Digestive endoscopy in children: what is it and when is it needed?

Digestive endoscopy is a minimally invasive medical procedure used to visualize the inside of the digestive tract. It involves inserting a thin, flexible tube, called an endoscope, through either the oral or anal cavity, depending on the area under investigation. The endoscope is equipped with a video camera and a light source, allowing the doctor to observe the digestive lining in real time and identify any abnormalities.

When is digestive endoscopy necessary in children?

Digestive endoscopy is recommended by the pediatric gastroenterologist at Elytis Hospital when a digestive disorder is suspected and other diagnostic methods such as abdominal ultrasound or blood testsdo not provide sufficient information. Among the most common situations in which endoscopy is used are:

• Chronic or recurrent abdominal pain: when the pain persists or recurs frequently without an identified cause.
• Gastrointestinal bleeding: blood in stools or vomiting.
• Chronic diarrhea: frequent, loose, persistent stools that do not improve with regular treatment.
• Persistent vomiting: repeated episodes of vomiting, which can lead to dehydration or weight loss.
• Difficulty swallowing: feeling blocked or painful when swallowing food.
• Severe gastro-oesophageal reflux: frequent heartburn, acid regurgitation, unresponsive to treatment.
• Inflammatory bowel disease (Crohn's disease, ulcerative ulcerative colitis): for diagnosis, assessment of disease progression and treatment monitoring.
• Intestinal polyps: growths on the lining of the colon that can be removed during endoscopy.
• Celiac disease: for diagnosis by taking biopsies from the small intestine.

What conditions can digestive endoscopy diagnose in children?

Digestive endoscopy can diagnose a wide range of digestive disorders in children, such as:

• Esophagitis: inflammation of the esophagus, often caused by gastroesophageal reflux.
• Gastritis: inflammation of the lining of the stomach.
• Gastric or duodenal ulcers: lesions in the stomach or duodenum.
• Coeliac disease: intolerance to gluten, a protein found in wheat, barley and rye.
• Inflammatory bowel disease: Crohn's disease and ulcerative ulcerative colitis.
• Intestinal polyps.
• Gastrointestinal bleeding.
• Digestive tumors (rare in children).

Is digestive endoscopy painful?

Digestive endoscopy can be uncomfortable for children, but it is not painful. At Elytis Hospitalwe use gentle sedation methods, adapted to the age and condition of the child, to reduce discomfort and anxiety. The child will be closely monitored by the anesthesiologist throughout the procedure.

How is digestive endoscopy performed at Elytis Hospital?

Before the endoscopy, the child will be consulted by the pediatric gastroenterologist and the anesthesiologist. The procedure, its benefits and risks will be explained in detail. It is important that parents tell the doctor any relevant information about their child's health, including allergies or other medical conditions.

On the day of the procedure, the child will be asked not to eat or drink anything for a few hours beforehand, as instructed by the doctor. The endoscopy is performed in a special room with modern equipment. After sedation, the endoscope is inserted through the oral or anal cavity, depending on the area under investigation. The doctor views the images transmitted by the endoscope on a screen and may take biopsies if necessary.

After endoscopy, the child will be monitored for a period of time until the sedation wears off. He or she may experience mild abdominal discomfort or bloating, which usually disappears within a short time.

How safe is digestive endoscopy for children?

Digestive endoscopy is a safe procedure for children when performed by experienced doctors in an appropriate environment. At Elytis Hospitalthe team of pediatric gastroenterologists is highly qualified and experienced in performing endoscopies in children. We use modern equipment and strictly follow safety protocols to minimize any risk.

Pediatric Gastroenterology at Elytis Hospital

At Elytis Hospital, your child's health is our priority. We provide high quality pediatric gastroenterology services in a safe and friendly environment. Our team of physicians is dedicated to providing the best diagnostic and treatment solutions tailored to each child's needs.

Why choose pediatric gastroenterology at Elytis Hospital?

• Specific approach for children: our doctors specialize in treating digestive problems in children aged 0-17 years, using methods adapted to each stage of development.
• Modern technology: investigations, such as abdominal ultrasound, are performed with high-performance equipment, ensuring accuracy and safety.
• Counseling and prevention: we offer support for parents, including information on proper nutrition and preventive measures for the health of your child's digestive system.

Services offered by Elytis Hospital:

• Gastroenterology consultations and check-ups
• Abdominal ultrasound scans
• Special recommendation: it is mandatory to bring a stool sample for a complete and accurate assessment

The Elytis Hospitalpediatric gastroenterology means more than just treatment - it means support and empathy for the child and family. We are dedicated to the health of our little patients, ensuring that every investigation and treatment is carried out with care and professionalism.

Latest medical review:

31.01.2025, Dr. Oana Maria Roșu – Medic Specialist Gastroenterologie Pediatrică