Clin Endosc.  2018 Mar;51(2):137-141. 10.5946/ce.2018.051.

Pediatric Colonoscopy: The Changing Patterns and Single Institutional Experience Over a Decade

• Park JH

• KMID: 2410979
• DOI: http://doi.org/10.5946/ce.2018.051

Abstract

The safety and effectiveness of pediatric colonoscopy for lower gastrointestinal tract diseases have been established in Korea for about 30 years. Both diagnostic and therapeutic colonoscopies have had many advances in terms of operator skill and experience and are now being performed by most pediatric gastroenterologists. Pediatric colonoscopy is different in many aspects from that of adults, such as expected diagnoses, patient management, bowel preparation, selection criteria for sedation, and instrument selection. In this review, the author presents practical information on pediatric colonoscopy, the author's experiences, and the changes in colonoscopy practices over a decade in a tertiary hospital in Korea.

Keyword

Gastrointestinal disease; Colonoscopy; Child

MeSH Terms

Adult
Child
Colonoscopy*
Diagnosis
Gastrointestinal Diseases
Humans
Korea
Lower Gastrointestinal Tract
Patient Selection
Tertiary Care Centers

Reference

1. Victor LF. Colonoscopy. In : Walker WA, Durie PR, Hamilton JR, Walker-Smith JA, Watkins JB, editors. Pediatric gastrointestinal disease: pathophysiology, diagnosis, management. 2nd ed. Louis (MO): Mosby;1996. p. 1533–1541.

2. Park KH, Park JH. Changes in pediatric gastrointestinal endoscopy: review of a recent hospital experience. Korean J Pediatr Gastroenterol Nutr. 2007; 10:20–27.

3. Batres LA, Maller ES, Ruchelli E, Mahboubi S, Baldassano RN. Terminal ileum intubation in pediatric colonoscopy and diagnostic value of conventional small bowel contrast radiography in pediatric inflammatory bowel disease. J Pediatr Gastroenterol Nutr. 2002; 35:320–323.

4. Thakkar K, El-Serag HB, Mattek N, Gilger M. Complications of pediatric colonoscopy: a five-year multicenter experience. Clin Gastroenterol Hepatol. 2008; 6:515–520.

5. Shumaker DA, Zaman A, Katon RM. A randomized controlled trial in a training institution comparing a pediatric variable stiffness colonoscope, a pediatric colonoscope, and an adult colonoscope. Gastrointest Endosc. 2002; 55:172–179.

6. Kim HH, Park SJ, Park MI, Moon W, Kim SE. Transparent-cap-fitted colonoscopy shows higher performance with cecal intubation time in difficult cases. World J Gastroenterol. 2012; 18:1953–1958.

7. Ng SC, Tsoi KK, Hirai HW, et al. The efficacy of cap-assisted colonoscopy in polyp detection and cecal intubation: a meta-analysis of randomized controlled trials. Am J Gastroenterol. 2012; 107:1165–1173.

8. Westwood DA, Alexakis N, Connor SJ. Transparent cap-assisted colonoscopy versus standard adult colonoscopy: a systematic review and meta-analysis. Dis Colon Rectum. 2012; 55:218–225.

9. Cadoni S, Leung FW. Water-assisted colonoscopy. Curr Treat Options Gastroenterol. 2017; 15:135–154.

10. Tringali A, Balassone V, De Angelis P, Landi R. Complications in pediatric endoscopy. Best Pract Res Clin Gastroenterol. 2016; 30:825–839.

11. Korman LY, Overholt BF, Box T, Winker CK. Perforation during colonoscopy in endoscopic ambulatory surgical centers. Gastrointest Endosc. 2003; 58:554–557.

12. Tam MS, Abbas MA. Perforation following colorectal endoscopy: what happens beyond the endoscopy suite? Perm J. 2013; 17:17–21.

13. Goodhand J, Hedin CR, Croft NM, Lindsay JO. Adolescents with IBD: the importance of structured transition care. J Crohns Colitis. 2011; 5:509–519.

14. Vucelic B. Inflammatory bowel diseases: controversies in the use of diagnostic procedures. Dig Dis. 2009; 27:269–277.

15. We JH, Park HS, Park JH. The role of colonoscopy in children with hematochezia. Korean J Pediatr Gastroenterol Nutr. 2011; 14:155–160.

16. Gelb AM, Minkowitz S, Tresser M. Rectal and colonic polyps occurring in young people. N Y State J Med. 1962; 62:513–518.

17. Toccalino H, Guastavino E, De Pinni F, O’Donnell JC, Williams M. Juvenile polyps of the rectum and colon. Acta Paediatr Scand. 1973; 62:337–340.

18. Mestre JR. The changing pattern of juvenile polyps. Am J Gastroenterol. 1986; 81:312–314.

19. Durno CA. Colonic polyps in children and adolescents. Can J Gastroenterol. 2007; 21:233–239.

20. Lee BG, Shin SH, Lee YA, Wi JH, Lee YJ, Park JH. Juvenile polyp and colonoscopic polypectomy in childhood. Pediatr Gastroenterol Hepatol Nutr. 2012; 15:250–255.