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Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1982 Jan;57(1):49–53.

Total colonoscopy in children.

C B Williams, N J Laage, C A Campbell, J R Douglas, J A Walker-Smith, I W Booth, J T Harries
PMCID: PMC2863260  PMID: 7065694

Abstract

One hundred and twenty-three total colonoscopies were performed on 115 children with ages ranging from 3 months to 16 years. The major indications were suspected inflammatory bowel disease and unexplained rectal bleeding. Ninety-seven per cent of all procedures were carried out with sedation only. Adult colonoscopes were used in most of the patients but in babies and small children paediatric instruments were preferable. Total colonoscopy was possible in all patients with a patent colon. The terminal ileum was examined in 63 patients. Endoscopic snare polypectomy was successfully carried out in 8 children and multiple haemangiomas were electrocoagulated in one. Total colonoscopy in this paediatric series proved to be at least as easy, rapid, well-tolerated, and safe as in adults. In selected patients as single colonoscopy can give an accurate diagnosis with biopsy proof and sometimes the opportunity for definitive treatment.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cadranel S., Rodesch P., Peeters J. P., Cremer M. Fiberendoscopy of the gastrointestinal tract in children. A series of 100 examinations. Am J Dis Child. 1977 Jan;131(1):41–45. doi: 10.1001/archpedi.1977.02120140043006. [DOI] [PubMed] [Google Scholar]
  2. Douglas J. R., Campbell C. A., Salisbury D. M., Walker-Smith J. A., Williams C. B. Colonoscopic polypectomy in children. Br Med J. 1980 Nov 22;281(6252):1386–1387. doi: 10.1136/bmj.281.6252.1386. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Fisher S. E., Harrison M., Adkins J. C. Colonoscopic diagnosis of vascular anomalies in children. Clin Pediatr (Phila) 1979 May;18(5):299–303. doi: 10.1177/000992287901800510. [DOI] [PubMed] [Google Scholar]
  4. Frühmorgen P., Demling L. Complications of diagnostic and therapeutic colonoscopy in the Federal Republic of Germany. Results of an inquiry. Endoscopy. 1979 May;11(2):146–150. doi: 10.1055/s-0028-1098341. [DOI] [PubMed] [Google Scholar]
  5. Gans S. L., Ament M., Christie D. L., Liebman W. M. Pediatric endoscopy with flexible fiberscopes. J Pediatr Surg. 1975 Jun;10(3):375–380. doi: 10.1016/0022-3468(75)90101-3. [DOI] [PubMed] [Google Scholar]
  6. Gillespie P. E., Nicholls R. J., Thomson J. P., Williams C. B. Snare polypectomy by sigmoid-rectal intussusception. Br Med J. 1978 May 27;1(6124):1395–1395. doi: 10.1136/bmj.1.6124.1395. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Gleason W. A., Jr, Goldstein P. D., Shatz B. A., Tedesco F. J. Colonoscopic removal of juvenile colonic polyps. J Pediatr Surg. 1975 Aug;10(4):519–521. doi: 10.1016/0022-3468(75)90195-5. [DOI] [PubMed] [Google Scholar]
  8. Habr-Gama A., Alves P. R., Gama-Rodrigues J. J., Teixeira M. G., Barbieri D. Pediatric colonoscopy. Dis Colon Rectum. 1979 Nov-Dec;22(8):530–535. doi: 10.1007/BF02586998. [DOI] [PubMed] [Google Scholar]
  9. Holgersen L. O., Mossberg S. M., Miller R. E. Colonoscopy for rectal bleeding in childhood. J Pediatr Surg. 1978 Feb;13(1):83–85. doi: 10.1016/s0022-3468(78)80217-6. [DOI] [PubMed] [Google Scholar]
