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Pediatric Inflammatory Bowel Disease pp 203–221Cite as

Endoscopic Modalities in Pediatric Inflammatory Bowel Disease

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Abstract

Safe, informative, and effective endoscopy performed in a child-friendly situation with the minimum of distress to child and parent alike is a sine qua non of a unit adhering to best-practice in the care of children and adolescents with inflammatory bowel disease (IBD). The care of children and adolescents differs in important ways from that of adults. This is reflected in the emphasis placed on various aspects of endoscopy especially ileocolonoscopy, such as the frequent use of general anesthesia, the number and location of mucosal biopsies, and the routine inclusion of ileal intubation during a complete examination. The question of who should conduct the procedure continues to receive attention among pediatric gastroenterologists. It is generally accepted that a pediatrician, preferably with experience in pediatric gastroenterology, should be involved in the care of the child or adolescent and, ideally, should carry out the procedure. There can be few more satisfying experiences in medicine than making a clinical judgment and diagnosis in a child, confirming the nature and extent of the disease oneself by endoscopy, treating appropriately, and then visually demonstrating the success of such endeavors to child and parent by a follow-up procedure. Endoscopy plays an important role in the initial diagnosis of IBD, differentiation of IBD into Crohn disease and ulcerative colitis, assessment of disease extent, monitoring of response to therapy, surveillance of cancer, and to perform endo-therapeutic procedures such as stricture dilation.

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Authors and Affiliations

  1. Department of Pediatric Gastroenterology, Alder Hey Children’s Hospital, Eaton Road, Liverpool, L12 2AP, UK

    Krishnappa Venkatesh MBBS, MD, MRCPCH

  2. Centre for Paediatric Gastroenterology, Sheffield Children’s NHS Foundation Trust, Sheffield, UK

    Mike Thomson

Authors
  1. Krishnappa Venkatesh MBBS, MD, MRCPCH
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  2. Mike Thomson
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Correspondence to Mike Thomson .

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Editors and Affiliations

  1. Perelman School of Medicine, The Children’s Hospital of Philadelphia, University of Pennsylvania, 34th St. & Civic Ctr. Blvd., Philadelphia, 19104, Pennsylvania, USA

    Petar Mamula

  2. School of Medicine--Greenville, Pediatric Gastroenterology & Nutrition, University of South Carolina, 200 Patewood Drive, Suite A-140, Greenville, 29615, South Carolina, USA

    Jonathan E. Markowitz

  3. Perelman School of Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania, 34th St. & Civic Ctr. Blvd., Philadelphia, 19104, Pennsylvania, USA

    Robert N. Baldassano

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Venkatesh, K., Thomson, M. (2013). Endoscopic Modalities in Pediatric Inflammatory Bowel Disease. In: Mamula, P., Markowitz, J., Baldassano, R. (eds) Pediatric Inflammatory Bowel Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5061-0_20

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  • DOI: https://doi.org/10.1007/978-1-4614-5061-0_20

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