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Endoscopy & colonoscopies

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Endoscopy & colonoscopies

Pediatric upper GI endoscopy and colonoscopy are diagnostic and therapeutic procedures used to evaluate and treat gastrointestinal (GI) disorders in children. These minimally invasive techniques help in early diagnosis, targeted treatment, and prevention of complications.

1. Pediatric Upper GI Endoscopy (Esophagogastroduodenoscopy – EGD)

What is it?

A flexible tube with a camera is inserted through the mouth to examine the esophagus, stomach, and duodenum.

  • Indications (Why It's Done)

  • Gastroesophageal Reflux Disease (GERD) – Persistent acid reflux, esophagitis

  • Swallowing Disorders (Dysphagia) – Evaluation of strictures, eosinophilic esophagitis (EoE)

  • Chronic Abdominal Pain & Vomiting – Investigating gastritis, ulcers, H. pylori infection

  • Upper GI Bleeding – Diagnosing causes like esophageal varices, gastric ulcers

  • Celiac Disease – Small intestine biopsy for diagnosis

  • Foreign Body Removal – Swallowed objects (coins, batteries, etc.)

Therapeutic Uses

  • Esophageal Dilation (for strictures)

  • Polyp Removal (Polypectomy)

  • Variceal Banding (for portal hypertension)

2. Pediatric Colonoscopy

What is it?

A flexible tube with a camera is inserted through the rectum to examine the colon and terminal ileum.

  • Indications (Why It's Done)

  • Chronic or Bloody Diarrhea – To diagnose inflammatory bowel disease (IBD) (Crohn's disease, ulcerative colitis)

  • Unexplained Lower GI Bleeding – Polyps, vascular malformations

  • Chronic Constipation – To assess structural or motility issues

  • Abdominal Pain – When linked to colonic disease

  • Polyposis Syndromes – Removal and biopsy of polyps

  • Suspected Infections or Colitis – Evaluation of chronic infections or allergic colitis

  • Therapeutic Uses

  • Polypectomy (polyp removal)

  • Stricture Dilation (for narrowing of the intestine)

  • Biopsies for Diagnosis