儿童消化内镜的发展与思考

Development and thoughts of digestive endoscopy in children

摘要:

经过近40年的发展，儿童消化内镜得到推广和普及，拓展了儿童消化系统疾病谱，极大地提高了儿童消化系统疾病的诊治水平，儿童消化内镜学已成为一门学科，但全国儿童消化内镜发展不均衡、诊疗体系欠缺同质化、诊疗技术倾向成人化、培训质量属地化等问题的存在影响了儿童消化内镜规范和健康发展。儿童消化内镜诊疗要坚持儿科特色与技术创新并举，创导舒适化，立足标准化（包括内镜诊疗空间、诊疗过程、围术期评估、培训模式、准入资格），规范微创化，发展智能化，以安全医疗为根本，结合儿童生长发育特点，制定相关共识和指南，走出一条儿童消化内镜高质量内涵发展之路，切实提高儿童消化内镜的诊疗水平，使更多的儿童患者受益。 引

Abstract:

After nearly 40 years of development, digestive endoscopy in children has been widely applied, and it has helped to expand the spectrum of pediatric digestive system diseases and greatly improve the diagnosis and treatment of pediatric digestive system diseases. Pediatric digestive endoscopy has become a subject. However, there are some problems such as the unbalanced development of pediatric digestive endoscopy across China, the lack of homogeneity in diagnosis and treatment system, the tendency of adult-oriented diagnosis and treatment techniques, and the localization of training quality, which affect the standardized and healthy development of pediatric digestive endoscopy. The diagnosis and treatment with digestive endoscopy in children should adhere to both pediatric characteristics and technological innovation to propose the concept of comfort, emphasize the importance of standardization (including the space and process for endoscopic diagnosis and treatment, perioperative evaluation, training mode, and access qualification), standardize the minimally invasive techniques, and develop artificial intelligence. It is of great importance to formulate related consensus statements and guidelines on the basis of medical safety and the features of the growth and development of children, so as to achieve the high-quality development of pediatric digestive endoscopy, effectively improve the diagnosis and treatment levels of pediatric digestive endoscopy, and bring benefits to more pediatric patients.