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Pediatric upper gastrointestinal endoscopy: state of the art
1Department of Pediatrics, UCLA School of Medicine, Los Angeles, USA.
Insights
Pediatric upper GI endoscopy is a safe and effective outpatient procedure. This review covers its indications, techniques, and common disease interpretations over 30 years.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Endoscopy
Background:
- Upper gastrointestinal (GI) endoscopy is a standard pediatric procedure.
- It is safe, informative, and cost-effective in outpatient settings when performed by experienced specialists.
Purpose of the Study:
- To review 30 years of experience in pediatric upper GI endoscopy.
- To focus on safety, indications, sedation, techniques, and disease interpretation.
Main Methods:
- Literature review of pediatric upper GI endoscopy over three decades.
- Discussion of common upper GI diseases and advanced procedures.
Main Results:
- Pediatric upper GI endoscopy is a well-established, safe, and informative diagnostic tool.
- The review details various aspects from procedural techniques to interpreting common pediatric GI conditions.
Conclusions:
- Upper GI endoscopy is a vital procedure in pediatric care.
- The review provides comprehensive insights into its application, safety, and advanced techniques for managing pediatric GI issues.
Abstract:
Upper gastrointestinal (GI) endoscopy has become a routine procedure in pediatrics. It has been proven safe, highly informative and cost effective when used in the outpatient setting by experienced endoscopists. This review summarizes the experience in pediatric upper GI endoscopy over the last 30 years. It is focused on safety issues, indications, choice of sedation, techniques of the procedure itself as well as interpretation of endoscopic appearance of the most common diseases of the upper GI tract in children. Details of advanced procedures such as endoscopic retrograde cholangiopancreatography (ERCP), sclerotherapy and ligation of esophageal varices and foreign body removal are discussed as well.