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Pediatric total colonoscopy
T Kawamitsu1, K Nagashima, H Tsuchiya
1Department of Pediatric Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, Saitama, Japan.
Insights
Total colonoscopy is a safe and effective pediatric procedure for diagnosing gastrointestinal disorders. This study demonstrates its utility in children, with high success rates and diagnostic yield.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
Background:
- Colonoscopy is essential for diagnosing pediatric gastrointestinal conditions.
- Evaluating the safety and efficacy of total colonoscopy in pediatric patients is crucial.
Purpose of the Study:
- To assess the safety and diagnostic utility of total colonoscopy in children.
- To determine the success rate of cecal intubation in pediatric total colonoscopies.
Main Methods:
- 151 total colonoscopies were performed in 105 children (1 month to 15 years).
- Procedures utilized sedation only, with a pediatric gastroscope for younger children (<6 years).
- Indications included abnormal contrast enema, rectal bleeding, and suspected intussusception.
Main Results:
- Cecal intubation was successful in 136 of 151 examinations (90.1%).
- The pediatric gastroscope achieved cecal intubation in 98 of 106 procedures (92.5%).
- Diagnoses were established in 86 children, with normality confirmed in 19.
Conclusions:
- Total colonoscopy is a safe and valuable diagnostic tool for the pediatric population.
- Proper techniques and precautions ensure high success rates and diagnostic accuracy.
- The procedure aids in identifying various pediatric gastrointestinal disorders.
Abstract:
One hundred fifty-one total colonoscopies were performed in 105 children ranging from 1 month to 15 years of age. The cecum was reached successfully in 136 examinations without complications, generally within 30 minutes. Our major indications for total colonoscopy were abnormal findings in a contrast enema, undiagnosed rectal bleeding, and possible organic lesion causing intussusception. All procedures were performed using sedation only. The pediatric gastroscope was employed for total colonoscopy on infants less than 6 years of age; the cecum was reached successfully in 98 of 106 procedures with this instrument. Our total colonoscopy series contributed to the diagnosis of various disorders in 86 children and of normality in the 19 remaining children. The results suggest that, if performed with proper precautions and techniques, total colonoscopy is a safe and useful procedure with which to examine the entire colon of infants and children.