Modifications in endoscopic practice for pediatric patients.


Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • ASGE Standards of Practice Committee, ; Lightdale, JR; Acosta, R; Shergill, AK; Chandrasekhara, V; Chathadi, K; Early, D; Evans, JA; Fanelli, RD; Fisher, DA; Fonkalsrud, L; Hwang, JH; Kashab, M; Muthusamy, VR; Pasha, S; Saltzman, JR; Cash, BD; American Society for Gastrointestinal Endoscopy,

Published Date

  • May 2014

Published In

Volume / Issue

  • 79 / 5

Start / End Page

  • 699 - 710

PubMed ID

  • 24593951

Pubmed Central ID

  • 24593951

Electronic International Standard Serial Number (EISSN)

  • 1097-6779

Digital Object Identifier (DOI)

  • 10.1016/j.gie.2013.08.014


  • eng

Conference Location

  • United States