PszichoLogic

Articles, news, posts

Gastroscopy and colonoscopy for children

Gastrointestinal complaints in childhood are becoming more common and are occurring at an increasingly early age.

Sometimes these complaints originate from age-specific characteristics, i.e. they can be outgrown, but at other times they are caused by serious conditions requiring urgent care, such as infections, inflammation or, in some cases, by persistent conditions that permanently change lifestyle and quality of life – food allergies, food intolerances, autoimmune processes. It may also happen that some psychological factors, such as anxiety or increased stress levels in the child, manifest itself in the form of physical – gastrointestinal – complaints.

Therefore, it is particularly important that the affected child be seen by a competent paediatric gastroenterologist who can diagnose the problem behind the varied and often overlapping symptoms and symptom clusters and to recommend appropriate treatment.

 

 

What does the endoscopic examination consist of?

Upper and lower endoscopy (gastroscopy and colonoscopy) have become the most important, widely available diagnostic tools in adult and paediatric gastroenterological care. Gastroscopy is used to examine the oesophagus (gullet), the stomach and the initial part of the small intestine (duodenum), while colonoscopy is used to examine the last section of the small intestine and the entire colon.

The endoscopic examination has become routine: the specialist inserts a thin, flexible device equipped with a light source and camera into the anaesthetised patient’s intestinal tract, which transmits an image to a connected monitor, allowing a thorough inspection of the organs being examined. The endoscope also has a working channel through which minor interventions can be carried out. These typically involve taking tissue samples from the area showing abnormality, possibly removing a foreign body from the oesophagus, or resecting small polyps from the colon during the medical procedure.

At the gastroenterological diagnostic centre of Panoráma Polyclinic in Buda, at 10 Derkovits Street, we can perform endoscopic examinations not only for adults, but also for children. The examinations are carried out under anaesthesia, so the procedure is preceded by an anaesthesiology consultation to ensure safe anaesthesia. This means that the patient must undergo preliminary tests (laboratory tests) and consultation with an anaesthesiologist to minimise the risks associated with anaesthesia.

What expertise is required for the endoscopic examination of children?

The different anatomy of children and the symptoms that are typical for infants and children are well understood by the paediatric gastroenterologist.

In addition, the treatment process for this age group should be different. Adults already have experience of medical interventions, but in the case of young children, it is normal for them to be afraid of unfamiliar surroundings, fear of pain, and anxiety about what will happen to them. If they do not feel safe, they will not cooperate and may even oppose the procedure tooth and nail.

At our clinic’s paediatric appointments, we therefore always pay attention to a safe, friendly environment, and to the fact that our experienced professionals who can find a common voice with children, explain playfully to the young patients, in the presence of their parents and in accordance with their own level of maturity, what, why and how will happen to them.

In more complicated cases, if the child is very afraid of the intervention, for example because of a bad experience elsewhere, a child psychologist may also be involved in the process. The children’s favourite pet named Frici, Panoráma Polyclinic’s therapeutic dog is also available for these cases.

The examination under anaesthesia is completely painless. To help children to get through minor discomforts such as blood draw, playful devices are provided alongside local pain relief. The parent stays with the child until he/she falls asleep and is waiting for the awakening in the observation (nursery) room.

Upper endoscopy procedure takes about half an hour, including anaesthesia and awakening, while lower endoscopy about an hour. In justified cases – due to anaesthesia – it is possible to perform both upper and lower endoscopy in children simultaneously. Anaesthesia is carried out with anaesthetics administered through an intravenous cannula. During the examination, sensors are placed on the body to measure blood pressure, pulse, and other vital functions.

At the end of the examination, after awakening and the necessary rest period, the anaesthesiologist gives the permission to leave.

Preparation for the examination

Gastroscopy is performed under anaesthesia in a room designed for this purpose. The child must arrive on an empty stomach and may eat until midnight the day before the examination. On the day of the test, the child may drink water, but he/she must not drink anything for one hour before the examination.

For a successful colonoscopy, the bowels must be cleaned. If this is not done properly, the test will be invalid, and a repetition will be necessary. To produce appropriate test results only pulpy food can be eaten for two days before the examination, and after a light breakfast on the day before the test only liquids can be consumed (which can be fibrous fruit juice or even filtered soup). The day before the examination, bowels must be cleansed with a laxative and plenty of fluids, for which the gastroenterologist will prescribe a laxative medicine. In addition to the laxation, 2-4 litres of fluid should be drunk the day before the examination. The child should come to the examination on an empty stomach. On the day of the examination, the child is allowed to drink water, but this should also be stopped one hour before the test.

If upper and lower endoscopy are performed in the same session, the stricter rules for colonoscopy must of course be followed.

In the case of catarrhal complaints or other diseases, the anaesthesiologist may contra-indicate the use of endoscopy under anaesthesia. In this case, a new appointment will be made after recovery.

Gastroscopy and colonoscopy for children

Gastrointestinal complaints in childhood are becoming more common and are occurring at an increasingly early age. Sometimes these complaints originate from age-specific characteristics, i.e. they can be outgrown, but at other times they are caused by serious conditions requiring urgent care, such as infections, inflammation or, in some cases, by persistent conditions that permanently change […]

Next

Our new, expanded adult ADHD diagnostic program

Since 2022, Panoráma Polyclinic has been offering complex ADHD diagnostics for adults. A psychiatrist, a somatic specialist and a psychologist take part in the assessment, and the team performs its activity according to professional protocols and international standards. In addition to the psychiatric examination, the program also includes a somatic medical examination, a questionnaire survey […]

Next

Gastroscopy at the Gastroenterology Centre of Panoráma Polyclinic

During a gastroscopic examination, also known as upper endoscopy, the doctor uses a special instrument equipped with a camera to view the upper parts of the digestive system: the oesophagus (gullet), the stomach and the first section of the duodenum (the first part of the small intestine). The examination helps diagnose many digestive problems, such […]

Next