Paediatric gastrointestinal endoscopy in the Asian-Pacific region:Recent advances in diagnostic and therapeutic techniques  

作　　者：James Guoxian Huang Pornthep Tanpowpong 

机构地区：[1]Division of Gastroenterology,Hepatology and Nutrition,Department of Paediatrics,Khoo Teck Puat-National University Children’s Medical Institute,National University Health System,Singapore 119228,Singapore [2]Department of Paediatrics,Yong Loo Lin School of Medicine National University of Singapore,Singapore 119228,Singapore [3]Department of Paediatrics,Faculty of Medicine Ramathibodi Hospital,Mahidol University,Bangkok 10400,Thailand

出　　处：《World Journal of Gastroenterology》2023年第18期2717-2732,共16页世界胃肠病学杂志（英文版）

摘　　要：There has been a rapid expansion in the knowledge of paediatric gastroenterology over the recent decade,with a fast-growing repertoire of diagnostic techniques and management strategies for a wide spectrum of childhood gastrointestinal(GI)diseases.Paediatric GI endoscopy is a core competency every paediatric gastroenterologist should possess,and represents one of the most common procedures performed in children for both diagnostic and therapeutic purposes.Yet there remains a dearth of literature on the utility and outcomes of paediatric GI endoscopy in the Asia-Pacific region.Data on the diagnostic value of paediatric GI endoscopy would be an important aspect of discussion,with the emergence of inflammatory bowel disease(IBD)and eosinophilic GI disease as increasingly common endoscopic diagnoses.Time-based trends in paediatric GI endoscopy do point towards more IBD and gastroesophageal reflux disease-related complications being diagnosed,with a declining incidence of GI bleeding.However,the real-world diagnostic value of endoscopy in Asia must be contextualised to the region-specific prevalence of paediatric GI diseases.Helicobacter pylori infection,particularly that of multidrug-resistant strains,remains a highly prevalent problem in specific regions.Paediatric functional GI disorders still account for the majority of childhood GI complaints in most centres,hence the diagnostic yield of endoscopy should be critically evaluated in the absence of alarm symptoms.GI therapeutic endoscopy is also occasionally required for children with ingested foreign bodies,intestinal polyposis or oesophageal strictures requiring dilation.Endoscopic haemostasis is a potentially life-saving skill in cases of massive GI bleeding typically from varices or peptic ulcers.Advanced endoscopic techniques such as capsule endoscopy and balloon-assisted enteroscopy have found traction,particularly in East Asian centres,as invaluable diagnostic and therapeutic tools in the management of IBD,obscure GI bleeding and intestinal polyposis.State of

关 键 词：Endoscopy PAEDIATRIC ASIA Children GASTROSCOPY COLONOSCOPY 

分 类 号：R725[医药卫生—儿科]