Gastrointestinal Fiberoptic Endoscopy in Pediatric Patients and Juveniles

Abstract

Over a period of 8 years 351 upper gastrointestinal endoscopies and 72 coloscopies were performed in infants, children and juvenile patients. Development of special pediatric instruments provides increasing application even to the youngest patients. Fiberendoscopy is a safe and sensitive diagnostic tool also in the pediatric age group; furthermore the therapeutic possibilities of operative endoscopy can be used without disadvantage.

Total colonoscopy in children

“…Most patients required additional sedation before the procedure. The combination of the sedative or amnesic effects of diazepam with the analgesic effect of pethidine using the intravenous route, for a duration of effect of [10][11][12][13][14][15][16][17][18][19][20] minutes, proved to be ideal for colonoscopy.…”

“…[9][10][11][12][13][14][15][16][17][18][19][20][21][22] Most paediatric reports refer to limited examinations and stress the technical difficulty of the procedure.…”

Navigation strategy for robotic soft endoscope intervention

“…Among all the deaths of cancer, the number of lung cancer deaths accounts for 1/5 . With the application of optical fiber and electronics in endoscopic technology field, the interventional diagnosis and treatment of soft endoscopy such as gastrointestinal endoscopy, bronchoscopy, and urinary endoscopy has become the main treatment for various diseases in natural orifices with the advantages of minimally invasive and quick recovery …”

“…1 With the application of optical fiber and electronics in endoscopic technology field, the interventional diagnosis and treatment of soft endoscopy such as gastrointestinal endoscopy, bronchoscopy, and urinary endoscopy has become the main treatment for various diseases in natural orifices with the advantages of minimally invasive and quick recovery. 2,3 In the procedure of manual endoscopic surgery which includes endoscopic submucosal dissection (ESD), endoscopic mucosal resection (EMR), and endoscopic retrograde colangio-pancreatography (ERCP), an endoscopist needs to hold the endoscopic operation part on the left-hand side to adjust the bending direction of endoscope, while the right hand keeps delivering the endoscopic body into the lesion area of the patient. The average duration of above three surgeries is about 1 hour, and all surgical operations depend entirely on the skills and experience of the endoscopist.…”

The torsion transmission characteristics for gastroscope intervention

“…Gastroscopy is the main tool for the diagnosis and treatment of upper gastrointestinal diseases. Since the application of fiber in gastroscopy in 1960s, gastroscopy has gradually become a routine medical item [1,2], which plays a more and more important role in the diagnosis and treatment of digestive tract diseases. At present, with the development of minimally invasive surgery, endoscopic surgery based on gastroscope has been widely used because of its small trauma and rapid recovery.…”