Advances and new technologies in adult endoscopy: Can they be adapted to pediatrics?

Croffie, Joseph M.

doi:10.1007/s11894-007-0020-5

Cited by 6 publications

(6 citation statements)

References 37 publications

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“…demand has been increased worldwide (10)(11)(12). The safety, efficacy, and optimized bowel preparation of pediatric BAE has, however, not been established.…”

Section: What Is Newmentioning

confidence: 99%

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Clinical Safety and Utility of Pediatric Balloon‐assisted Enteroscopy

Hagiwara

Kudo

Kakuta

et al. 2019

J. pediatr. gastroenterol. nutr.

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Objectives: The benefit of balloon-assisted enteroscopy (BAE) had been recently documented in pediatric patients, but previous reports are based on single institution experiences. We evaluated the feasibility of pediatric BAE in 8 tertiary referral hospitals throughout Japan. Methods: This was a prospective, multi-institutional study. Patients younger than 18 years were enrolled between April 2014 and March 2017 to undergo double-balloon or single-balloon enteroscopy. Data were collected prospectively using a standardized questionnaire. Results: We enrolled 79 pediatric patients (96 procedures, 70 boys, 26 girls; median age 12.7 years, range 1–17 years). Antegrade (oral-route) BAE was performed in 20 procedures (lowest body weight 12.9 kg, youngest age 3.7 years), and retrograde (anal-route) BAE in 76 (lowest body weight 10.8 kg, youngest age 1.6 years). Severe adverse events were associated with BAE in 2 patients: 1 with hemorrhage due to polypectomy and 1 with pancreatitis after double-balloon endoscopic retrograde cholangioscopy. No intestinal perforation was reported. Procedure duration of oral-route BAE for diagnosis was significantly longer than anal-route for diagnosis (P < 0.001). The overall diagnostic yield for rectal bleeding/positive fecal occult blood test and abdominal pain was 48%. Among 40 patients referred for diagnosis who did not undergo capsule endoscopy, diagnoses were confirmed in 17 (42.5%) patients after BAE. Conclusions: This prospective multicenter observational study documents the efficacy of BAE in pediatric patients.

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“…demand has been increased worldwide (10)(11)(12). The safety, efficacy, and optimized bowel preparation of pediatric BAE has, however, not been established.…”

Section: What Is Newmentioning

confidence: 99%

“…With the progress in improvement in the size and flexibility of endoscopes and increased number of pediatric chronic bowel disease such as inflammatory bowel disease (IBD), the endoscopy demand has been increased worldwide (10–12). The safety, efficacy, and optimized bowel preparation of pediatric BAE has, however, not been established.…”

mentioning

confidence: 99%

Clinical Safety and Utility of Pediatric Balloon‐assisted Enteroscopy

Hagiwara

Kudo

Kakuta

et al. 2019

J. pediatr. gastroenterol. nutr.

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“…Worldwide the number of colonoscopies have been increased in children, including infants and young children due to advances in anesthetic techniques and the evolution in the size and flexibility of endoscopes. 1 Due to poor compliance and cooperation in pediatric patients colonoscopy is technically more challenging than esophagogastroduodenoscopy. 2 The safety and effectiveness of diagnostic or therapeutic colonoscopies in pediatric patients is only recently emerging.…”

Section: Introductionmentioning

confidence: 99%

Paediatric Colonoscopy: Experience from Pediatric Gastroenterology and Nutrition Department, BSMMU

Begum

Nahid

Islam³

et al. 2021

Bangladesh J Child Health

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Background: Colonoscopy of the lower gastrointestinal tract has both diagnostic and therapeutic value. Objective: This cross-sectional study aimed to investigate the indications, findings and complications of children who underwent the colonoscopy. Materials & Methods: We studied the children between 1 and 18 years of age who presented with various indications and underwent both diagnostic and therapeutic colonoscopy in the Department of PGN, BSMMU, Dhaka from January 2015 to February 2018. Results: Among the total 332 patients reviewed,61.7% (205) were male and 38.3% (127)with a male to female ratio of 1.61:1. The most common (69.8%) indication was lower gastrointestinal bleeding (LGIB) followed by diarrhea (15.9%) and altered bowel (14%) as well. No serious complications occurred during the procedures. A total of 211 patients (63.5%) received a diagnosis, including 137 (41.3%) patients with colorectal polyps, erythema 40(12%) and diffuse nonspecific colitis 34(10.2%).Ninety four percent polyps are located in recto-sigmoid region. Juvenile polyp was the most common pathological findings. Conclusion: LGIB is the commonest indication for pediatric colonoscopy. Pediatric colonoscopy is effective diagnostic as well as therapeutic option for lower GI pathology. BANGLADESH J CHILD HEALTH 2021; VOL 45 (1) : 25-28

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“…Advances in anesthetic techniques and the evolution in the size and flexibility of endoscopes, have led to an increase in the number of colonoscopies performed in children worldwide, including infants and young children [1]. Although the major role of colonoscopy is the screening and diagnosis of colon cancer in adults [2], there are few children who are diagnosed with colon cancer.…”

Section: Introductionmentioning

confidence: 99%

Current role of colonoscopy in infants and young children: a multicenter study

et al. 2019

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Background To evaluate the role of colonoscopy in infants and young children and clarify the distribution of colonoscopy-requiring diseases in this age group. Methods Cohorts of colonoscopies performed at three children’s hospitals in Japan between April 2011 and March 2016 including infants and children younger than six years of age were retrospectively reviewed. Results In total, 453 colonoscopies were performed in 276 infants and young children. Of these 275 (60.8%) were for diagnostic purposes, 177 (39.2%) were performed as follow-up, and one case was performed for treatment. The median patient age at the time of diagnostic colonoscopy was 2.49 years, and there was a male-to-female ratio of 1.72:1. Abnormal macroscopic and/or histopathological findings were noted in 212 (77.1%) cases. Of these, definite diagnoses were established for the presence of eosinophilic gastrointestinal disorders (EGIDs), inflammatory bowel disease (IBD), and polyp/polyposis in 23, 18.5, and 14% of patients, respectively. Among 51 IBD cases, ulcerative colitis, Crohn’s disease, and IBD-unclassified were identified in 47.1, 33.3, and 7.8%, retrospectively via endoscopic examination. Of these, 11 (22%) were eventually diagnosed with monogenic diseases via genetic testing. Of those with rectal bleeding, EGIDs, polyps/polyposis, and IBD were found in 27, 19, and 18%, retrospectively. There were significantly more cases of EGIDs and fewer ones of IBD and polyps/polyposis in patients with rectal bleeding younger than two years of age. Furthermore, 68% of all follow-up colonoscopies were performed in children with IBD. There were no serious complications in our study cohort. Conclusion We determined the role of colonoscopy in infants and young children. Diseases diagnosed using colonoscopy in this age group included IBD, EGIDs, and polyps/polyposis. The increasing trend of patients with IBD and EGIDs worldwide means that the role of colonoscopy in infants and younger children will be more important in the future.

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Advances and new technologies in adult endoscopy: Can they be adapted to pediatrics?

Cited by 6 publications

References 37 publications

Clinical Safety and Utility of Pediatric Balloon‐assisted Enteroscopy

Clinical Safety and Utility of Pediatric Balloon‐assisted Enteroscopy

Paediatric Colonoscopy: Experience from Pediatric Gastroenterology and Nutrition Department, BSMMU

Current role of colonoscopy in infants and young children: a multicenter study

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