Affiliation:
1. Pediatric Gastroenterology and Hepatology Unit, Santobono-Pausilipon Children's Hospital, Naples, Italy
2. Maternal
and Child Health Department, Santa Maria Goretti Hospital, Sapienza-University of Rome, Latina, Italy
3. Sapienza
University of Rome, Department of Women’s and Children’s Health
Abstract
Abstract:
Over the past decades, an increased importance has been given to gastrointestinal (GI)
endoscopy in the management of children with inflammatory bowel diseases (IBD), considering
that mucosal healing has been recognized as the optimal endpoint in the treat-to-target paradigm.
The recent advances in technology and anesthesia have facilitated the comprehensive evaluation
of the GI tract. In this review, we will discuss the role of ileocolonoscopy, upper GI endoscopy,
and device-assisted enteroscopy in the work-up and management of pediatric Crohn’s disease
(CD) and ulcerative colitis, with particular attention on non-invasive endoscopic techniques, such
as wireless capsule endoscopy. We will also analyze the most commonly used endoscopic scoring
systems, including small bowel scoring systems and endoscopic recurrence grading of neo-terminal
ileum CD. Moreover, we will focus on the endoscopic management of complications, such as
strictures, that commonly require surgery. Lastly, we will discuss cancer surveillance in children
with IBD, with particular consideration of the role of high-definition endoscopic equipment and
chromoendoscopy in dysplasia detection rates.
Publisher
Bentham Science Publishers Ltd.
Cited by
1 articles.
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