FGDS for children: indications, preparation, features
FGDS (fibrogastroduodenoscopy) is a method of examining the esophagus, stomach and duodenum, during which an endoscope is used. This procedure is the most informative, because it allows you to visually assess the condition of the mucous membrane of the examined organs. Endoscopic examination is safe and painless, but requires preparation, which largely depends on the result of the examination. The preparation of children for FGDS has certain features. Parents need to take a responsible approach to this, since the reliability of the obtained data and, as a result, the diagnosis largely depends on the correct preparation. To avoid unpleasant sensations during the examination, the doctor may prescribe local anesthesia of the oral cavity or drugs for short-term anesthesia.
FGD in children: in what cases is examination necessary
Given that the research is highly accurate and informative, FGDS has a wide range of applications both in therapy and in pediatrics. Since fibrogastroduodenoscopy allows you to visually assess the condition of the mucous membrane and sphincters, as well as provides the opportunity to painlessly obtain material for biopsy, the indications for planned FGD for a child may be:
- constant vomiting;
- vomiting of unknown etiology;
- diseases of the stomach, duodenum, esophagus, tumor processes;
- developmental abnormalities, anemia;
- differential diagnosis of pain syndrome.
In addition to the listed scheduled indications for fibrogastroduodenoscopy for children, there are a number of emergency indications: foreign bodies in the digestive tract, burning of bleeding vessels, intestinal obstruction and acute bleeding from the gastrointestinal tract.
FGSD for children, the cost of which is affordable for most parents, can be prescribed for diagnostic and therapeutic purposes.
Preparation of children for FGSD
For a child, psychological preparation is of particular importance. Parents need to reassure the baby as much as possible and explain in general terms what will happen during the examination. Older children should be told about the need for such a study, which largely depends on the success of further treatment. Please note that a diet is recommended for the child within 48 hours before the examination. If necessary, the doctor can prescribe certain medical drugs. Please note that the examination is carried out by the specialists of our clinic with the maximum possible comfort for the child. In addition, after FGSD, children are guaranteed medical support. Note that the examination is performed on an empty stomach.
FGSD for a child: contraindications and implementation plan
Although the medical procedure is safe, there are a number of relative contraindications. FGDS for children is not performed in case of acute inflammation of the larynx, bronchial asthma in the acute stage, mental lability and severe general diseases. The doctor makes the decision in each individual case. We would like to remind you once again that fibrogastroduodenoscopy is the safest examination possible, provided that it is performed by a highly qualified doctor. If you are interested in the question of where to perform FGDS for a child in Kyiv, read the list of services provided by our specialists: https://dobrobut.com/.
Stages of FGDS:
- the child's mouth is treated with an antiseptic, placed on the left side;
- to avoid biting the probe, a mouthpiece is inserted into the oral cavity;
- the doctor slowly inserts the endoscope;
- examination of the examined organs takes place (maximum time – 15 minutes).
It should be noted that in some cases premedication is possible. FGSD for children up to one year old is administered through the nose.
FGDS at an early age: features
Fibrogastroduodenoscopy at this age is performed extremely rarely. The doctor makes the decision to prescribe FGDS to a baby after a comprehensive examination only in cases of extreme necessity. The procedure takes place under anesthesia with minimal duration. A qualified specialist will provide proper preparation for the examination and medical support after its completion. The decision on FGDS for newborns is within the full competence of the doctor.
We draw your attention to the fact that the success of any treatment depends on the results of comprehensive diagnostics. The doctor makes the decision whether to perform FGDS to a child whose reviews are mostly positive. The task of the parents is to clearly implement the recommendations of the specialist in preparation for the examination and ensure the positive mood of the child.
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Related services:
Pediatrician consultation
Endoscopic studies
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