Pediatric Gastroenterology

Pediatric Endoscopic Procedures (N = 3976)

2016 - 2018

To assess pediatric endoscopy quality, the Department of Pediatric Gastroenterology reviewed the records of all patients undergoing endoscopic procedures in 2018 performed in the endoscopy suite, in the operating room, and at bedside. These procedures were then compared with those done in 2016 and 2017. Most procedures were done under general anesthesia, which was administered by a pediatric anesthesiologist. The department evaluated:

· The rate of patient-reported symptoms, such as nausea, abdominal pain, fever, cough, chest pain, or sore throat that occurred within 7 days after the procedure

· The rate of unplanned emergency department (ED) referral or hospital admission following the procedure

· The occurrence of serious complications that resulted in prolonged hospitalization, transfusion, transfer of care to a higher level such as an ICU, or death

2016 2017 2018
Total procedures: endoscopy, colonoscopy, and therapeutic, N 1297 1179 1500
Patients undergoing endoscopic procedures, N 868 708 1023
Self-reported symptoms < 7 days postprocedure, N (%) 30 (3.4) 36 (5.1) 43(4.2)
Reported symptoms postprocedure resulting in ED evaluation, N (%) 13 (1.5) 6 (0.8) 9 (0.9)
Unanticipated admissions < 7 days postprocedure, N (%) 2 (0.2) 3 (0.4) 1 (0)
Complications < 7 days postprocedure, N (%) 0 (0.0) 0 (0.0) 0 (0.0)

ED = emergency department

Children and adolescents undergoing pediatric endoscopic procedures did well, with only a few calling to report post procedural symptoms and an even small number requiring ED evaluation or admission. In 2017, no endoscopic procedures resulted in serious complications. The rate of complications fits within published complication ranges of 0.63%–2.3% for pediatric endoscopic procedures.¹²³