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Over a short few decades, the field of pediatric endoscopy has matured from the exploratory to the routine. Performance of endoscopic procedures in children is now a fundamental aspect of the practice of more than 2000 pediatric gastroenterologists in North America, and endoscopic instruments are increasingly being developed with an eye to their pediatric applications. Ensuring safe and effective endoscopy in children requires specific medical knowledge and technical competency, in addition to appropriately designed equipment and settings. Obtaining consent from parents, as well as assent from patients, for the purposes of performing diagnostic and therapeutic gastrointestinal procedures begins with a deep understanding of risks and benefits that endoscopy affords and is typically gained through formal training in the field. Diagnostic endoscopy may help to confirm common pediatric conditions including eosinophilic esophagitis and inflammatory bowel disease, while therapeutic procedures to treat strictures in the GI tract may help children avoid more invasive surgeries. Using endoscopy in children to achieve hemostasis or to remove commonly swallowed foreign bodies, such as lithium batteries or high-powered magnets, can be lifesaving, and the insertion of feeding tubes can help medically complex patients to thrive. In short, pediatric endoscopy is an integral component of healthcare for children, and gaining and understanding of its best practices may help all clinicians to better recognize its role in pediatric disease outcomes.



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Published 19 January 2016
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EAN13 9780323414524
Language English
Document size 3 MB

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Pediatric Endoscopy
Gastrointestinal Endoscopy Clinics of North America
Jenifer R. Lightdale, MD, MPH Pediatric Gastroenterology and Hepatology, UMass Memorial Children’s Medical Center, University of Massachusetts Medical School, Worcester, MA, USA
Charles J. Lightdale Clinics Review Articles www.giendo.theclinics.com January 2016 • Volume 26 • Number 1
Table of Contents
Cover image
Title page
Contributors Consulting Editor Editor Authors
Forthcoming Issues Forthcoming Issues Recent Issues
Foreword. Pediatric Gastrointestinal Endoscopy: A Mature Subspecialty
Preface. Pediatric Endoscopy
Setting up the Pediatric Endoscopy Unit Key points Introduction Unit design General endoscopy unit areas Unit size and capacity Reprocessing Staffing the endoscopy unit After-hours coverage
Equipment Summary/Discussion References
Training and Assessment in Pediatric Endoscopy Key points Introduction
Training Assessment Summary References
Informed Consent for Pediatric Endoscopy Key points Introduction
Diagnostic esophagogastroduodenoscopy and colonoscopy
Informed consent for performing therapeutic gastrointestinal procedures in children
Consent for placement of percutaneous endoscopic gastrostomy
Consent for small bowel enteroscopy in children
Consent for pediatric capsule endoscopy
Consent for nasal endoscopy in children
Consent for pediatric pH/pH impedance/wireless pH monitoring
Consent for endoscopic retrograde cholangiopancreatography in children Summary References
Measuring Quality in Pediatric Endoscopy Key points Introduction
Measuring quality through procedural documentation
Quality and endoscopic training
Quality improvement and maintenance of certification