Summary
Only long colonoscopes, Olympus CF-LB2 or TCF-2L, were used for the 76 pediatric colonoscopies.
A combination of a thin-liquid diet and laxatives was employed for 1-2 days before
all the examinations. Physiological saline enemas on the eve and the morning of the
day of examination were employed as supplementary colon-cleansing measures only in
larger children.
A mixture consisting of chlorpromazine, promethazine and pethidine chloride supplemented
with atropine sulfate was used for premedication. Diazepam and ketamine chloride given
i.v., or inhalation of halothane +N2O + O2 were employed for general anesthesia. Diazapam and phentanyl citrate given intravenously
were used for the sedation of older children.
The “classical” and Gaisford's modification of the procedure were found to be the
most suitable examination techniques in infants and children. The coecum was reached
in 75 % of all examinations, and we had no complications with pediatric colonoscopy.
Key words:
Pediatric colonoscopy - Equipment - Purgation - Premedication - General anesthesia
- Sedation - Examination technique