Open AccessUnsedated In‐office Transgastrostomy Esophagoscopy to Monitor Therapy in Pediatric Esophageal Disease
Author(s) -
Hall Caroline H.T.,
Nguyen Nathalie,
Furuta Glenn T.,
Prager Jeremy,
Deboer Emily,
Deterding Robin,
MenardKatcher Calies,
Capocelli Kelley E.,
Kramer Robert E.,
Friedlander Joel A.
Publication year - 2018
Publication title -
journal of pediatric gastroenterology and nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.206
H-Index - 131
eISSN - 1536-4801
pISSN - 0277-2116
DOI - 10.1097/mpg.0000000000001631
Subject(s) - medicine , eosinophilic esophagitis , esophagitis , sedation , endoscopy , gastrostomy , reflux , adverse effect , esophagus , esophageal ph monitoring , esophageal disease , gastroenterology , surgery , disease , gerd
Monitoring therapy in esophageal inflammatory disorders such as eosinophilic esophagitis and reflux esophagitis often requires frequent endoscopic evaluation. We recently reported the effective use of unsedated in‐office transnasal esophagoscopy that significantly decreased costs and anesthetic exposure associated with pediatric esophagoscopy in eosinophilic esophagitis. Here we report a series of pediatric patients with esophagitis with gastrostomy tubes who underwent unsedated transgastrostomy esophagoscopy (TGE) in an office setting. Nine patients (ages 16 months–21 years) tolerated TGE without significant adverse events. Biopsy specimens were adequate for evaluation. This series confirms that unsedated in‐office TGE can be used to successfully obtain mucosal biopsies to monitor esophageal inflammatory conditions in children without the use of sedation.