Endoscopy Practice and Safety
10. Pediatric gastrointestinal endoscopy
Jonathan S. Evans & Lori Mahajan
Fig. 1 ASA physical classification status system.
Fig. 2 Pre-procedure fasting guidelines.
Fig. 4 Indications for pediatric upper gastrointestinal endoscopy.
Fig. 5 Indications for pediatric lower gastrointestinal endoscopy.
Fig. 6 Contraindications to esophagogastroduodenoscopy in pediatric patients.
Fig. 7 Contraindications to colonoscopy in pediatric patients.
Fig. 8 Factors other than medication needing consideration in choosing an appropriate sedation protocol.
Fig. 9 Lymphonodular hyperplasia of the terminal ileum in a pediatric patient.
Fig. 10 Crohn's disease of the terminal ileum in an adolescent patient. (Courtesy of Marsha Kay, MD.)
Fig. 11 Eosinophilic esophagitis. Note the white specks adherent to the mucosa. (Courtesy of Sandeep Gupta, MD.)
Fig. 12 Endoscopic appearance of rectal mucosa in an infant with cow's milk protein allergy. Note the nodular appearance and erosions.
Fig. 13 AP chest X-ray demonstrating coin in the esophagus.
Fig. 14 Endoscopic appearance of esophageal foreign bodycoin.
Fig. 15 Button battery in esophagus of an infant. Note the 'double-density' appearance. (Courtesy of Robert Wyllie, MD.)
Fig. 16 Foreign body retrieval equipment. From left to right: rat-tooth and alligator forceps, snare, tripod forceps, pentipod forceps.
Fig. 17 Suture technique for removal of foreign bodies with a hole. (A) A long string or piece of suture material is loaded on the
biopsy forceps and retracted into the endoscope channel (B). (C & D) The suture is firmly maintained in place on the outside
of the endoscope until the region of the foreign body is reached. The suture is then threaded through the hole in the foreign
body. (E) The suture is again grasped and secured upon withdrawal of the endoscope and foreign body. (Adapted from Kay and
Wyllie: Techniques in Gastrointestinal Endoscopy 2002; Vol. 4 (4): p. 194.)
Fig. 18 Pedunculated juvenile polyp. (Courtesy of Robert Wyllie, MD.)
Fig. 19 Juvenile polyp statuspostsnare polypectomy.
Copyright © Blackwell Publishing, 2003