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[Digestive endoscopy in children]
M Manfredi1, F Fornaroli, P L Bacchini
1Servizio di Gastroenterologia ed Endoscopia Digestiva, Istituto Policattedra di Pediatria Università degli Studi di Parma.
Insights
Pediatric digestive endoscopy is a safe and effective diagnostic and operative tool for examining the upper and lower gastrointestinal tracts in children. This minimally invasive procedure aids in treating conditions like bleeding and removing foreign bodies.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Endoscopy
Context:
- Digestive endoscopy is increasingly utilized in pediatric care.
- Modern instrumentation and specialized pediatric gastroenterologists have expanded its application.
- The patient population spans from newborns to young adults.
Purpose:
- To detail the diagnostic and operative capabilities of pediatric endoscopy.
- To highlight the safety and efficacy of the procedure in young patients.
- To underscore the advancements in endoscopic techniques for children.
Summary:
- Pediatric endoscopy allows exploration of the upper gastrointestinal tract (esophagus, stomach, duodenum, jejunum) and lower tract (colon, terminal ileum).
- Key operative procedures include hemostasis for bleeding, polypectomy, foreign body removal, and intestinal dilations.
- Routine use of sedatives like benzodiazepines minimizes invasivity.
Impact:
- Endoscopy is a safe procedure with minimal physical and psychological side effects for pediatric patients.
- Increased accessibility and specialization have made it a widely adopted technique.
- Contributes to improved diagnosis and treatment of pediatric gastrointestinal conditions.
Abstract:
Also in the pediatric population the digestive endoscopy became, at this point, a very good diagnostic and operative technique largement used. The endoscopy can explore the upper gastrointestinal tract (esophagus, stomach, duodenum and jejunum) and can investigate the colon and the terminal ileum regarding the lower gastrointestinal tract. Principally, the operative endoscopy concerns emostasis of gastrointestinal bleeding, polipectomy, extraction of foreign bodies, and intestinal dilatations. The patients population submitted to this investigation by now is very wide thanks to the modernization of the instruments and at specialization of gastroenterologist pediatricians: range from newborn, to childhood, adolescence and young adults. The gastroenterologist pediatricians specialization associated to a routine use of amnemonic drugs (benzodiazepine) reduced at the minimum the invasivity of endoscopy; this technique can be considered a good safe procedure and free of important physical and psychic side effects for the young patient.