recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions.
The right of George Gershman and Mike Thomson to be identified as the authors of the editorial material in this work has been asserted in accordance with law.
Registered Offices John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK
Editorial Office 9600 Garsington Road, Oxford, OX4 2DQ, UK
For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com.
Wiley also publishes its books in a variety of electronic formats and by print‐on‐demand. Some content that appears in standard print versions of this book may not be available in other formats.
Limit of Liability/Disclaimer of Warranty The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.
Library of Congress Cataloging‐in‐Publication Data Names: Gershman, George, editor. | Thomson, Mike (Mike Andrew), editor. Title: Practical pediatric gastrointestinal endoscopy / edited by George Gershman, Mike Thomson. Description: Third edition. | Hoboken, NJ : Wiley‐Blackwell, 2021. | Includes bibliographical references and index. Identifiers: LCCN 2020022834 (print) | LCCN 2020022835 (ebook) | ISBN 9781119423454 (hardback) | ISBN 9781119423416 (adobe pdf) | ISBN 9781119423485 (epub) Subjects: MESH: Endoscopy, Gastrointestinal | Pediatrics–methods | Child | Infant Classification: LCC RJ446 (print) | LCC RJ446 (ebook) | NLM WI 190 | DDC 618.92/3307545–dc23 LC record available at https://lccn.loc.gov/2020022834 LC ebook record available at https://lccn.loc.gov/2020022835
Cover Design: Wiley
Cover Image: © FatCamera/Getty Images
Personal statements
George Gershman To the new generations of pediatric gastroenterologists and endoscopy enthusiasts: a letter to the future.
Once upon a time, there was a young fellow in Moscow, Russia, who was a resident working in one of the oldest hospitals in Moscow, named after Yevgeny Botkin, court physician to Tsar Nicholas II (who was murdered along with the entire Tsarust family by Bolsheviks in 1918).
The training was all about patient care. The diagnostic tools were limited to a stethoscope, basic laboratory support, and X‐rays. The time felt almost frozen.
One day, I heard a rumor that one of the attending physician named Eduard Rokhlin was performing unique procedures, and out of curiosity I asked for permission to watch.
To my surprise, I was allowed not only to observe the study but look inside the endoscope. I still remember that moment of excitement and disbelieve that I was looking inside the stomach of a live person in real time. It was the moment which changed my life. I was fortunate to witness the fast progression of flexible endoscopy from a primitive stage of large‐caliber fiberscopes with an eyepiece resembling that of old microscopes to modern high‐definition, slim and ultra‐slim video endoscopes, single‐ and double‐balloon enteroscopes, endoscopic capsules, and many other innovations which have opened unlimited diagnostic and therapeutic possibilities in the field of pediatric gastroenterology.
You, my young colleague, who have opened a new page of your life, step into a fascinating journey of new discoveries in pediatric gastroenterology.
I express my deep gratitude to Dr Eduard Rokhlin, who was my endoscopy mentor and dear friend; Professor Samy Cadranel and Jean‐François Mougenot: two remarkable physicians and endoscopists who opened the door for me to enter the world of European community of pediatric gastroenterology; Professor Jon A. Vanderhoof, who gave me the opportunity to share my endoscopy skills and scientific data with my American colleagues at the Annual Meeting of North American Society of Pediatric Gastroenterology and Hepatology in 1989; and Professor Marvin E. Ament, one of the pioneers of pediatric GI endoscopy, who invited me to work with him at UCLA in Los Angeles. Finally, this book would not be possible without love abd support of Irina, my amazing wife and healer and my daughter Zhenya, a talanted artist, educated and art historian and my grandauphter Nikka, a truly gifted musician and composer.
Mike Thomson Why Pediatric Endoscopy?
Please forgive this indulgence, but as you may divine from this, I am clearly a little too focussed, and some may say ‘sad and obsessed’, with this area of medicine!
Like most things in life, and particularly in the serendipitous, chaotic and mal‐designed world of medical careers, I ‘fell’ in to endoscopy in children. Which does sound a little ‘messy’!
I am very grateful to George my co‐Editor and massive contributor for the opportunity to join him in this venture ‐ we did it together for the Second Edition 10 years ago, and this version has massively surpassed that one. Marvin Ament should not be forgotten as an integral part of the first and second Editions ‐ a real progenitor of paediatric endoscopy. We hope that this Third Edition has kept pace with this fast‐changing field.
I was first exposed to endoscopy in children in 1986 in a large teaching hospital in the North of England where it was ‘hold them down, minimally sedate, and get on with it.’ Things have changed a bit since then! However, to be fair, at that point, I did not ‘get the bug’ for pediatric endoscopy. It was really still in its infancy, having been championed in the late 1970s and early 1980s by such giants of the field as Sami Cadranel (so sadly, recently left us), Marvin Ament and Jean‐Francois‐Mougenot. Sami, Jean‐Francois and I were (much) later get to know each other and become friends. They and many others set the scene for the undertaking of children’s endoscopy by children’s specialists in GI – a cause I have always believed in and tried to implement. Who wants an adult surgeon doing a quick sigmoidoscopy on your child with suspected Crohn’s and taking no biopsies? Never mind not getting to the ileum! Hobby horse time – I always call the