Advances in Pediatric Diagnostic Endoscopy: A State-of-the-Art Review

JPGN Rep. 2022 Jul 29;3(3):e224. doi: 10.1097/PG9.0000000000000224. eCollection 2022 Aug.

Abstract

Pediatric endoscopy has revolutionized the way we diagnose and treat gastrointestinal disorders in children. Technological advances in computer processing and imaging continue to affect endoscopic equipment and advance diagnostic tools for pediatric endoscopy. Although commonly used by adult gastroenterologists, modalities, such as endomicroscopy, image-enhanced endoscopy, and impedance planimetry, are not routinely used in pediatric gastroenterology. This state-of-the-art review describes advances in diagnostic modalities, including image-enhanced endoscopy, confocal laser endomicroscopy, optical coherence tomography, endo functional luminal imaging probes, wireless motility/pH capsule, wireless colon capsule endoscopy, endoscopic ultrasound, and discusses the basic principles of each technology, including adult indications and pediatric applications, safety cost, and training data.

Keywords: EUS; chromoendoscopy; colon capsule; confocal laser endomicroscopy; endoflip; endoscopy; optical coherence tomography; pediatric; therapeutic endoscopy; wireless motility capsule.

Publication types

  • Review