Significance of Pediatric Endoscopy

Abstract

With the necessity of direct investigations in younger and younger children difficulties and dangers in endoscopy arise. The reasons for these local difficulties are the anatomical-topographical situation, the specialized instruments and the different procedures in anesthesia. All these circumstances make a special technique necessary and an experience in assessing circumscribed lesions and wall alterations. Endoscopy is only possible by cooperation of the anesthetist, the pediatrician and the pediatric surgeon. It depends on local circumstances where endoscopy should be performed. There is no doubt about the necessity of endoscopy in children. However, endoscopy procedures must be performed with utmost caution and care, with a very critical sense of possible therapeutic procedures available and with a very strong indication.