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REVIEW ARTICLE
Korean J Pediatr 2010 September;53(9) :824-829.
doi:https://doi.org/10.3345/kjp.2010.53.9.824
Role of colonoscopy in the diagnosis and treatment of pediatric lower gastrointestinal disorders
Jae Hong Park (Park JH)
Department of Pediatrics, School of Medicine, Pusan of Medicine, Pusan
Corresponding Author: Jae Hong Park ,Email: jhongpark@pusan.ac.kr
Copyright © 2010 by The Korean Pediatric Society
ABSTRACT
The safety and effectiveness of colonoscopy in the investigation of lower gastrointestinal tract pathology in children has been established for more than 2 decades in Korea. The skill and experience have since advanced to the point that both diagnostic and therapeutic colonoscopy are now routinely performed by most pediatric gastroenterologists. Pediatric colonoscopy differs significantly from its adult parallels in nearly every aspect including patient and parent management and preparation, selection criteria for sedation and general anesthetic, bowel preparation, expected diagnoses, instrument selection, imperative for terminal ileal intubation, and requirement for biopsies from macroscopically normal mucosa. Investigation of inflammatory bowel disease, whether for diagnosis or followup evaluation, and suspected colonic polyps are the most common indication for pediatric colonoscopy. The child who presents with signs and symptoms of lower gastrointestinal disorder should undergo colonoscopy with biopsy to make the diagnosis, as well as to help determine the appropriate therapy. This review introduces practical information on pediatric colonoscopy, the authors experiences, and the role of colonoscopic examination in the diagnosis and treatment of pediatric lower gastrointestinal disorders.
Keywords: Gastrointestinal disease | Colonoscopy | Child
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