This field of specialty deals with diseases of the liver and gut, with the aim of helping children eat and grow healthily, so that they can attain their fullest potential.
Gastroesophageal reflux, gastritis, peptic ulcer disease, recurrent abdominal pain, chronic constipation are common gastrointestinal conditions in children. Rarer conditions like cow’s milk protein allergy, inflammatory bowel disease and coeliac disease are also being increasingly diagnosed nowadays. Early recognition, diagnosis and treatment of conditions will minimise school disruption and psychological impact that these conditions may bring to the young patients.
Common liver conditions encountered include neonatal jaundice, chronic hepatitis B, TPN cholestasis, biliary atresia, Wilson’s disease, autoimmune liver disease, non-alcoholic steatohepatitis (NASH), metabolic liver diseases (e.g Criglar Najjar, glycogen storage disease, urea cycle defect) , acute liver failure and chronic liver failure. Chronic liver disease is the commonest cause of liver transplantation in children around the world. Early management may prevent liver damage, cirrhosis and the need for early transplantation.
Good nutrition is essential for growth and brain development. For some fussy eaters, childen with chronic illness, oral hypersensitivity or swallowing disorders, eating is a difficult task that needs to be monitored to ensure that adequate nutrients are delivered in the best possible way so as not to result in a failure to thrive. Other children with surgical short gut may need special intravenous nutrition.
Services at the Gastroenterology Clinic include:
- General paediatrician, well baby checks and comprehensive vaccination packages
- General gastroenterology / nutrition assessment and management
- pH/MII study and reporting for reflux
- Chronic liver disease and liver transplantation
- Food allergy testing
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