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Advances in Endoscopy for Pediatric Inflammatory Bowel Disease

Nicholas Carman1, Joseph A Picoraro2

  • 1Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, CHEO Inflammatory Bowel Disease Centre, Children's Hospital of Eastern Ontario, University of Ottawa, Ontario, Canada; Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Sickkids Inflammatory Bowel Disease Centre, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada.

Gastrointestinal Endoscopy Clinics of North America
|March 22, 2023
PubMed

Insights

Endoscopic techniques for pediatric inflammatory bowel disease (IBD) are advancing, offering new diagnostic and therapeutic options. This review details current endoscopic assessments and emerging methods for improved pediatric IBD patient care.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy
  • Inflammatory Bowel Disease (IBD)

Background:

  • Pediatric inflammatory bowel disease (IBD) management has evolved with treatment advances and better understanding of disease progression.
  • Standardized endoscopic reporting and tools for pediatric IBD are continuously improving.
  • New endoscopic modalities are being integrated into pediatric IBD care.

Purpose of the Study:

  • To review the current applications of endoscopic assessment in pediatric inflammatory bowel disease (IBD).
  • To discuss emerging and evolving endoscopic techniques for managing pediatric IBD.
  • To highlight the evolving role of endoscopy in pediatric IBD patient care.

Main Methods:

  • Review of current literature on endoscopic characterization in pediatric inflammatory bowel disease (IBD).
  • Discussion of established and novel endoscopic procedures.
  • Analysis of the utility of various endoscopic tools, including ultrasonography, capsule endoscopy, and deep enteroscopy.

Main Results:

  • Endoscopic characterization plays a crucial role in diagnosing and monitoring pediatric IBD.
  • Techniques such as endoscopic ultrasonography, capsule endoscopy, and deep enteroscopy are clarifying roles in pediatric IBD care.
  • Therapeutic endoscopic interventions like balloon dilation and electroincision require further investigation in pediatric IBD.

Conclusions:

  • Endoscopic assessment is vital for managing pediatric inflammatory bowel disease (IBD).
  • Emerging endoscopic techniques offer promise for improved diagnosis and treatment of pediatric IBD.
  • Continued research into therapeutic endoscopy is essential for advancing pediatric IBD care.

Keywords:
ColonoscopyCrohn diseaseEndoscopyInflammatory bowel diseaseStrictureTreatment targetUlcerative colitisVideo capsule endoscopy

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