Pediatric Endoscopy

Atlas of Pediatric Gastrointestinal Endoscopy focuses on practical diagnostic and therapeutic endoscopy in children. The combining of pediatric endoscopic images with a practical guide to the performance of pediatric gastrointestinal endoscopy makes this volume a unique reference source. The extensive use of black and white line diagrams, color illustrations of endoscopic appearances, and complementary histopathology creates a definitive reference resource for pediatric gastroenterologists and pediatric surgeons. The combined medical and surgical expertise of the authors, garnered from renowned pediatric gastroenterology centers, incorporates both a North American and European perspective. The result is a work that is an integration of clinical gastrointestinal endoscopy with expert pathology. SPECIAL FEATURES * Provides the only reference source of pediatric endoscopic images combined with a practical guide * Includes a thorough selection of endoscopic images, histopathology, and specific radiology images * Features the contributions of leading authors from international pediatric gastroenterology centers

The reference text for all those practicing diagnostic and therapeutic pediatric endoscopy – trainees, trainers, specialist endoscopists, gastroenterologists and hepatologists alike. Practical Pediatric Gastrointestinal Endoscopy, 3rd Edition provides a comprehensive and up-to-date exploration for the performance of endoscopy in infants, children and young adults. Written in the form of a complete "how to" manual and filled with step-by-step instructions, this book seeks to bring newcomers to the field of pediatric gastrointestinal endoscopy quickly up to speed. The book is also highly useful for experienced specialist endoscopists and gastroenterologists to brush up on best practice in standard techniques and explore advanced topics in the field. Practical Pediatric Gastrointestinal Endoscopy highlights the substantial and important differences between performing an endoscopy on a mature adult and performing one in a pediatric patient. The differences discussed include: GI pathology Subtleties of diagnostic technique specific to children Application of therapeutic endoscopy to specifically pediatric scenarios Anesthesia and sedation Training and skill maintenance Sophisticated endoscopic techniques adapted from adult endoscopy to children and those techniques specifically orientated to problems and diseases mainly encountered in childhood. This guide is becoming an essential companion for those of us providing diagnostic and therapeutic endoscopy for children in the world today and opens the door to future possibilities in this ever-evolving field.

Paediatric gastrointestinal endoscopy has been greatly improving since its introduction and it is continuously evolving due to the tools' improvement and the specific training of the staff. Currently this technique can be performed in children of all age including preterm infants. This book illustrates the specific performance techniques of gastrointestinal endoscopy in pediatric age both with regard to diagnosis of gastrointestinal pathologies and their operative use in the upper and lower gastrointestinal tract. One of the most famous international paediatric endoscopists tells us the history of pediatric GI endoscopy, its achievements, and where it is going. Moreover in the first part of the book the preparatory stages to gastrointestinal endoscopy are widely discussed. Afterwards, specific chapters discuss the examination of the ileum with new instruments from single- and double-balloon enteroscopy, to wireless capsule endoscopy. Furthermore some authoritative authors illustrate the management of GI endoscopy in particular situations such as cystic fibrosis, gastrointestinal tumours, graft-versus host disease, and some others deal with the management of complications that can occur during endoscopic procedures. Finally a special focus is given on endoscopic ultrasound and the application of new optical techniques, fields continuously evolving both in technology tools and in diagnostic applications mainly in the paediatric age.

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.

In this issue of Gastrointestinal Endoscopy Clinics of North America, guest editor Dr. Catharine M. Walsh brings her considerable expertise to the topic of Pediatric Endoscopy. Since its inception in the early 1980s, pediatric endoscopy has seen dramatic innovations in both diagnostic procedures and advanced procedures that are increasingly being performed by pediatric trained endoscopists. In this issue, top experts bring you fully up to date with recent advances in this fast-changing field. Contains 14 practice-oriented topics including pediatric unsedated transnasal endoscopy; tools for improving quality in pediatric endoscopy; artificial intelligence in pediatric endoscopy; advances in endoscopy for pediatric inflammatory bowel disease; and more. Provides in-depth clinical reviews on pediatric endoscopy, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This book describes an up-to-date practical strategy for the use of endoscopy in the evaluation and management of pediatric patients with inflammatory bowel disease (IBD). All aspects of the role of endoscopy in Crohn’s disease (CD) and ulcerative colitis (UC) – the two most common types of IBD – are addressed. Readers will find detailed information on its use in the initial diagnosis of IBD, differentiation between CD and UC, assessment of disease extent and activity, monitoring of response to therapy, and surveillance for cancer and dysplasia. Attention is drawn to specific clinical and endoscopic features of CD and UC in the pediatric age group that serve to illustrate why the child is not to be regarded merely as a small adult. Helpful information is also supplied on equipment, patient and parent preparation, and sedation. Endoscopy is considered the best means of obtaining a definite diagnosis in children who may have IBD, and this book will be of value to practitioners at all levels of experience.