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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
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Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

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This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
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Paediatric gastrointestinal endoscopy: a qualitative study.

Amar M Wahid1, Kalyaan Devarajan, Alexander Ross

  • 1aDepartment of Paediatric Gastroenterology, Childrens Hospital for Wales, Heath Park, Cardiff, Wales bDepartment of Paediatrics, Colchester Hospital University NHS Foundation Trust, Colchester General Hospital, Colchester, Essex cDepartment of Paediatric Gastroenterology, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Hills Road, Cambridge, UK.

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Summary

Paediatric endoscopy rates vary, with only 17% of referred children undergoing procedures. This study assessed endoscopy use and outcomes in children, providing a benchmark for quality improvement in paediatric gastroenterology services.

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Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy
  • Clinical Practice Assessment

Background:

  • Gastrointestinal endoscopy is crucial for diagnosing and treating pediatric gut diseases but carries risks.
  • Variations in clinical practice exist among pediatric gastroenterologists nationally.
  • Addenbrooke's Hospital aimed to establish standards for an efficient, high-quality pediatric endoscopy service.

Purpose of the Study:

  • To assess the proportion of referred pediatric patients undergoing endoscopy.
  • To evaluate the clinical outcomes of endoscopic procedures in children.
  • To establish robust measures for an efficient, high-quality pediatric endoscopy service.

Main Methods:

  • Retrospective review of new pediatric clinic patients undergoing endoscopy between January 2011 and December 2011.
  • Analysis of electronic medical records for procedure type, indications, timing, histology, diagnoses, and management impact.
  • Assessment of 674 children seen in clinic over the study period.

Main Results:

  • 17% (n=114) of referred children underwent endoscopic procedures.
  • Half of the children had both upper endoscopy (oesophagogastroduodenoscopy) and colonoscopy.
  • Inflammatory bowel disease was confirmed in 43% (n=25) of children who underwent colonoscopy.

Conclusions:

  • The study provides a reference point for tertiary units to assess their pediatric endoscopy practices.
  • Results support efforts to ensure appropriate, efficient, and cost-effective endoscopy services for children.
  • Highlights the need for standardized practices in pediatric gastroenterology.