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Assessing Working Memory in Children: The Comprehensive Assessment Battery for Children – Working Memory (CABC-WM)
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Enteroscopy in children.

Giovanni Di Nardo1,2, Carlo Calabrese3, Roberto Conti Nibali4

  • 1Pediatric Gastroenterology Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy.

United European Gastroenterology Journal
|September 20, 2018
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Summary

Device-assisted enteroscopy is a safe and effective endoscopic tool for diagnosing and treating pediatric small bowel diseases. Combining it with imaging like MR-enterography and capsule endoscopy improves diagnostic yield and patient selection for better outcomes.

Keywords:
Crohn’s diseaseEnteroscopyobscure gastrointestinal bleedingpolypssmall bowel disorders

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Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Small Bowel Diseases

Background:

  • Device-assisted enteroscopy is an emerging endoscopic technique for small bowel evaluation in pediatric patients.
  • Existing data on enteroscopy in children is limited, necessitating further review of its benefits.

Purpose of the Study:

  • To assess the diagnostic and therapeutic advantages of device-assisted enteroscopy in pediatric populations.
  • To review indications, technical aspects, and potential complications of enteroscopy in children.

Main Methods:

  • Analysis of pediatric literature on device-assisted enteroscopy.
  • Inclusion of relevant adult studies applicable to pediatric cases.
  • Focus on indications, technical considerations, and complications.

Main Results:

  • Key indications in children include obscure gastrointestinal bleeding, Crohn's disease, and small bowel polyps.
  • High diagnostic yield is observed, but pre-enteroscopy imaging (MR-enterography, capsule endoscopy) is recommended.
  • Major complications are infrequent and primarily associated with therapeutic interventions.

Conclusions:

  • Device-assisted enteroscopy is a valuable and safe endoscopic modality for pediatric patients.
  • Integration with MR-enterography and capsule endoscopy enhances the identification and management of pediatric small bowel conditions.
  • The procedure offers a low risk of complications for diagnosing and treating various pediatric small bowel diseases.