  10. Liebman W. M. Fiberoptic endoscopy of the gastrointestinal tract in infants and children. II. Fiberoptic colonoscopy and polypectomy in 15 children. Am J Gastroenterol. 1977 Nov;68(5):452–455. [PubMed] [Google Scholar]
  11. Livstone E. M., Cohen G. M., Troncale F. J., Touloukian R. J. Diastatic serosal lacerations: an unrecognized complication of colonoscopy. Gastroenterology. 1974 Dec;67(6):1245–1247. [PubMed] [Google Scholar]
  12. Loose H. W., Williams C. B. Barium enema versus colonoscopy. Proc R Soc Med. 1974 Oct;67(10):1033–1036. [PMC free article] [PubMed] [Google Scholar]
  13. Lux G., Rösch W., Phillip J., Frühmorgen P. Gastrointestinal fiberoptic endoscopy in pediatric patients and juveniles. Endoscopy. 1978 Aug;10(3):158–163. doi: 10.1055/s-0028-1098284. [DOI] [PubMed] [Google Scholar]
  14. Nelson E. W., Jr, Rodgers B. M., Zawatzky L. Endoscopic appearance of auto-amputated polyps in juvenile polyposis coli. J Pediatr Surg. 1977 Oct;12(5):773–776. doi: 10.1016/0022-3468(77)90418-3. [DOI] [PubMed] [Google Scholar]
  15. Overholt B. F. Colonoscopy. A review. Gastroenterology. 1975 May;68(5 Pt 1):1308–1320. [PubMed] [Google Scholar]
  16. Rodesch P., Cadranel S., Peeters J. P., Cremer N., Cremer M. Colonic endoscopy in children. Acta Paediatr Belg. 1976 Jul-Sep;29(3):181–184. [PubMed] [Google Scholar]
  17. Rogers B. H., Silvis S. E., Nebel O. T., Sugawa C., Mandelstam P. Complications of flexible fiberoptic colonoscopy and polypectomy. Gastrointest Endosc. 1975 Nov;22(2):73–77. doi: 10.1016/s0016-5107(75)73705-7. [DOI] [PubMed] [Google Scholar]
  18. Shinya H., Wolff W. I. Colonoscopy. Surg Annu. 1976;8:257–295. [PubMed] [Google Scholar]
  19. Skovgaard S., Sorensen F. H. Bleeding hemangioma of the colon diagnosed by coloscopy. J Pediatr Surg. 1976 Feb;11(1):83–84. doi: 10.1016/0022-3468(76)90174-3. [DOI] [PubMed] [Google Scholar]
  20. Smith L. E. Fiberoptic colonoscopy: complications of colonoscopy and polypectomy. Dis Colon Rectum. 1976 Jul-Aug;19(5):407–412. doi: 10.1007/BF02590825. [DOI] [PubMed] [Google Scholar]
  21. Swarbrick E. T., Fevre D. I., Hunt R. H., Thomas B. M., Williams C. B. Colonoscopy for unexplained rectal bleeding. Br Med J. 1978 Dec 16;2(6153):1685–1687. doi: 10.1136/bmj.2.6153.1685. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Williams C. B., Waye J. D. Colonoscopy in inflammatory bowel disease. Clin Gastroenterol. 1978 Sep;7(3):701–717. [PubMed] [Google Scholar]
  23. Williams C. B., de Peyer R. C. Bipolar snare polypectomy--a safer technique for electrocoagulation of large polyp stalks. Endoscopy. 1979 Feb;11(1):47–50. doi: 10.1055/s-0028-1098324. [DOI] [PubMed] [Google Scholar]
  24. Williams C., Teague R. Colonoscopy. Gut. 1973 Dec;14(12):990–1003. doi: 10.1136/gut.14.12.990. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Wolff W. I. Colonoscopy updated. Adv Surg. 1979;13:145–168. [PubMed] [Google Scholar]
  26. Wolff W. I., Shinya H., Geffen A., Ozoktay S., DeBeer R. Comparison of colonoscopy and the contrast enema in five hundred patients with colorectal disease. Am J Surg. 1975 Feb;129(2):181–186. doi: 10.1016/0002-9610(75)90295-0. [DOI] [PubMed] [Google Scholar]

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