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Small bowel endoscopy for children: Collaboration of capsule endoscopy and device-assisted enteroscopy

Itaru Iwama1, Ryusuke Nambu1, Yoshiko Nakayama2

  • 1Division of Gastroenterology and Hepatology, Saitama Children's Medical Center, Saitama, Japan.

Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society
|December 28, 2022
PubMed

Insights

Capsule endoscopy (CE) and balloon-assisted enteroscopy (BAE) are safe and effective for diagnosing pediatric small bowel diseases, despite age and weight considerations. Indications for these endoscopic tools in children are expected to grow.

Area of Science:

  • Gastroenterology
  • Pediatric Endoscopy

Background:

  • Capsule endoscopy (CE) and balloon-assisted enteroscopy (BAE) are crucial for small bowel disease diagnosis.
  • Pediatric applications differ from adults due to age, weight, and disease prevalence.

Purpose of the Study:

  • To review the specific indications and practical applications of CE and BAE in pediatric patients.
  • To highlight the differences in CE and BAE use between adult and pediatric cohorts.

Main Methods:

  • Review of current literature and clinical practice guidelines for pediatric CE and BAE.
  • Analysis of age and weight-related factors influencing endoscopic decisions in children.

Main Results:

  • CE and BAE are generally safe and useful in children, with established age and weight restrictions.
  • Disease types and consequently indications for CE and BAE vary between pediatric and adult populations.

Conclusions:

  • Despite initial design for adults, CE and BAE are valuable tools for pediatric small bowel evaluation.
  • The use and indications for CE and BAE in pediatric gastroenterology are likely to expand in the future.

Keywords:
capsule endoscopychildrendouble-balloon enteroscopysingle-balloon enteroscopy

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