Diagnostic and therapeutic endoscopy for children involves the use of specialized instruments to visualize and treat conditions within the gastrointestinal tract, respiratory system, or other internal areas. This minimally invasive procedure allows for the examination of internal organs and the performance of therapeutic interventions without the need for major surgery. For children, endoscopy is particularly valuable in diagnosing and managing conditions such as gastrointestinal bleeding, chronic abdominal pain, and swallowing disorders. The procedure typically involves the use of flexible endoscopes equipped with cameras and tools, which are inserted through natural body openings or small incisions. It is performed under sedation or anesthesia to ensure the child remains comfortable and still during the procedure.

Key Features of Diagnostic and Therapeutic Endoscopy for Children:

Types of Endoscopy:

• Gastroscopy: Examination of the esophagus, stomach, and upper part of the small intestine.
• Colonoscopy: Inspection of the colon and rectum.
• Bronchoscopy: Visualization of the airways and lungs.
• Cystoscopy: Evaluation of the bladder and urethra.
• Laparoscopy: Minimally invasive surgery to view the abdominal cavity and perform certain procedures.

Common Indications:

• Diagnostic Purposes: Investigating symptoms such as persistent abdominal pain, unexplained bleeding, chronic vomiting, or swallowing difficulties.
• Therapeutic Interventions: Removing foreign objects, treating bleeding lesions, dilating strictures, or performing biopsies.

Procedure:

• Preparation: The child may need to fast or follow specific dietary instructions prior to the procedure. Sedation or anesthesia is administered to ensure comfort.
• Execution: A flexible endoscope is gently inserted through the mouth, rectum, or another natural opening. The endoscope provides live images to a monitor, allowing for detailed examination and intervention.
• Post-Procedure Care: Monitoring for any immediate reactions to sedation, managing any discomfort, and providing instructions for recovery and follow-up care.

Benefits:

• Minimally Invasive: Reduces the need for larger incisions, leading to quicker recovery and less pain.
• Accurate Diagnosis: Provides detailed images and the ability to take biopsies for precise diagnosis.
• Effective Treatment: Allows for immediate therapeutic interventions, such as removing polyps or controlling bleeding.

Risks and Considerations:

• Procedure-Related Risks: Includes potential reactions to anesthesia, bleeding, or infection.
• Recovery: Mild discomfort or bloating may occur, but serious complications are rare.

When to Seek Medical Help:

• Pre-Procedure: Concerns about the child’s overall health or specific conditions that may affect the procedure.
• Post-Procedure: Persistent pain, fever, or unusual symptoms following the endoscopy.

Diagnostic and therapeutic endoscopy offers a valuable tool for diagnosing and managing various conditions in children. If your child requires an endoscopic procedure, our hospital provides specialized care to ensure a safe and effective experience. Contact us to schedule an appointment with our pediatric gastroenterology team.