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Colonoscopy in children

J J O'Connor

    American Journal of Surgery
    |March 1, 1981
    PubMed

    Insights

    Pediatric colonoscopy using a flexible endoscope is effective for diagnosing and treating various colonic diseases in children. This minimally invasive procedure can reduce the need for exploratory surgery in pediatric patients.

    Area of Science:

    • Pediatric Gastroenterology
    • Endoscopic Procedures

    Background:

    • Flexible 65 cm endoscopes, initially for adult colonic disease diagnosis, are now valuable in pediatric care.
    • The specific diameter of the American Cystoscope Company's instrument is well-suited for pediatric anatomy.

    Purpose of the Study:

    • To evaluate the utility of flexible colonoscopy in the diagnosis and treatment of colonic diseases in children.
    • To assess the effectiveness of pediatric colonoscopy in managing conditions like polypoid disease, colitis, enterocolitis, and lymphoid hyperplasia.

    Main Methods:

    • Utilized a flexible 65 cm endoscope for pediatric colonoscopy.
    • Performed diagnostic and therapeutic interventions during the procedure.

    Main Results:

    • The spectrum of colonic disease in children mirrors that of adults, with common conditions including polypoid disease, colitis, enterocolitis, and lymphoid hyperplasia.
    • The study, though small, indicates the usefulness of colonoscopy in pediatric patients.
    • Experienced surgeons successfully used the maneuverable, short endoscope.

    Conclusions:

    • Pediatric colonoscopy with a flexible endoscope is a valuable diagnostic and therapeutic tool.
    • This endoscopic approach can decrease the necessity for laparotomy in pediatric patients with colonic conditions.

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