SEARCHNARRATIVE_REVIEWpediatrics, gastroenterology

narrative_review·pediatrics, gastroenterology, pediatric ophthalmology, clinical trial, systematic review·PMC10158303

Advances in Pediatric Diagnostic Endoscopy: A State-of-the-Art Review

JPGN reports · 14 authors, 11 centres

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TL;DR

This narrative review, written by pediatric endoscopists, synthesizes literature from 2016 to 2021 and expert opinion to describe advances in diagnostic pediatric endoscopy.

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This narrative review, written by pediatric endoscopists, synthesizes literature from 2016 to 2021 and expert opinion to describe advances in diagnostic pediatric endoscopy. Safety profiles are summarized, with reported adverse event rates for procedures like EUS-FNA being low (overall mortality 0.06%, complications <3%). Limitations include a paucity of pediatric data for some modalities, reliance on expert opinion, and that most tools are primarily validated in adult populations. The review aims to familiarize clinicians with emerging technologies to benefit pediatric patients with gastrointestinal diseases.

STUDY TYPE

narrative_review

SPECIALTY

pediatrics

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ORIGINAL PAPER

PMC10158303

Advances in Pediatric Diagnostic Endoscopy: A State-of-the-Art Review

JPGN reports

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ABSTRACT

Abstract Pediatric endoscopy has revolutionized the way we diagnose and treat gastrointestinal disorders in children. Technological advances in computer processing and imaging continue to affect endoscopic equipment and advance diagnostic tools for pediatric endoscopy. Although commonly used by adult gastroenterologists, modalities, such as endomicroscopy, image-enhanced endoscopy, and impedance planimetry, are not routinely used in pediatric gastroenterology. This state-of-the-art review describes advances in diagnostic modalities, including image-enhanced endoscopy, confocal laser endomicroscopy, optical coherence tomography, endo functional luminal imaging probes, wireless motility/pH capsule, wireless colon capsule endoscopy, endoscopic ultrasound, and discusses the basic principles of each technology, including adult indications and pediatric applications, safety cost, and training data. Keywords: endoscopy, therapeutic endoscopy, pediatric, confocal laser endomicroscopy, endoflip, wireless motility capsule, chromoendoscopy, EUS, optical coherence tomography, colon capsule

CITATION EXPORT

Diana G Lerner, Ali Mencin, Inna Novak et al.. Advances in Pediatric Diagnostic Endoscopy: A State-of-the-Art Review. JPGN reports. (2022). https://doi.org/10.1097/PG9.0000000000000224

AUTHORS

14 · 11 CENTRES

Diana G Lerner, Ali Mencin, Inna Novak, Clifton Huang, Kenneth Ng, Richard A Lirio, Julie Khlevner, Elizabeth C Utterson, Brendan R Harris, Ryan T Pitman, Sabina Mir, Roberto Gugig, Catharine M Walsh, Doug Fishman

From the *Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Medical College of Wisconsin, Milwaukee, WI
†Division of Pediatric Gastroenterology, Columbia University Vagelos College of Physicians and Surgeons, New York, NY
‡Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children’s Hospital at Montefiore, Bronx, NY
§Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Cook Children’s Medical Center, Fort Worth, TX
∥Division of Pediatric Gastroenterology, Hepatology and Nutrition, Johns Hopkins University School of Medicine, Baltimore, MD
¶Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, UMASS Memorial Children’s Medical Center/UMASS Medical School, Worcester, MA
#Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Washington University School of Medicine, St. Louis Children’s Hospital, St. Louis, MO
**Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, UNC School of Medicine, Chapel Hill, NC
††Lucile Packard Children’s Hospital at Stanford, Palo Alto, CA
‡‡Department of Paediatrics and the Wilson Centre, Division of Gastroenterology, Hepatology and Nutrition and the Research and Learning Institutes, Hospital for Sick Children, University of Toronto, Toronto, Canada
§§Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Houston, TX.