Abstract
With the development of a sub-specialty focused on pediatric gastrointestinal disorders, new technologies such as pediatric endoscopy were developed for diagnostic and therapeutic aims. Current endoscopic technology permits safe visualization, tissue sampling, and therapeutic procedures. Outer tip and working channel diameters have the greatest importance in the selection of an endoscope for the smaller children. The use of a smaller endoscope could represent the limiting element for the use of accessories, which are needed primarily for therapeutic purposes. Gastroscopes with outer diameters ranging from 4.9 to 12.8 mm are at present available, and colonoscopes range from 9.8 to 13.3 mm. Working channel diameters range from 1.5 mm of the slimmest instruments up to 4.2 mm of the largest adult therapeutic endoscopes. In 2017, the European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) published the executive summary of the Guideline on pediatric gastrointestinal endoscopy that refers to infants, children, and adolescents aged 0–18 years.
Furthermore, for most pediatric endoscopists, the choice of the instrument is based on the age and weight of the patient, on their personal experience and preference, considering the diagnostic or therapeutic procedure to be performed.
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References
Fox VL. Pediatric endoscopy. In: Classen M, Tytgat GNJ, Lightdale CJ, editors. Gastroenterology endoscopy. Stuttgart, Germany/New York: Thieme; 2002. p. 720–52.
ASGE Technology Committee. Status evaluation report equipment for pediatric endoscopy. Gastrointest Endosc. 2012;76(1):8–17.
Rodriguez SA, Banerjee S, Desilets D, et al. Ultrathin endoscopes. Gastrointest Endosc. 2010;71:893–8.
Benaroch LM, Rudolph CD. Introduction to pediatric esophagogastroduodenoscopy and enteroscopy. Gastrointest Endosc. 2010;71:893–8.
Schappi MGMJ, Mougenot J-F, Belli DC, et al. Upper gastrointestinal endoscopy. In: Kleinman R, Olivier G, Miele-Vergani G, et al., editors. Walker’s pediatric gastrointestinal disease: physiology, diagnosis, management, vol. 2. 5th ed. Decker: Hamilton, ON, Canada; 2008. p. 1265–83.
North American Society for Pediatric Gastroenterology, Hepatology and Nutrition; and American Society for Gastrointestinal Endoscopy. Modifications in endoscopic practice for pediatric patients. Gastrointest Endosc. 2008;67:1–9.
Thomson M. Colonoscopy and enteroscopy. Gastrointest Endosc Clin N Am. 2001;11:603–39, vi.
de’Angelis GL, Fornaroli F, et al. Wireless capsule endoscopy for pediatric small-bowel diseases. Am J Gastroenter. 2007;102:1749–57.
Zevit N, Shamir R. Wireless capsule endoscopy of the small intestine in children. J Pediatr Gastroenterol Nutr. 2015;60:696–701.
Seidman EG, Sant’Anna AM, Dirks MH. Potential applications of wireless capsule endoscopy in the pediatric age group. Gastrointest Endosc Clin N Am. 2004;14:207–17.
Guilhon de Araujo Sant’Anna AM, Dubois J, Miron MC, et al. Wireless capsule endoscopy for obscure small-bowel disorders: final results of the first pediatric controlled trial. Clin Gastroenterol Hepatol. 2005;3:264–70.
Antao B, Bishop J, Shawis R, et al. Clinical application and diagnostic yield of wireless capsule endoscopy in children. J Laparoendosc Adv Surg Tech A. 2007;17:364–70.
Fritscher-Ravens A, Scherbakov P, Bufler P, et al. The feasibility of wireless capsule endoscopy in detecting small intestinal pathology in children under the age of 8 years: a multicenter European study. Gut. 2009;58:1467–72.
Nuutinen H, Kolho KL, Salminem P, Rintala R, et al. Capsule endoscopy in pediatric patients: technique and results in our first 100 consecutive children. Scandin J Gastroenterol. 2011;46(9):1138–43.
Jensen MK, Tipnis NA, Bajorunaite R, et al. Capsule endoscopy performed across the pediatric age range: indications, incomplete studies and utility in management of inflammatory bowel disease. Gastrointest Endosc. 2010;72:95–102.
Thomson M, Fritscher-Ravens A, Mylonaki M, Swain P, et al. Wireless capsule endoscopy in children: a study to assess diagnostic yield in small bowel disease in paediatric patients. J Ped Gastroenterol Nutr. 2007;44(2):192–7.
Spada X, Hasan C, et al. Colon capsule endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy. 2012;44(5):527–36.
Barth BA. Enteroscopy in children. Curr Opin Pediatr. 2011;23(5):530–4.
Yokohama K, Yano T, Kumagai H, et al. Double-balloon enteroscopy for pediatric patients: evaluation of safety and efficacy in 257 cases. J Pediatr Gastroenterol Nutr. 2016;63(1):34–40.
