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CC BY 4.0 · Endosc Int Open
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
2   Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza University of Rome, Rome, Italy (Ringgold ID: RIN9311)
,
Lucia Cococcioni
3   Department of Pediatrics, Vittore Buzzi Children's Hospital, Milano, Italy (Ringgold ID: RIN37220)
,
Francesca Destro
4   Department of Pediatric Surgery, Vittore Buzzi Children's Hospital, Milano, Italy (Ringgold ID: RIN37220)
,
Marco Deganello Saccomani 
5   Department of Pediatrics, Woman’s & Child’s University Hospital of Verona, Verona, Italy
,
Claudia Banzato
6   Department of Pediatrics, Woman's and Child's University Hospital of Verona, Verona, Italy
,
Barbara Parma
7   Department of Pediatrics, Mariani Foundation Center for Fragile Child. ASST-Lariana, Sant'Anna Hospital, San Fermo della Battaglia, Italy
,
Giulia Franchino
7   Department of Pediatrics, Mariani Foundation Center for Fragile Child. ASST-Lariana, Sant'Anna Hospital, San Fermo della Battaglia, Italy
,
Giovanni Di Nardo
8   NESMOS Department, University of Rome La Sapienza, Rome, Italy (Ringgold ID: RIN9311)
,
Emanuele Nicastro
9   Pediatric Hepatology Gastrosenterology and Transplantation Unit, ASST Papa Giovanni XXIII, Bergamo, Italy (Ringgold ID: RIN9333)
,
Paolo Orizio
10   Department of Pediatric Surgery, Spedali Civili Children's Hospital, Brescia, Italy
,
Emanuele Dabizzi
11   Gastroenterology and Interventional Endoscopy Unit, Surgical Department, AUSL di Bologna, Bologna, Italy (Ringgold ID: RIN26217)
,
Giorgio Raffaele Fava
12   Department of Pediatric Surgery, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy (Ringgold ID: RIN9339)
,
Andrea Chiaro
13   Pediatric Gastroenterology and Endoscopy Unit, IRCCS Istituto Giannina Gaslini, Genova, Italy (Ringgold ID: RIN18572)
,
Maristella Pellegrino
14   Pediatric Surgery Department, ASST Grande Ospedale Metropolitano Niguarda, Milano, Italy (Ringgold ID: RIN9338)
,
Fabiola Fornaroli
15   Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy (Ringgold ID: RIN9370)
,
Antonio Pizzol
16   Pediatric Gastroenterology Unit, Regina Margherita Children's Hospital, Turin, Italy (Ringgold ID: RIN472627)
,
Caterina Strisciuglio
17   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
18   Department of Pediatrics, San Giovanni di Dio Hospital, Crotone, Italy
,
Sara Renzo
19   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
20   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)
21   Neonatology and Neonatal Intensive Care Unit, Spedali Civili Children's Hospital, Brescia, Italy
,
Lorenzo Norsa 
22   Pediatric Hepatology Gastroenterology and Transplantation, ASST Papa Giovanni XXIII, Bergamo, Italy (Ringgold ID: RIN9333)
23   Department of Pediatrics, Vittore Buzzi Children's Hospital, Vittore Buzzi Children's Hospital, Milano, Italy (Ringgold ID: RIN37220)
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Background and 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 conducted prospective data collection (demographics, procedural information, pre/intra/post-procedural indicators, patient satisfaction questionnaires) within the Italian Society of Pediatric Gastroenterology, Hepatology, and Nutrition using the ENDO-PED® mobile app. Results: Out of 3410 registered procedures, 827 ICs were analyzed. The mean age of patients 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-procedural indicators, a 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-procedural 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%. The 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-procedural indicators, late complications occurred in 3 children (0.4%), and a final report was issued in 96% of cases, with 67.2% being completed later 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, while waiting time and post-procedural communication seemed to be the most critical areas of concern.



Publikationsverlauf

Eingereicht: 02. Oktober 2024

Angenommen nach Revision: 14. März 2025

Accepted Manuscript online:
22. April 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/).

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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 ; 0: a25922914.
DOI: 10.1055/a-2592-2914