed procedure.
Downloads
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
