{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T11:07:15Z","timestamp":1783940835731,"version":"3.55.0"},"reference-count":20,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Esophageal varices (EV) need monitoring in patients with portal hypertension. In 2022, a single\u2010use ultra\u2010slim (3.5\u2009mm) gastroscope was approved for use in children and adults. This study evaluated if an ultra\u2010slim gastroscope could evaluate, grade, and corroborate the presence of EV in sedated pediatric patients as compared to standard oral gastroscopes (&gt;8.6\u2009mm). Ten pediatric subjects with suspected or known EV underwent surveillance endoscopy using the ultra\u2010slim endoscope followed by the standard gastroscope under sedation. Esophageal findings were analyzed using images from both procedures by two independent endoscopists. Visual findings for the presence or absence of EV had 100% congruence. EV were identified in 8\/10 subjects (Grade I (4), Grade II (3), and Grade II\/III (1)). Endoscopic grading matched between both endoscopes in 7\/8 (87.5%) cases. Ultra\u2010slim and standard gastroscopes showed reliable visual agreement and could be used similarly in certain clinical settings to evaluate EV.<\/jats:p>","DOI":"10.1002\/jpr3.70220","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T10:38:54Z","timestamp":1783939134000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of single\u2010use ultra\u2010slim endoscopes for evaluation of pediatric esophageal varices: A pilot feasibility study"],"prefix":"10.1002","author":[{"given":"Vishruti","family":"Patel","sequence":"first","affiliation":[{"name":"Division of Gastroenterology Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Greenhall","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Dybbro","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheetal","family":"Wadera","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel A.","family":"Friedlander","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shauna","family":"Schroeder","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Phoenix Children's Hospital Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3467-8755","authenticated-orcid":false,"given":"Paul","family":"Tran","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Phoenix Children's Hospital Phoenix Arizona USA"},{"name":"Division of Gastroenterology, College of Medicine University of Arizona Phoenix Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"issue":"9","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"2246","DOI":"10.1111\/j.1572-0241.2002.05906.x","article-title":"Unsedated transnasal endoscopy: a new technique for accurately detecting and grading esophageal varices in cirrhotic patients","volume":"97","author":"Saeian K","year":"2002","journal-title":"Am J 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Diseases","volume":"65","author":"Garcia\u2010Tsao G","year":"2017","journal-title":"Hepatology"},{"issue":"3","key":"e_1_2_8_6_1","first-page":"305","article-title":"\u039don\u2010invasive screening for esophageal varices in patients with liver cirrhosis","volume":"31","author":"Karatzas A","year":"2018","journal-title":"Ann Gastroenterol"},{"issue":"2","key":"e_1_2_8_7_1","first-page":"92","article-title":"The potential applications of capsule endoscopy in pediatric patients compared with adult patients","volume":"9","author":"Cohen SA","year":"2013","journal-title":"Gastroenterol Hepatol (N Y)"},{"issue":"4","key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1097\/MPG.0000000000003029","article-title":"Pediatric patients' and parents' perspectives of unsedated transnasal endoscopy in eosinophilic esophagitis: a qualitative descriptive study","volume":"72","author":"Scherer C","year":"2020","journal-title":"J Pediatr Gastroenterol 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Res"},{"issue":"12","key":"e_1_2_8_12_1","doi-asserted-by":"crossref","first-page":"2455","DOI":"10.1016\/j.cgh.2019.01.023","article-title":"Transnasal endoscopy in unsedated children with eosinophilic esophagitis using virtual reality video goggles","volume":"17","author":"Nguyen N","year":"2019","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"6","key":"e_1_2_8_13_1","doi-asserted-by":"crossref","first-page":"1937","DOI":"10.1007\/s10620-022-07432-9","article-title":"Unsedated transnasal endoscopy: a safe, well\u2010tolerated and accurate alternative to standard diagnostic peroral endoscopy","volume":"67","author":"Grant RK","year":"2022","journal-title":"Dig Dis Sci"},{"issue":"6","key":"e_1_2_8_14_1","doi-asserted-by":"crossref","first-page":"AB1192","DOI":"10.1016\/j.gie.2023.04.1807","article-title":"Or not needed! In\u2010clinic unsedated transnasal esophagoscopy in high\u2010risk pediatric patients for esophageal variceal evaluation using a single use pediatric transnasal gastroscope","volume":"97","author":"Bhardwaj V","year":"2023","journal-title":"Gastrointest Endosc"},{"issue":"1","key":"e_1_2_8_15_1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1002\/jpr3.12025","article-title":"Office\u2010based sedation\u2010free transnasal esophagogastroduodenoscopy with biopsies using single\u2010use gastroscopes: a pediatric single\u2010center experience","volume":"5","author":"Smadi Y","year":"2023","journal-title":"JPGN Rep"},{"issue":"1","key":"e_1_2_8_16_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4292\/wjgpt.v10.i1.1","article-title":"Update on the management of gastrointestinal varices","volume":"10","author":"Boregowda U","year":"2019","journal-title":"World J Gastrointest Pharmacol Ther"},{"issue":"6","key":"e_1_2_8_17_1","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1016\/j.gie.2010.01.022","article-title":"Ultrathin endoscopes","volume":"71","author":"Rodriguez SA","year":"2010","journal-title":"Gastrointest Endosc"},{"issue":"5","key":"e_1_2_8_18_1","doi-asserted-by":"crossref","first-page":"231","DOI":"10.5223\/pghn.2023.26.5.231","article-title":"Endoscopic primary prophylaxis to prevent bleeding in children with esophageal varices: a systematic review and meta\u2010analysis","volume":"26","author":"Alatas FS","year":"2023","journal-title":"Pediatr Gastroenterol Hepatol Nutr"},{"issue":"1","key":"e_1_2_8_19_1","doi-asserted-by":"crossref","first-page":"20","DOI":"10.3350\/cmh.2017.0064","article-title":"Prevention and management of gastroesophageal varices","volume":"24","author":"Seo YS","year":"2018","journal-title":"Clin Mol Hepatol"},{"issue":"1","key":"e_1_2_8_20_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.3345\/cep.2019.01599","article-title":"Noninvasive markers for esophageal varices in children with cirrhosis","volume":"64","author":"Rahmani P","year":"2021","journal-title":"Clin Exp Pediatr"},{"issue":"6","key":"e_1_2_8_21_1","doi-asserted-by":"crossref","first-page":"1212","DOI":"10.1016\/j.gie.2016.11.019","article-title":"Ultrathin disposable gastroscope for screening and surveillance of gastroesophageal varices in patients with liver cirrhosis: a prospective comparative study","volume":"85","author":"Huynh DK","year":"2017","journal-title":"Gastrointest Endosc"}],"container-title":["JPGN Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpr3.70220","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jpr3.70220","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpr3.70220","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T10:38:57Z","timestamp":1783939137000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpr3.70220"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":20,"alternative-id":["10.1002\/jpr3.70220"],"URL":"https:\/\/doi.org\/10.1002\/jpr3.70220","archive":["Portico"],"relation":{},"ISSN":["2691-171X","2691-171X"],"issn-type":[{"value":"2691-171X","type":"print"},{"value":"2691-171X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]},"assertion":[{"value":"2025-02-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jpr3.70220"}}