The reference text for all those practicing diagnostic and therapeutic pediatric endoscopy trainees, trainers, specialist endoscopists, gastroenterologists and hepatologists alike.

Practical Pediatric Gastrointestinal Endoscopy, 3rd Edition provides a comprehensive and up-to-date exploration for the performance of endoscopy in infants, children and young adults. Written in the form of a complete how to manual and filled with step-by-step instructions, this book seeks to bring newcomers to the field of pediatric gastrointestinal endoscopy quickly up to speed. The book is also highly useful for experienced specialist endoscopists and gastroenterologists to brush up on best practice in standard techniques and explore advanced topics in the field.

Practical Pediatric Gastrointestinal Endoscopy highlights the substantial and important differences between performing an endoscopy on a mature adult and performing one in a pediatric patient. The differences discussed include:GI pathologySubtleties of diagnostic technique specific to childrenApplication of therapeutic endoscopy to specifically pediatric scenariosAnesthesia and sedationTraining and skill maintenanceSophisticated endoscopic techniques adapted from adult endoscopy to children and those techniques specifically orientated to problems and diseases mainly encountered in childhood

This guide is becoming an essential companion for those of us providing diagnostic and therapeutic endoscopy for children in the world today and opens the door to future possibilities in this ever-evolving field.

About the Editors

GEORGE GERSHMAN, MD, PHD, Pediatric Gastroenterologist, Professor of Pediatrics, David Geffen School of Medicine. Chief, Division of Pediatrics Gastroenterology, Hepatology and Nutrition, Harbor-UCLA Medical Center, Torrance, California.

MIKE THOMSON, MBChB, DCH, FRCP, FRCPCH, MD, Professor of Paediatric Gastroenterology and Interventional Endoscopy, Director of the International Academy for Paediatric Endoscopy Training, Centre for Paediatric Gastroenterology, Nutrition and Haepatology, Sheffield Childrens Hospital NHS Foundation Trust, Sheffield, UK.

Personal statements ix

Contributors xvii

About the Companion Website xxiii

Part One Pediatric Endoscopy Setting 1

1 Introduction 3George Gershman and Mike Thomson

2 History of pediatric gastrointestinal endoscopy 5Samy Cadranel, Jean-François Mougenot, and Douglas S. Fishman

3 The endoscopy unit 11Harpreet Pall

4 Pediatric procedural sedation and general anesthesia for gastrointestinal endoscopy 15Tom Kallay, Rok Orel, and Jernej Brecelj

5 Pediatric endoscopy training and ongoing assessment 23Catharine M. Walsh, Looi Ee, Mike Thomson, and Jenifer R. Lightdale

6 Recertification and revalidation as concepts in pediatric endoscopy 31Priya Narula and Mike Thomson

7 The role of the Global Rating Scale in pediatric endoscopy 33Priya Narula and Mike Thomson

8 Quality indicators as a critical part of pediatric endoscopy provision 37Priya Narula and Mike Thomson

9 e-learning in pediatric endoscopy 41Claudio Romano and Mike Thomson

Part Two Diagnostic Pediatric Endoscopy 43

10 Indications for gastrointestinal endoscopy in childhood 45Dalia Belsha, Jerome Viala, George Gershman, and Mike Thomson

11 Diagnostic upper gastrointestinal endoscopy 53George Gershman and Mike Thomson

12 Pediatric ileocolonoscopy 77George Gershman and Mike Thomson

13 Handling of specimens and orientation of biopsies 113Marta C. Cohen and Paul Arnold

14 Enteroscopy 117Mike Thomson and Arun Urs

15 Wireless capsule endoscopy 129Mike Thomson

16 Endoscopic ultrasonography 141Simona Faraci, Luigi Dall'Oglio, Paola de Angelis, and Douglas S. Fishman

17 Chromoendoscopy 157Mike Thomson and Paul Hurlstone

18 Confocal laser endomicroscopy in the diagnosis of pediatric gastrointestinal disorders 167Mike Thomson and Krishnappa Venkatesh

19 High-risk pediatric endoscopy 175Jenifer R. Lightdale, Mike Thomson, and Douglas S. Fishman

Part Three Pediatric GI Pathologies and the Role of Endoscopy in Their Management 183

20 Esophagitis 185Mário C. Vieira, Luciana B. Mendez Ribeiro, and Sabine Krüger Truppel

21 Eosinophilic esophagitis 195Calies Menard-Katcher, Glenn T. Furuta, and Robert E. Kramer

22 Gastritis and gastropathy 201Shishu Sharma and Mike Thomson

23 Celiac disease 207Alina Popp, Vasile Daniel Balaban, and Markku Mäki

24 Role of endoscopy in inflammatory bowel disease including scoring systems 213Salvatore Oliva, Mike Thomson, David Wilson, and Dan Turner

Part Four Therapeutic Pediatric Endoscopy 221

25 Endoscopic management of esophageal strictures 223Michael Manfredi, Frederick Gottrand, Luigi Dall'Oglio, Mike Thomson, George Gershman, Antonio Quiros, and Thierry Lamireau

26 Endoscopic management of caustic ingestion 235Erasmo Miele and Samy Cadranel

27 Pneumatic balloon dilation and peroral endoscopic myotomy for achalasia 241Valerio Balassone, Mike Thomson, and George Gershman

28 Endoscopic approaches to the treatment of gastroesophageal reflux disease 249Mike Thomson and Chris Fraser

29 Foreign body ingestion 261Raoul Furlano, George Gershman, and Jenifer R. Lightdale

30 Non-variceal endoscopic hemostasis 269George Gershman, Jorge H. Vargas, and Mike Thomson

31 Variceal endoscopic hemostasis 279Patrick McKiernan, Lauren Johanson, and Mike Thomson

32 Endoscopic approach to obscure gastrointestinal bleeding lesions 287Natalia Nedelkopoulou, Sara Isoldi, Dalia Belsha, and Mike Thomson

33 Percutaneous endoscopic gastrostomy 295Natalie Bhesania, Mike Thomson, and Marsha Kay

34 Single-stage percutaneous endoscopic gastrostomy 305Andreia Nita, Jorge Amil-Dias, Arun Urs, Mike Thomson, and Prithviraj Rao

35 Pediatric laparoscopic-assisted direct percutaneous jejunostomy 317Mike Thomson, Jonathan Goring, Richard Lindley, and Sean Marven

36 Naso-jejunal and Gastro-jejunal tube placement 323George Gershman

37 Endoscopic retrograde cholangiopancreatography 325Douglas S. Fishman, Paola de Angelis, Luigi Dall'Oglio, and Victor Fox

38 Endoscopic drainage of pancreatic pseudocysts 343Mike Thomson

39 Duodenal web division by endoscopy 347Mike Thomson, Shishu Sharma, Filippo Torroni, and Jonathan Goring

40 Polypectomy 351George Gershman, Mike Thomson, and Gabor Veres

41 Endomucosal resection 361Mike Thomson and Paul Hurlstone

42 Endoscopic management of polyposis syndromes 371Warren Hyer, Mike Thomson, and Thomas Attard

43 Transnasal gastrointestinal endoscopy 377Sara Koo, Kristina Leinwand, Simon Panter, and Joel A. Friedlander

44 Endoscopic bariatric approaches 387Mike Thomson and Matjaz Homan

45 Over-the-scope clip and full-thickness resection device 393Mike Thomson

46 Endoscopic treatment of gastrointestinal bezoars 397Andreia Nita and Mike Thomson

47 Natural orifice transendoluminal surgery 401Mike Thomson

Index 403