Pediatric Colonoscopy: The Changing Patterns and Single Institutional Experience Over a Decade

Area of Science:

• Pediatric Gastroenterology
• Endoscopy
• Lower Gastrointestinal Diseases

Background:

• Pediatric colonoscopy has a 30-year history in Korea, demonstrating established safety and effectiveness.
• Significant advancements in operator skill and experience have refined both diagnostic and therapeutic colonoscopies.
• Most pediatric gastroenterologists now routinely perform colonoscopies.

Purpose of the Study:

• To provide practical information on pediatric colonoscopy.
• To share experiences and observed changes in colonoscopy practices over ten years.
• To highlight differences between pediatric and adult colonoscopy procedures.

Main Methods:

• Review of colonoscopy practices over a decade in a tertiary Korean hospital.
• Analysis of practical aspects including diagnoses, patient management, bowel preparation, sedation, and instrument selection.
• Incorporation of author's experience and evolving techniques.

Main Results:

• Pediatric colonoscopy requires tailored approaches compared to adult procedures.
• Key differences lie in expected diagnoses, patient management, bowel preparation, sedation criteria, and equipment.
• Continuous improvements in techniques and operator experience enhance procedure outcomes.

Conclusions:

• Pediatric colonoscopy is a well-established and evolving diagnostic and therapeutic tool.
• Understanding the unique aspects of pediatric colonoscopy is crucial for effective patient care.
• The review offers valuable insights for practitioners managing pediatric gastrointestinal conditions.