Colonoscopy in children.

The flexible 65 cm endoscope, while introduced for use in the diagnosis of colonic disease in adults, has proven valuable for diagnosis and treatment in children. The diameter of the American Cystoscope Company's instrument makes it ideal for children. The spectrum of colonic disease in children parallels that in adults. Although carcinoma is rare, polypoid disease, colitis, enterocolitis and lymphoid hyperplasia are sufficiently common to warrant consideration of colonoscopy. The present study, while small, suggests the usefulness of this procedure. With the use of the easily maneuvered, short instrument, a surgeon experienced in colonoscopy can reduce the need for laparotomy in many children.