Advances in Endoscopy for Pediatric Inflammatory Bowel Disease

Gastrointest Endosc Clin N Am. 2023 Apr;33(2):447-461. doi: 10.1016/j.giec.2022.10.002.

Abstract

Endoscopic characterization of pediatric inflammatory bowel disease (IBD) has developed in accordance with advances in treatment and improved understanding of disease progression and complications. Reliable and consistent endoscopic reporting practices and tools continue to evolve. The roles of endoscopic ultrasonography, capsule endoscopy, and deep enteroscopy in the care of children and adolescents with IBD are beginning to be clarified. Opportunities for therapeutic intervention with endoscopy in pediatric IBD, including endoscopic balloon dilation and electroincision therapy, require further study. This review discusses the current utility of endoscopic assessment in Pediatric Inflammatory Bowel Disease, as well as emerging and evolving techniques to improve patient care.

Keywords: Colonoscopy; Crohn disease; Endoscopy; Inflammatory bowel disease; Stricture; Treatment target; Ulcerative colitis; Video capsule endoscopy.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Capsule Endoscopy* / methods
  • Child
  • Disease Progression
  • Endoscopy, Gastrointestinal
  • Endosonography
  • Humans
  • Inflammatory Bowel Diseases* / diagnostic imaging
  • Inflammatory Bowel Diseases* / therapy
  • Laparoscopy*