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; 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 Pediatric Gastroenterology, Hepatology and Nutrition, Columbia University Irving Medical Center, 622 West 168th Street, PH17-105, New York, NY 10032, USA; NewYork-Presbyterian Morgan Stanley Children's Hospital, New York, NY 10032, USA.
Gastrointest Endosc Clin N Am. 2023 Apr;33(2):447-461. doi: 10.1016/j.giec.2022.10.002.
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.
儿科炎症性肠病(IBD)的内镜特征随着治疗的进步和对疾病进展及并发症的理解加深而发展。可靠和一致的内镜报告实践和工具仍在不断发展。内镜超声、胶囊内镜和深部肠内镜在儿童和青少年 IBD 治疗中的作用逐渐明确。儿科 IBD 内镜治疗干预的机会,包括内镜球囊扩张和电切治疗,需要进一步研究。本文讨论了内镜评估在儿科炎症性肠病中的当前应用,以及改善患者治疗的新兴和不断发展的技术。