ROLE OF UGI ENDOSCOPY IN PEDIATRIC POPULATION
Since its introduction in the 1960s, the field of Pediatric Gastroenterology has developed rapidly worldwide. The number of Pediatric Gastroenterology centers in India have increased in last two decades.
What is different in Pediatric Endoscopy
Being a Pediatrician/Pediatric Gastroenterologist requires special skills and experience in dealing with children. A great portion of empathy, patience, and psychological skills are required. Before endoscopy, a detailed pediatric specific history and examination has to be done. During the procedure less air is to be insufflated. Excess air can lead to a lung compression in infants and can lead to worsening of the respiratory status. CO2 insuation instead of air can reduce such problems as it is much faster absorbed and exhaled. In contrast to endoscopy in adults, in children it is preferred to take biopsies from all relevant areas, even if there is no visible pathology.
Indications of UGI Endoscopy in children
Diagnostic Indications: Therapy refractory GER; Corrosive injury; Peptic ulcer disease; Chronic diarrhea/Impaired growth; IBD – Crohns Disease; Variceal bleeding; Gastric/Duodenal ulcer bleed; Food allergy/ Eosinophillic esophagitis; Esophageal candidiasis.
Therapeutic Indications: Esophageal/Pyloric stricture dilatation; Foreign body removal; Percutaneous Endoscopic Gastrostomy (PEG); Congenital webs; Achlasia
Dr. Deepak Goel
Dr. Deepak Goyal, a Pediatric Gastroenterologist with extensive post-MD experience of more than 15 years that includes super-specialty training in ‘Pediatric Hepatology & Gastroenterology’ (MCI-recognized) at SGPGIMS, Lucknow, has managed various kinds of complicated Pediatric Gastroenterology, Hepatology & Liver Transplant Cases.
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