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CC BY 4.0 · Endosc Int Open 2025; 13: a25922914
DOI: 10.1055/a-2592-2914
Original article

Mobile health technology in quality assessment of pediatric ileocolonoscopy: Results of the SIGENP national program

Salvatore Oliva
1   Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza University of Rome, Rome, Italy
,
Giusy Russo
1   Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza University of Rome, Rome, Italy
,
Lucia Cococcioni
2   Department of Pediatrics, Vittore Buzzi Children's Hospital, Milano, Italy (Ringgold ID: RIN37220)
,
Francesca Destro
3   Department of Pediatric Surgery, Vittore Buzzi Children's Hospital, Milano, Italy (Ringgold ID: RIN37220)
,
Marco Deganello Saccomani 
4   Department of Pediatrics, Woman’s and Child’s University Hospital of Verona, Verona, Italy
,
Claudia Banzato
4   Department of Pediatrics, Woman’s and Child’s University Hospital of Verona, Verona, Italy
,
Barbara Parma
5   Department of Pediatrics, Mariani Foundation Center for Fragile Child, ASST-Lariana, Sant'Anna Hospital, San Fermo della Battaglia, Italy
,
Giulia Franchino
5   Department of Pediatrics, Mariani Foundation Center for Fragile Child, ASST-Lariana, Sant'Anna Hospital, San Fermo della Battaglia, Italy
,
Giovanni Di Nardo
6   NESMOS Department, University of Rome La Sapienza, Rome, Italy (Ringgold ID: RIN9311)
,
Emanuele Nicastro
7   Pediatric Hepatology Gastrosenterology and Transplantation Unit, ASST Papa Giovanni XXIII, Bergamo, Italy (Ringgold ID: RIN9333)
,
Paolo Orizio
8   Department of Pediatric Surgery, Spedali Civili Children's Hospital, Brescia, Italy
,
Emanuele Dabizzi
9   Gastroenterology and Interventional Endoscopy Unit, Surgical Department, AUSL di Bologna, Bologna, Italy (Ringgold ID: RIN26217)
,
Giorgio Raffaele Fava
10   Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy (Ringgold ID: RIN9339)
,
Andrea Chiaro
11   Pediatric Gastroenterology and Endoscopy Unit, IRCCS Istituto Giannina Gaslini, Genova, Italy (Ringgold ID: RIN18572)
,
Maristella Pellegrino
12   Pediatric Surgery Department, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy (Ringgold ID: RIN9338)
,
Fabiola Fornaroli
13   Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy (Ringgold ID: RIN9370)
,
Antonio Pizzol
14   Pediatric Gastroenterology Unit, Regina Margherita Children's Hospital, Turin, Italy (Ringgold ID: RIN472627)
,
Caterina Strisciuglio
15   Department of Woman, Child, General and Specialistic Surgery, University of Campania Luigi Vanvitelli School of Medicine and Surgery, Napoli, Italy (Ringgold ID: RIN507855)
,
Caterina Pacenza
16   Department of Pediatrics, San Giovanni di Dio Hospital, Crotone, Italy
,
Sara Renzo
17   Gastroenterology and Nutrition Unit, Meyer Children’s Hospital, Florence, Italy
,
Cosimo Ruggiero
1   Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza University of Rome, Rome, Italy
,
Francesco Morotti
18   Division of Pediatrics, Department of Health Sciences, Università degli Studi del Piemonte Orientale Amedeo Avogadro Facoltà di Medicina e Chirurgia, Novara, Italy (Ringgold ID: RIN60252)
19   Neonatology and Neonatal Intensive Care Unit, Spedali Civili Children's Hospital, Brescia, Italy
,
Lorenzo Norsa 
20   Pediatric Hepatology Gastroenterology and Transplantation, ASST Papa Giovanni XXIII, Bergamo, Italy (Ringgold ID: RIN9333)
21   Department of Pediatrics, Vittore Buzzi Children's Hospital, Vittore Buzzi Children's Hospital, Milano, Italy (Ringgold ID: RIN37220)
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Abstract

Background and study aims

Currently, there is no formal quality assessment of pediatric gastrointestinal endoscopy. We innovatively used mobile health (mHealth) technology to determine the quality of pediatric ileocolonoscopy (IC) in Italy.

Methods

Between April 2019 and March 2021, we prospectively collected data (demographics, procedure information, pre/intra/post-procedure indicators, patient satisfaction questionnaires) from the Italian Society of Pediatric Gastroenterology, Hepatology, and Nutrition using the ENDO-PED mobile app.

Results

Of 3410 registered procedures, 827 ICs were analyzed. Mean patient age was 11.1 ± 4.7 years. The most frequent indication was IBD follow-up or diagnosis (57.9%). Therapeutic ICs accounted for 11%, with polypectomy being the most common procedure. Among pre-procedure indicators, waiting time < 30 days was reported in 70.7%, informed consent was signed in 99.8% of cases, and 90.8% of patients completed > 90% of bowel preparation. In terms of intra-procedure indicators, deep sedation was the most commonly used method (77.8%). A high level of bowel cleansing was achieved in 87.4% of patients, with a terminal ileal (TI) intubation rate of 91.6%. Mean IC time with and without TI intubation was 24.2 ± 15.5 and 22.6 ± 15.6 minutes, respectively (P=0.2). Regarding post-procedure indicators, late complications occurred in three children (0.4%), and a final report was issued in 96% of cases, with 67.2% being completed after more than 15 days.

Conclusions

mHealth was effective in assessing the quality of pediatric endoscopy. Levels of bowel preparation, sedation, TI intubation rate, and safety were adequate in Italy, whereas waiting time and post-procedure communication seemed to be the most critical areas of concern.

Keywords

Quality and logistical aspects - Quality management - Endoscopy Lower GI Tract - Pediatric endoscopy


Publication History

Received: 02 October 2024

Accepted after revision: 14 March 2025

Accepted Manuscript online:
22 April 2025

Article published online:
17 June 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

Bibliographical Record
Salvatore Oliva, Giusy Russo, Lucia Cococcioni, Francesca Destro, Marco Deganello Saccomani, Claudia Banzato, Barbara Parma, Giulia Franchino, Giovanni Di Nardo, Emanuele Nicastro, Paolo Orizio, Emanuele Dabizzi, Giorgio Raffaele Fava, Andrea Chiaro, Maristella Pellegrino, Fabiola Fornaroli, Antonio Pizzol, Caterina Strisciuglio, Caterina Pacenza, Sara Renzo, Cosimo Ruggiero, Francesco Morotti, Lorenzo Norsa. Mobile health technology in quality assessment of pediatric ileocolonoscopy: Results of the SIGENP national program. Endosc Int Open 2025; 13: a25922914.
DOI: 10.1055/a-2592-2914
 

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