Pädiatrische Endoskopie – ein Update

Zusammenfassung

Kinderendoskopie ist ein typisches Beispiel für die Verzahnung von getrennten Fachgebieten. Sie wird in Deutschland unterschiedlich gehandhabt. Die meisten Endoskopien liegen in der Hand der Gastroenterologen aus der Erwachsenenmedizin, da Pädiater mit endoskopischer Erfahrung nicht flächendeckend vorgehalten werden können. Auf der anderen Seite existieren Zentren mit hoher Expertise in der Hand erfahrener Kindergastroenterologen. Über die Besonderheiten der Endoskopie beim Kind gibt es kaum Literatur. In diesem Artikel haben sich Pädiater und Gastroenterologen aus der Erwachsenenmedizin zusammengefunden, um die Besonderheiten der Endoskopie im Kindesalter zu beschreiben und nachvollziehbar anwendbar zu machen. Ziel ist es, Erfahrungen aus den Besonderheiten der Kindergastroenterologie zusammenzufassen, um sowohl Pädiatern als auch kinderendoskopisch tätigen Gastroenterologen in Ihrer Tätigkeit eine Hilfestellung zu geben.

Abstract

Pediatric endoscopy is a good example of a multidiscipliniary approach. In many, but not all hospitals, endoscopy in pediatric patients is performed by conventional gastroenterologists and only in some centers by pediatric gastroenterologists. This is due to the fact that not as many pediatric gastroenterologists are available. Some of the centers are very experienced. There is only limited literature on pediatric endoscopy available. Therefore, an update may be relevant for both the adult and pediatric gastroenterologists. Here we describe current knowledge on endoscopic procedures in pediatric patients.

Schlüsselwörter

Leitlinien - ERCP - Zöliakie - Fremdkörper

Key words

guidelines - ERCP - celiac sprue - foreign body

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