Thomas Lang1. 1. Department of Pediatric Gastroenterology, Children's Hospital St. Hedwig, University of Regensburg, Germany.
Abstract
BACKGROUND: Gastrointestinal endoscopy is one of the most frequently performed diagnostic and therapeutic procedures in children nowadays. METHODS: Since the size of endoscopes has been adapted to pediatric patients, endoscopic procedures are performed almost routinely in pediatric gastrointestinal patients. However, this is an invasive procedure done under deep sedation, and procedure-related or sedation-related complications can occur more easily in pediatric patients. The endoscopist must consider various aspects (e.g., indications and contraindications for endoscopy, monitoring during and after the procedure) to ensure the procedure is performed successfully and safely. RESULTS: In our opinion, pediatric endoscopy should be carried out by pediatric endoscopists at specialized pediatric clinics. In Germany, there are regulatory demands dictating that in order to become a pediatric gastroenterologist, further education is necessary. Experienced centers which offer this education including training programs for pediatric endoscopy can be found on www.gpge.de. CONCLUSION: Provided these preconditions are adhered to, gastrointestinal endoscopy is a safe and efficient technique with minimal complications even in children and infants.
BACKGROUND:Gastrointestinal endoscopy is one of the most frequently performed diagnostic and therapeutic procedures in children nowadays. METHODS: Since the size of endoscopes has been adapted to pediatric patients, endoscopic procedures are performed almost routinely in pediatric gastrointestinalpatients. However, this is an invasive procedure done under deep sedation, and procedure-related or sedation-related complications can occur more easily in pediatric patients. The endoscopist must consider various aspects (e.g., indications and contraindications for endoscopy, monitoring during and after the procedure) to ensure the procedure is performed successfully and safely. RESULTS: In our opinion, pediatric endoscopy should be carried out by pediatric endoscopists at specialized pediatric clinics. In Germany, there are regulatory demands dictating that in order to become a pediatric gastroenterologist, further education is necessary. Experienced centers which offer this education including training programs for pediatric endoscopy can be found on www.gpge.de. CONCLUSION: Provided these preconditions are adhered to, gastrointestinal endoscopy is a safe and efficient technique with minimal complications even in children and infants.
Authors: A Riphaus; T Wehrmann; J Hausmann; B Weber; S von Delius; M Jung; P Tonner; J Arnold; A Behrens; U Beilenhoff; H Bitter; D Domagk; S In der Smitten; B Kallinowski; A Meining; A Schaible; D Schilling; H Seifert; F Wappler; I Kopp Journal: Z Gastroenterol Date: 2015-08-18 Impact factor: 2.000
Authors: Corcy W Iqbal; Johanna R Askegard-Giesmann; Tuan H Pham; Michael B Ishitani; Christopher R Moir Journal: J Pediatr Surg Date: 2008-05 Impact factor: 2.545
Authors: Alan M Leichtner; Lynette A Gillis; Sandeep Gupta; James Heubi; Marsha Kay; Michael R Narkewicz; Elizabeth A Rider; Paul A Rufo; Thomas J Sferra; Jonathan Teitelbaum Journal: J Pediatr Gastroenterol Nutr Date: 2013-01 Impact factor: 2.839