Pediatric Endoscopy, An Issue of Gastrointestinal Endoscopy Clinics of North America

Jenifer R. Lightdale

Description

Over a short few decades, the field of pediatric endoscopy has matured from the exploratory to the routine. Performance of endoscopic procedures in children is now a fundamental aspect of the practice of more than 2000 pediatric gastroenterologists in North America, and endoscopic instruments are increasingly being developed with an eye to their pediatric applications. Ensuring safe and effective endoscopy in children requires specific medical knowledge and technical competency, in addition to appropriately designed equipment and settings. Obtaining consent from parents, as well as assent from patients, for the purposes of performing diagnostic and therapeutic gastrointestinal procedures begins with a deep understanding of risks and benefits that endoscopy affords and is typically gained through formal training in the field. Diagnostic endoscopy may help to confirm common pediatric conditions including eosinophilic esophagitis and inflammatory bowel disease, while therapeutic procedures to treat strictures in the GI tract may help children avoid more invasive surgeries. Using endoscopy in children to achieve hemostasis or to remove commonly swallowed foreign bodies, such as lithium batteries or high-powered magnets, can be lifesaving, and the insertion of feeding tubes can help medically complex patients to thrive. In short, pediatric endoscopy is an integral component of healthcare for children, and gaining and understanding of its best practices may help all clinicians to better recognize its role in pediatric disease outcomes.

Sujets

• Médecine
• Médecine Générale
• Medical
• Gastroenterology

Informations

• Publié par: Elsevier
• Date de parution: 19 janvier 2016
• Nombre de lectures: 0
• EAN13: 9780323414524
• Langue: English
• Poids de l'ouvrage: 3 Mo

Extrait

Pediatric Endoscopy

Gastrointestinal Endoscopy Clinics of North America

EDI TO R

Jenifer R. Lightdale, MD, MPH Pediatric Gastroenterology and Hepatology, UMass Memorial Children’s Medical Center, University of Massachusetts Medical School, Worcester, MA, USA

CO NSULT I NG EDI TO R

Charles J. Lightdale Clinics Review Articles www.giendo.theclinics.com January 2016 • Volume 26 • Number 1

Table of Contents

Cover image

Title page

Copyright

Contributors Consulting Editor Editor Authors

Forthcoming Issues Forthcoming Issues Recent Issues

Foreword. Pediatric Gastrointestinal Endoscopy: A Mature Subspecialty

Preface. Pediatric Endoscopy

Setting up the Pediatric Endoscopy Unit Key points Introduction Unit design General endoscopy unit areas Unit size and capacity Reprocessing Staffing the endoscopy unit After-hours coverage

Equipment Summary/Discussion References

Training and Assessment in Pediatric Endoscopy Key points Introduction

Training Assessment Summary References

Informed Consent for Pediatric Endoscopy Key points Introduction

Diagnostic esophagogastroduodenoscopy and colonoscopy

Informed consent for performing therapeutic gastrointestinal procedures in children

Consent for placement of percutaneous endoscopic gastrostomy

Consent for small bowel enteroscopy in children

Consent for pediatric capsule endoscopy

Consent for nasal endoscopy in children

Consent for pediatric pH/pH impedance/wireless pH monitoring

Consent for endoscopic retrograde cholangiopancreatography in children Summary References

Measuring Quality in Pediatric Endoscopy Key points Introduction

Measuring quality through procedural documentation

Quality and endoscopic training

Quality improvement and maintenance of certification