Hudson Alexandra S, Wahbeh Ghassan, Lee Dale, Francis Kendra L, Suskind David, Zheng Hengqi Betty
Division of Pediatric Gastroenterology, Seattle Children's Hospital University of Washington Seattle Washington USA.
JPGN Rep. 2025 Feb 6;6(2):132-136. doi: 10.1002/jpr3.70002. eCollection 2025 May.
Endoscopy is a fundamental component pediatric gastroenterology (GI), with one of its primary applications being the evaluation and management of patients with inflammatory bowel disease (IBD). However, there is variation in education and experience of gastroenterologists with pediatric IBD endoscopy, which can affect the quality of patient care. This quality improvement pilot study assessed familiarity and comfort with key endoscopic assessment tools (13 questions) pre- and post- an evidence-based group presentation. Both fellow and attending pediatric gastroenterologists had low levels of comfort with endoscopic Crohn's disease scoring, IBD phenotype classification, postoperative IBD scoring, and IBD dysplasia screening. The review presentation significantly enhanced their comfort, with this effect persisting for several months among fellows. To improve the quality of care for IBD patients, it would be beneficial to periodically review endoscopic guidelines in continuing medical education for pediatric gastroenterologists providing IBD care.
内镜检查是儿科胃肠病学（GI）的一个基本组成部分，其主要应用之一是对炎症性肠病（IBD）患者进行评估和管理。然而，儿科IBD内镜检查方面，胃肠病学家的教育背景和经验存在差异，这可能会影响患者护理质量。这项质量改进试点研究评估了在基于证据的小组报告前后，对关键内镜评估工具（13个问题）的熟悉程度和操作舒适度。儿科胃肠病学专科住院医师和主治医师在内镜下克罗恩病评分、IBD表型分类、IBD术后评分以及IBD发育异常筛查方面的操作舒适度都较低。此次回顾报告显著提高了他们的操作舒适度，这种效果在专科住院医师中持续了几个月。为提高IBD患者的护理质量，定期在为提供IBD护理的儿科胃肠病学家的继续医学教育中回顾内镜指南将是有益的。
