Advances in Endoscopy for Pediatric Inflammatory Bowel Disease - 21/03/23

Doi : 10.1016/j.giec.2022.10.002

Nicholas Carman, MD ^a,^b,^⁎ , Joseph A. Picoraro, MD ^c,^d
^a Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, CHEO Inflammatory Bowel Disease Centre, Children’s Hospital of Eastern Ontario, University of Ottawa, Ontario, Canada
^b Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Sickkids Inflammatory Bowel Disease Centre, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada
^c Division of Pediatric Gastroenterology, Hepatology and Nutrition, Columbia University Irving Medical Center, 622 West 168th Street, PH17-105, New York, NY 10032, USA
^d NewYork-Presbyterian Morgan Stanley Children’s Hospital, New York, NY 10032, USA

^∗Corresponding author. Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Sickkids Inflammatory Bowel Disease Centre, The Hospital for Sick Children, University of Toronto, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada.Division of Gastroenterology, Hepatology and NutritionDepartment of PaediatricsSickkids Inflammatory Bowel Disease CentreThe Hospital for Sick ChildrenUniversity of Toronto555 University AvenueTorontoOntarioM5G 1X8Canada

Résumé

Endoscopic characterization of pediatric inflammatory bowel disease (IBD) has developed in accordance with advances in treatment and improved understanding of disease progression and complications. Reliable and consistent endoscopic reporting practices and tools continue to evolve. The roles of endoscopic ultrasonography, capsule endoscopy, and deep enteroscopy in the care of children and adolescents with IBD are beginning to be clarified. Opportunities for therapeutic intervention with endoscopy in pediatric IBD, including endoscopic balloon dilation and electroincision therapy, require further study. This review discusses the current utility of endoscopic assessment in Pediatric Inflammatory Bowel Disease, as well as emerging and evolving techniques to improve patient care.

Le texte complet de cet article est disponible en PDF.

Keywords : Colonoscopy, Crohn disease, Endoscopy, Inflammatory bowel disease, Stricture, Treatment target, Ulcerative colitis, Video capsule endoscopy