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Practical Pediatric Gastrointestinal Endoscopy / Edition 1

Practical Pediatric Gastrointestinal Endoscopy / Edition 1

by George Gershman, Marvin AmentGeorge Gershman


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Practical Pediatric Gastrointestinal Endoscopy is the only text available that is focused on detailed instructions of all practical aspects of diagnostic and therapeutic endoscopic procedures in children. The advice is based on unique personal experience of thousands of endoscopic or colonoscopic procedures, written by a team of authors with experience in performing the diagnostic and therapeutic endoscopic procedures in children and infants of all ages.

This book gives detailed descriptions of the investigation, diagnosis and therapeutic pediatric GI endoscopy treatments and also looks at the mechanical and optical characteristics of endoscopes and principles of image processing with special attention to the differences between instruments used for adults and for pediatric patients.

The step-by-step description of each procedure explains the purpose of each maneuvre, with much greater emphases on the practical aspects of diagnostics and therapeutic procedures to provide the best results and maximize patient safety. It looks at patient care before, during and after procedures and considers the new and less invasive Wireless Capsule Endoscopy options that will be less traumatic for the pediatric patient.

The key points of each step are accompanied by easy-to-follow color diagrams and a comprehensive atlas of endoscopic images, illustrating both normal and abnormal pathology, aiding and perfecting diagnosis and treatment. The diagnostic procedures described are tailored to the age-related variation in common GI pathology and this book gives comprehensive descriptions and explanations of the differences for procedures in children from those in adults.

Product Details

ISBN-13: 9781405131933
Publisher: Wiley
Publication date: 12/22/2006
Pages: 216
Product dimensions: 7.10(w) x 9.95(h) x 0.68(d)

About the Author

Dr George Gershman, Associate Professor of Pediatrics and Chief of the Division of Pediatric Gastroenterology and Nutrition, Harbor-UCLA Medical Center, Los Angeles, USA.

Dr Marvin Ament, Professor of Pediatrics and Chief of the Division of Pediatric Gastroenterology, Hepatology and Nutrition, David Geffen School of Medicine at UCLA, Los Angeles, USA.

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Table of Contents


1 Introduction..

2 Settings and Staff.

The endoscopy unit.

Pediatric endoscopy nurse.

Disinfections of the endoscopes and accessories.


Further reading.

3 Equipment.


Insertion tube.

Video image capture.

"Reading"’ the image created on the CCD.

Types of CCDs.

History of endoscope CCD development.

Shape of displayed image.

Reproduction of color.

Reproduction of motion.


Laser therapy with video endoscopes.

Image resolution.

Color reproduction accuracy.


Endoscope reprocessing.


Further reading.

4 Patient Preparation.

Pediatric-monitored sedation and anesthesia for diagnostic and therapeutic procedures in endoscopy.

During sedation.

Postsedation care.

Specific sedation techniques.

Further reading.

5 Diagnostic Upper Endoscopy Technique.

Preparation for esophageal intubation.

Assembling the equipment and preprocedure checkup.

Endoscope handling.

Technique of esophageal intubation.

Indications for upper endoscopy.

Push enteroscopy/jejunoscopy.

Further reading.

6 Therapeutic Upper GI Endoscopy.

Benign esophageal stricture.

Pneumatic dilation in achalasia.

Foreign bodies.

Endoscopic hemostasis.

Percutaneous endoscopic gastrostomy.

Nasojejunal tube placement.

Further reading.

7 Pediatric Colonoscopy.


Indications for colonoscopy.

Preparation of the patient for colonoscopy.


Magnetic imaging system.

Informed consent and preprocedure preparation.

Sedation for colonoscopy.

Embryology of the colon.

Endoscopic anatomy.

Torque-steering technique.

Exploration of the sigmoid colon and sigmoid–descending junction.

Splenic flexure and transverse colon.

Hepatic flexure, ascending colon, and cecum.

Terminal ileum.


Common pathology.

Further reading.

8 Polypectomy.

Basic principles of electrosurgery.

Snare loops.

Polypectomy routine.

Safety routine.

Safety conditions and techniques.


Further reading.

9 Chromoendoscopy.


Application technique.

Recognition of the lesions.

Further reading.

10 Wireless Capsule Endoscopy.


The GIVEN M2A system.


Suspected blood indicator.

Indication for use.

Diagnostic yield.

Contraindications to capsule endoscopy.

Pacemaker safety.

Bowel preparation.

Promotility agents.

Endoscopic assistance.


Outcome of capsule endoscopy.

Pediatric patients.

Further reading.


What People are Saying About This

From the Publisher

"Based on the experience of the authors, the book presents in 10 chapters with many illustrations in color the equipment, procedures and pathology of the gastro-intestinal tract in children. Each has a reference list. For pediatric gastroentorologists" Pediatric Endocrinology Reviews. December 2007

“The primary authors are well qualified in this field to write such a book. I commend the authors for providing tables for equipment troubleshooting.”
Practical Gastroenterology

"This is the only book presently available in the market which deals exclusively with paediatric endoscopy. The authors of the chapters are well established authorities in the field. They bring diverse expertise to the work, including substantial experience in the technology of endoscopic instruments and accessories, as well as pathology, diagnostic methodologies and therapy of paediatric gatrointenstinal disease. The result is a book that is complete but at the same time easy to read and to understand.....Very nice book, complete, well written and apporpiately referenced, but at the same time easy to understand. Its nice figures, tables and charts allow a quick and easy interpretation to the readers"- G. Manes. Digestive and Liver disease (40) 2008

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