Pediatric endoscopy is widely performed by pediatric gastroenterologists for a long time and is an essential modality to assist pediatric clinicians in the diagnosis and management of various kinds of pediatric gastrointestinal diseases. Most new endoscopic devices and technologies are developed from an adult endoscopy perspective at the beginning, and the major limitation of these new technologies for pediatric patients include the lack of large-scale pediatric trials, size of the devices, the indications of pediatric patients, the experience of pediatric gastroenterologists in performing these new technologies, and the economic consideration to develop these new technologies in the pediatric endoscopy unit. In developing these new technologies, adult gastroenterologists in Asia play an essential role in assisting the procedures and even the technology development in the pediatric endoscopy unit. With the maturation of these new technologies and the improvement of the size of these devices, pediatric gastroenterologists get the chance to perform these emerging technologies to benefit pediatric patients.
The recent advances in pediatric endoscopy include a decrease in invasiveness, improvement in lesion detection ability, functional assessment of gastrointestinal dysmotility, and therapeutic endoscopic technologies.
With the advanced diagnostic and therapeutic endoscopy technologies in the field of pediatric gastroenterology, we are equipped with more and more modalities to monitor and manage our pediatric patients with special clinical considerations delicately.