The role of endoscopy in non-oncologic gastrointestinal disorders in pediatric patients

Czech version

Authors: Lucie Gonsorčíková ¹; Silvie Netvalová ¹; Radim Vyhnánek ¹; David Bauer ¹; Ondřej Fabián ^2,3
Authors‘ workplace: Pediatrická klinika 1. lékařské fakulty UK a Fakultní Thomayerovy nemocnice, Praha ¹; Pracoviště klinické a transplantační patologie, Institut klinické a experimentální medicíny, Praha ²; Ústav patologie a molekulární medicíny 3. LF UK a FTN, Fakultní Thomayerova nemocnice, Praha ³
Published in: Čes.-slov. Patol., 58, 2022, No. 2, p. 100-106
Category: Reviews Article

Overview

Gastrointestinal (GIT) diseases represent an important part of pediatric health disorders. The recent years have brought not only significant improvement of digestive endoscopy technologies and a new equipment suitable for pediatric age but also progress in management of diagnostic approach and treatment of the pediatric GIT diseases. In contrast to adult patients, endoscopic examination in pediatrics is in most cases performed for diagnostic, not therapeutical purposes. The histological assessment of biopsy specimens taken during endoscopy therefore forms an integral part of the endoscopic examination and in most cases the diagnosis cannot be concluded without their evaluation. In particular, the clinical gastroenterologist expects from the pathologist a description that will help confirm or contradict the diagnosis considered after the macroscopic examination. In this review, we would like to highlight the most common endoscopic findings of the gastrointestinal tract in pediatric population and the role of histology in determining the correct diagnosis.

Keywords:

endoscopy – Celiac disease – IBD – GIT diseases – gastrointestinal reflux disease – eosinophilic inflammation

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