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Paediatric digestive endoscopy: From conventional endoscopy to endoscopic ultrasound and endoscopic retrograde
Hussein Hassan Okasha1, Ahmed El-Meligui2, Elsayed Ghoneem3
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kasr Al-Aini School of Medicine, Cairo University, Cairo 11562, Egypt. okasha.hussein@gmail.com.
Insights
Pediatric digestive endoscopy is crucial for diagnosing and treating gastrointestinal disorders in children. Advances in interventional endoscopy require specialized training and multidisciplinary teamwork for optimal pediatric patient care.
Area of Science:
- Pediatric Gastroenterology
- Digestive Endoscopy
- Interventional Endoscopy
Background:
- Digestive endoscopy significantly impacts pediatric gastrointestinal disorder diagnosis and treatment.
- Interventional endoscopic procedures are increasingly used for pediatric hepatobiliary and pancreatic diseases.
Purpose of the Study:
- To review current pediatric digestive endoscopy practices.
- To explore recent advances in pediatric interventional endoscopy compared to adults.
Main Methods:
- Mini-review of current practices and recent advances in pediatric digestive endoscopy.
- Comparison of pediatric and adult interventional endoscopy.
Main Results:
- Limited gastroenterologists are trained in pediatric endoscopic retrograde cholangiopancreatography and endoscopic ultrasound.
- Pediatric GI endoscopic emergencies, though uncommon, can be serious.
- Multidisciplinary teamwork is essential for effective pediatric endoscopy care.
Conclusions:
- Pediatric digestive endoscopy is a vital tool, but requires specialized training and collaboration.
- Advances in interventional endoscopy necessitate a focus on pediatric expertise and team-based care.
Abstract:
Digestive endoscopy is widely performed in clinical practice, including in children, and has revolutionized the diagnosis and treatment of many gastrointestinal (GI) disorders. Interventional procedures are increasingly utilized, particularly for hepatobiliary and pancreatic diseases. However, only a limited number of gastroenterologists are trained and experienced to perform endoscopic retrograde cholangiopancreatography and endoscopic ultrasound in pediatric patients. While GI endoscopic emergencies in children are uncommon, they can be serious. Effective care demands true multidisciplinary teamwork, with close and ongoing collaboration between gastroenterologists, anesthetists, and the pediatric team especially in centres where pediatric endoscopy specialists are not available. This mini-review outlines current practices in pediatric digestive endoscopy and explores recent advances in interventional endoscopy compared to adult patients.
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