Advanced

Pediatric Endoscopy & Procedures

A procedurally focused curriculum covering pre-procedure assessment, sedation and anesthesia, diagnostic and therapeutic endoscopic technique, and endoscopy unit safety in children, mapped to SCFHS logbook minimums (F1 20 EGD/10 colonoscopy/5 sigmoidoscopy; F2 30/15/5; F3 30/20/5; ≥2 DOPS per year) and NASPGHAN/ESPGHAN endoscopy training standards.

Lessons

Hours

CME

107

Questions

Learning Objectives

Obtain developmentally appropriate consent and assent, and select the correct sedation or anesthesia pathway for a pediatric endoscopic procedure

Apply age- and weight-appropriate scope selection, insertion technique, and biopsy protocols for EGD and colonoscopy

Describe the technique, indications, and safety considerations for common therapeutic endoscopic procedures including polypectomy, dilation, and foreign body/button battery retrieval

Apply appropriate endoscopic hemostasis techniques to pediatric GI bleeding and recognize when advanced or adult-trained endoscopist referral is warranted

Recognize and manage major endoscopic complications (perforation, bleeding, post-polypectomy syndrome) and apply endoscopy unit safety principles

Apply logbook and DOPS-based competency documentation standards required for pediatric GI fellowship certification

Pediatric Endoscopy & Procedures

Lessons

Hours

CME

107

Questions

Learning Objectives

Obtain developmentally appropriate consent and assent, and select the correct sedation or anesthesia pathway for a pediatric endoscopic procedure

Apply age- and weight-appropriate scope selection, insertion technique, and biopsy protocols for EGD and colonoscopy

Describe the technique, indications, and safety considerations for common therapeutic endoscopic procedures including polypectomy, dilation, and foreign body/button battery retrieval

Apply appropriate endoscopic hemostasis techniques to pediatric GI bleeding and recognize when advanced or adult-trained endoscopist referral is warranted

Recognize and manage major endoscopic complications (perforation, bleeding, post-polypectomy syndrome) and apply endoscopy unit safety principles

Apply logbook and DOPS-based competency documentation standards required for pediatric GI fellowship certification

Pediatric Endoscopy & Procedures

Learning Objectives

Informed Consent, Assent, and Sedation-vs-Anesthesia Decision-Making

Fasting Guidelines and the Pre-Procedure Safety Checklist

Sedation and Anesthesia Options: Moderate/Deep Sedation and Propofol-Based Anesthesia

Monitoring Standards and Recovery/Discharge Criteria

Upper GI Endoscopy: Scope Selection by Age/Weight and Insertion Technique

EGD Biopsy Protocols: The EoE Six-Biopsy Protocol and ESPGHAN Celiac Biopsy Sites

Colonoscopy: Bowel Preparation Regimens by Age

Colonoscopy Technique: Insertion, Loop Management, and Terminal Ileum Intubation

Colonoscopy Biopsy Strategy for Suspected Inflammatory Bowel Disease

Therapeutic Endoscopy: Polypectomy Technique and Esophageal Dilation (Balloon vs Bougie)

Foreign Body and Button Battery Retrieval

Endoscopic Hemostasis for Pediatric GI Bleeding: Injection, Thermal, and Mechanical Techniques

Capsule Endoscopy and Device-Assisted Enteroscopy in Children

Percutaneous Endoscopic Gastrostomy (PEG) Placement: Indications, Technique, and Complications

ERCP and EUS in Pediatric Patients: Indications and Referral Thresholds

Endoscopy Unit Safety, Complication Recognition, and Quality Metrics/Logbook Documentation (DOPS)

Pediatric Endoscopy & Procedures

Learning Objectives

Informed Consent, Assent, and Sedation-vs-Anesthesia Decision-Making

Fasting Guidelines and the Pre-Procedure Safety Checklist

Sedation and Anesthesia Options: Moderate/Deep Sedation and Propofol-Based Anesthesia

Monitoring Standards and Recovery/Discharge Criteria

Upper GI Endoscopy: Scope Selection by Age/Weight and Insertion Technique

EGD Biopsy Protocols: The EoE Six-Biopsy Protocol and ESPGHAN Celiac Biopsy Sites

Colonoscopy: Bowel Preparation Regimens by Age

Colonoscopy Technique: Insertion, Loop Management, and Terminal Ileum Intubation

Colonoscopy Biopsy Strategy for Suspected Inflammatory Bowel Disease

Therapeutic Endoscopy: Polypectomy Technique and Esophageal Dilation (Balloon vs Bougie)

Foreign Body and Button Battery Retrieval

Endoscopic Hemostasis for Pediatric GI Bleeding: Injection, Thermal, and Mechanical Techniques

Capsule Endoscopy and Device-Assisted Enteroscopy in Children

Percutaneous Endoscopic Gastrostomy (PEG) Placement: Indications, Technique, and Complications

ERCP and EUS in Pediatric Patients: Indications and Referral Thresholds

Endoscopy Unit Safety, Complication Recognition, and Quality Metrics/Logbook Documentation (DOPS)