Endoscopic examination of the colon in children under sedation or anesthesia.

Why it’s done
• Chronic diarrhea or bleeding
• Suspected pediatric IBD or polyps

Preparation
• Age-appropriate bowel prep regimen
• Clear liquids day before

Procedure
• Under sedation, a pediatric colonoscope examines the colon and terminal ileum
• Biopsies or polypectomy as needed

Afterwards
• Monitor in recovery until sedative wears off
• Clear liquids first, advance diet cautiously

Risks
• Abdominal cramping, bloating
• Bleeding, rare perforation