DOI QR코드

DOI QR Code

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

  • Park, Jae Hong (Department of Pediatrics, Pusan National University School of Medicine)
  • 투고 : 2018.02.11
  • 심사 : 2018.03.23
  • 발행 : 2018.03.30

초록

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.

키워드

참고문헌

  1. Victor LF. Colonoscopy. In: Walker WA, Durie PR, Hamilton JR, Walker-Smith JA, Watkins JB, eds. Pediatric gastrointestinal disease: pathophysiology, diagnosis, management. 2nd ed. St. 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. https://doi.org/10.1097/00005176-200209000-00015
  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. https://doi.org/10.1016/j.cgh.2008.01.007
  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. https://doi.org/10.1067/mge.2002.121189
  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. https://doi.org/10.3748/wjg.v18.i16.1953
  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. https://doi.org/10.1038/ajg.2012.135
  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. https://doi.org/10.1097/DCR.0b013e31823461ef
  9. Cadoni S, Leung FW. Water-assisted colonoscopy. Curr Treat Options Gastroenterol 2017;15:135-154. https://doi.org/10.1007/s11938-017-0119-1
  10. Tringali A, Balassone V, De Angelis P, Landi R. Complications in pediatric endoscopy. Best Pract Res Clin Gastroenterol 2016;30:825-839. https://doi.org/10.1016/j.bpg.2016.09.006
  11. Korman LY, Overholt BF, Box T, Winker CK. Perforation during colonoscopy in endoscopic ambulatory surgical centers. Gastrointest Endosc 2003;58:554-557. https://doi.org/10.1067/S0016-5107(03)01890-X
  12. Tam MS, Abbas MA. Perforation following colorectal endoscopy: what happens beyond the endoscopy suite? Perm J 2013;17:17-21. https://doi.org/10.7812/TPP/12-095
  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. https://doi.org/10.1016/j.crohns.2011.03.015
  14. Vucelic B. Inflammatory bowel diseases: controversies in the use of diagnostic procedures. Dig Dis 2009;27:269-277. https://doi.org/10.1159/000228560
  15. We JH, Park HS, Park JH. The role of colonoscopy in children with hematochezia. Korean J Pediatr Gastroenterol Nutr 2011;14:155-160. https://doi.org/10.5223/kjpgn.2011.14.2.155
  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. https://doi.org/10.1111/j.1651-2227.1973.tb08117.x
  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. https://doi.org/10.1155/2007/401674
  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. https://doi.org/10.5223/pghn.2012.15.4.250

피인용 문헌

  1. The Most Common Cause of Lower Gastrointestinal Bleeding without Other Symptoms in Children is Colonic Polyp: Is Total Colonoscopy Needed? vol.52, pp.3, 2019, https://doi.org/10.5946/ce.2019.084
  2. The Efficacy of Cap-Assisted Colonoscopy as Compared to Conventional in a Pediatric Population: A Randomized Controlled Trial vol.103, pp.5, 2018, https://doi.org/10.35755//jmedassocthai.2020.05.10713