Thomson M, Venkatesh K, et al. Double balloon enteroscopy in children: diagnosis, treatment and safety. World J Gastroenterol. 2010;16(1):56–62.
Barth BA, Channabasappa N. Single-balloon enteroscopy in children: initial experience at a pediatric center. J Pediatr Gastroenterol Nutr. 2010;51:680–4.
Oliva S, Pennazio M, et al. Capsule endoscopy followed by single balloon enteroscopy in children with obscure gastrointestinal bleeding: a combined approach. Dig Liver Dis. 2015;47(2):125–30.
Kramer RE, Brumbaugh DE, Soden JS, et al. First successful antegrade single-balloon enteroscopy in a 3-year-old with occult GI bleeding. Gastrointest Endosc. 2009;70:546–9.
Rosen JD, Lane RS, Mrtinez JM, et al. Success and safety of endoscopic retrograde cholangiopancreatography in children. J Pediatr Surg. 2017;52(7):1148–51.
Tringali A, Thomson M, et al. Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) guideline executive summary. Endoscopy. 2017;49(1):83–91.
Patel S, Marshak J, et al. The emerging role of endoscopic ultrasound for pancreaticobiliary diseases in the pediatric population. World J Pediatr. 2017;13(4):300–6. https://doi.org/10.1007/s12519-017-0020-y.
Mahajan R, Simon EG, et al. Endoscopic ultrasonography in pediatric patients—experience from a tertiary care center in India. Indian J Gastroenterol. 2016;35(1):14–9.
Lakhole A, Liu QY. Role of endoscopic ultrasound in pediatric disease. Gastrointest Endosc Clin N Am. 2016;26(1):137–53.
Diehl DL, Adler DG, et al. Endoscopic retrieval devices. Gastrointest Endosc. 2009;69:997–1003.
McKiernan PJ, Beath SV, Davison SM, et al. A prospective study of endoscopic esophageal variceal ligation using a multiband ligator. J Pediatr Gastroenterol Nutr. 2002;34:207–11.
Gershman G, Thomson M. Therapeutic upper GI endoscopy. In:Practical pediatric gastrointestinal endoscopy. 2nd ed. Oxford, UK: Wiley-Blackwell. p. 82–92.
Paganelli M, Alvarez F, et al. Use of hemospray for non-variceal esophageal bleeding in an infant. J Hepatol. 2014;61(3):712–3.
Prei JC, Barmeyer C, et al. EndoClot Polysaccharide Hemostatic System in nonvariceal gastrointestinal bleeding: results of a prospective multicenter observational pilot study. J Clin Gastroenterol. 2016;50(10):e98–e100.
Bustamante-Balén M, Plumé G. Role of hemostatic powders in the endoscopic management of gastrointestinal bleeding. World J Gastrointest Pathophysiol. 2014;5(3):284–92.
Antoniou D, Soutis M, Christopoulos-Geroulanos G. Anastomotic strictures following esophageal atresia repair: a 20-year experience with endoscopic balloon dilatation. J Pediatr Gastroenterol Nutr. 2010;51:464–7.
Christopoulos-Geroulanos G. Experience with esophageal dilatations in children. Ann Gastroenterol. 2003;16(2):151–4.
ASGE Standard of Practice Committee. Guideline: the role of endoscopy in inflammatory bowel disease. Gastrointest Endosc. 2015;81(5):1101–21.
Romeo E, Foschia F, de Angelis P, et al. Endoscopic management of congenital esophageal stenosis. J Pediatr Surg. 2011;46(5):838–41.
Saleem MM. Acquired oesophageal strictures in children: emphasis on the use of string-guided dilatations. Singap Med J. 2009;50:82–6.
Dall’Oglio L, Caldaro T, Foschia F, et al. Endoscopic management of esophageal stenosis in children: new and traditional treatments. World J Gastrointest Endosc. 2016;8(4):212–9.
Pastor AC, Mills J, Marcon MA, et al. A single center 26-year experience with treatment of esophageal achalasia: is there an optimal method? J Pediatr Surg. 2009;44:1349–54.
Caldaro T, Torroni F, De Angelis P, et al. Dynamic esophageal stents. Dis Esophagus. 2013;26:388–91.
Best C, Sudel B, Foker JE, et al. Esophageal stenting in children: indications, application, effectiveness and complications. Gastrointest Endosc. 2009;70:1248–53.
Broto J, Asensio M, Vernet JM. Results of a new technique in the treatment of severe esophageal stenosis in children: poliflex stents. J Pediatr Gastroenterol Nutr. 2003;37:203–6.
Gebrail R, Absah I. Successful use of esophageal stent placement to treat a postoperative esophageal stricture in a toddler. ACG Case Rep J. 2014;2(1):61–3.
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Illiceto, M.T., Lisi, G., Lombardi, G. (2018). Equipment in Pediatric Endoscopy. In: Dall'Oglio, L., Romano, C. (eds) Endoscopy in Pediatric Inflammatory Bowel Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-61249-2_1
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