Colonoscopy in children: when and how?
Colonoscopy is a common method for detection of diseases of the colon in patients of all ages. Such endoscopic examination has a large number of benefits associated with high informativeness, low risk of negative consequences of the procedure and relatively good tolerability in patients. Colonoscopy in children is not very different from similar studies in adults, and is used to diagnose diseases of the colon. In this case the attending physician has the ability to biopsy the suspicious area of the authority and to perform minor operations, such as resection of polyps, stopping bleeding internal intestinal, etc.
Conducting colonoscopy in children is strictly regulated medical documents and must be managed in accordance with the developed indications and contraindications.
- Decompensated diseases of the internal organs.
- Acute or exacerbation of chronic infectious diseases.
For each child, the doctor needs to carefully analyze the available indications and contraindications, making the choice between colonoscopy or other methods of assessment of the colon.
Ensuring high information content of the survey and its safety for children requires adequate training, aimed at reducing risks of complications. While adherence to these guidelines allows you to reduce the discomfort of the child, both psychological and physical. Recommendations on the preparations for endoscopy include:
- For three or four days before the examination the child’s diet change, completely removing bread from durum wheat, legumes, cheese, fatty dairy products, various types of fruits and vegetables. All of these products stay in the colon for a long time and can lead to increased flatulence.
- In the diet include meat, poultry, fish and dairy products.
- The day before the survey child is given a laxative medicine to cleanse the colon or prescribe a double enema.
- On the day of the procedure, allowed to drink only tea or low-fat broth.
- If colon cleansing enema was performed for 1-1. 5 hours before your colonoscopy child re-do a cleansing enema that cleans the colon from the remnants of food.
The restriction products during the preparation for endoscopic examination plays an important role, as a qualitative procedure is only possible in the complete emptying of the colon.
Following these recommendations allows you to do a colonoscopy safe for even the youngest of children, improving diagnosis, and thereby exerting a positive effect on possible subsequent treatment.
Conduct a colonoscopy
How to do a colonoscopy to children? Once the child is adequately prepared for the examination, it is placed on a table to manipulate and perform General anesthesia providing deep sleep and complete pain relief.
The endoscope is pre-lubricated analgesic gel is injected into the anus of the child and promote to the rectum. After that, it is served in a small amount of air allows to expand the lumen of the intestine and to improve the review. The image from video camera of the endoscope is transmitted to the monitor next to the doctor-endoscopist, which can analyze the state of the bowel wall directly to the survey. The average duration of examination – 30-60 minutes depending on the volume of diagnosis and the need for additional procedures (biopsy, resection of polyps, etc.).
After the inspection is completed, the colonoscope is gently removed, and the child was transferred on one day in the office, where he continued to see medical specialists.
Examination of the colon should be done only by a specially trained endoscopist familiar with the peculiarities of the implementation of this method in children.
If you violate the rules of training of the child or the failure to observe performing the endoscopic inspection of the possible complications:
- Allergic reactions to drugs used for General anesthesia.
- Damage to the mucous membranes and other layers of the colon wall.
- Internal intestinal bleeding of varying intensity, depending on the vascular lesions of the mucous layer or more deep-lying layers.
- Perforation of a hollow organ with the development of peritonitis and systemic complications.
With the development of such complications during the procedure to stop and start immediate treatment.
Colonoscopy in Pediatrics, is an indispensable method for detection of bowel disease-related abnormalities or organ with the tumor process. The high degree of informativeness and the possibility of a biopsy allow the use of the procedure even in difficult diagnostic situations, when using other methods of research to identify the disease failed. It is important to note that adherence to these recommendations in the preparation of the child is a prerequisite for the safety and efficiency of diagnosis.