Paediatric endoscopy performed by adult-service gastroenterologists

Hayat, Jamal; Sirohi, Rohit; Gorard, Stephen

doi:10.1097/meg.0b013e3282f5e9b6

Cited by 18 publications

(17 citation statements)

References 25 publications

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“…The indication for endoscopy in our center was carefully considered for each child, and most procedures were performed by pediatric gastroenterologists followed by adult gastroenterologists, which is consistent with a study reported by Hayat et al (3) analyzing pediatric endoscopies in an adult gastroenterology department. Indications for these explorations are usually consistent with those reported in other papers (3,5), with foreign body extraction, caustic ingestion, and duodenal biopsy collection being most common for UDE, and abdominal pain, diarrhea, rectal bleeding, or suspected IBD flare-up for colonoscopy. Despite careful indication selection, endoscopy was normal (i.e., with no endoscopic and/or histological changes in biopsy samples) for 27% of UDEs and 25% of colonoscopies, which represents a lower percentage when compared to a North American series (6) where 44% of UDEs and 41% of colonoscopies yielded normal findings, and a pediatric Australian series (7) where 48% of UDEs were normal.…”

Section: Discussionsupporting

confidence: 64%

“…Under ideal conditions, pediatric endoscopies should be performed by experienced pediatric endoscopists; however, for most patients, as referral to a site with a pediatric dept. including a pediatric endoscopy unit with expertise is challenging and requires wait time, endoscopists at the general gastroenterology dept., working together with pediatricians, eventually perform a high number of endoscopic procedures in children (3).…”

Section: Introductionmentioning

confidence: 99%

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A retrospective study of pediatric endoscopy as performed in an adult endoscopy unit

Julián-Gómez¹,

Barrio²,

López-Izquierdo

et al. 2010

Rev. esp. enferm. dig.

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Gastrointestinal endoscopy is a safe, efficient technique with minimal complications, and a useful diagnostic tool for the pediatric population. Under ideal conditions endoscopies for children should be performed by experienced pediatric endoscopists. In this study we report our experience with pediatric endoscopy at the general adult endoscopy unit in our hospital. Our goal is to quantify the number of endoscopies performed in children, as well as their indications and findings, the type of sedation or anesthesia used, and the time waiting for the test to occur. Our experience demonstrates that endoscopists in a general adult gastroenterology department, working together with pediatricians, may perform a relevant number of endoscopies in children in a fast, safe, effective manner.

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Section: Discussionsupporting

confidence: 64%

Section: Introductionmentioning

confidence: 99%

A retrospective study of pediatric endoscopy as performed in an adult endoscopy unit

Julián-Gómez¹,

Barrio²,

López-Izquierdo

et al. 2010

Rev. esp. enferm. dig.

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“…Also, only a relatively small number of studies have been done in an adult endoscopic suite and these studies had only a small number of patients. 16,17 Besides, the appropriateness of pediatric endoscopy in an adult suite has never been studied.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Yield, Appropriateness, and Complications of Pediatric Upper Gastrointestinal Endoscopy in an Adult Suite: A Retrospective Study of 822 Children

et al. 2020

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Background/Aims: This study aimed to study the endoscopic yield, appropriateness, and complications of pediatric endoscopy performed by adult gastroenterologists in an adult endoscopic suite. Methods: This a retrospective study in which records of all the patients less than 18 years of age who underwent endoscopy in the last 5 years were studied. The indications of endoscopy in children were categorized as appropriate or inappropriate per the latest guidelines by American Society for Gastrointestinal Endoscopy and North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Positive endoscopic yield was defined as the presence of any abnormality on endoscopy. Results: Among the total of 822 children (age <18 years), the most common indications were variceal surveillance/eradication in 157 (19.1%), followed by dyspepsia in 143 (17.4%), upper gastrointestinal (UGI) bleeding in 136 (16.5%), recurrent abdominal pain in 94 (11.4%), unexplained anemia in 74 (9%), recurrent vomiting in 50 (6.08%), chronic refractory gastroesophageal reflux disease in 34 (4.1%) and others; 780 out of 822 endoscopic procedures (94.9%) done in children were appropriate as per the guidelines. The endoscopic yield was 45.8%, highest in patients with UGI bleeding (71.3%), followed by variceal surveillance (54.8%), recurrent vomiting (38%), dyspepsia (37.8%), and recurrent abdominal pain (36%). Minor adverse events occurred in 7.3% of children. Conclusions: Pediatric endoscopy performed by an experienced adult gastroenterologist may be acceptable if done in cooperation with a pediatrician.

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“…Especially in very complex procedures, involvement of an experienced endoscopist, even if he/she is not a pediatrician, should be considered. For example, it would be advisable that a pediatrician performs a diagnostic colonoscopy but hands over to a gastroenterologist to perform a polypectomy if required, because this task is very uncommon in children but daily practice in adults [3]. Another example might be the performance of an ERCP or hemostasis techniques in variceal bleeds.…”

Section: Who Should Perform the Procedure?mentioning

confidence: 99%

Pediatric Endoscopy, Update 2020

et al. 2019

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Optimal management of pediatric endoscopy requires a multidisciplinary approach. In most hospitals, endoscopy in pediatric patients is performed by conventional gastroenterologists and only a few centers have specialized pediatric gastroenterologists. This is due to the fact that the number of pediatric gastroenterologists is limited and not all of them are experienced in endoscopic techniques. However, there are also some pediatric centers offering a high-quality and high-volume endoscopy service provided by very experienced pediatric gastroenterologists. Up to now, the literature on pediatric endoscopy is rather sparse. In this article, we describe current knowledge and practice of endoscopic procedures in pediatric patients, which should be relevant for both the adult and pediatric gastroenterologists.

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Paediatric endoscopy performed by adult-service gastroenterologists

Abstract: General gastroenterologists supported by paediatricians can provide endoscopic services for children safely and promptly in their local hospital. This is appropriate for the management of common gastrointestinal problems affecting children.

Cited by 18 publications

References 25 publications

A retrospective study of pediatric endoscopy as performed in an adult endoscopy unit

A retrospective study of pediatric endoscopy as performed in an adult endoscopy unit

Endoscopic Yield, Appropriateness, and Complications of Pediatric Upper Gastrointestinal Endoscopy in an Adult Suite: A Retrospective Study of 822 Children

Pediatric Endoscopy, Update 2020

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