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Pediatric Gastroenterology is a sub-category of general pediatrics and it studies the epidemiology, the etiology, the pathogenesis, the clinical manifestations, the diagnosis, the complications ...
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Pediatric Gastroenterology is a sub-category of general pediatrics and it studies the epidemiology, the etiology, the pathogenesis, the clinical manifestations, the diagnosis, the complications, the prevention and the treatment of gastrointestinal diseases in childhood.

The pediatric gastroenterology expert deals with one relatively new specialty. This specialty is an integral part of factual knowledge and diagnostic skills in pediatrics.

Pediatric Gastroenterology is a clinical specialty that covers all sections of the gastrointestinal tract, liver and pancreas as well as their relationship with other organs and body systems among children aged 0 through 18 years old.

Pediatric gastroenterologist should be able to obtain a complete and accurate medical history, to perform a detailed physical examination,to make a preliminary diagnosis, to draw up a exams plan and to read the results.

Thereafter, the gastroenterologist should draw up a contemporary treatment plan and monitor its implementation. Moreover, pediatric gastroenterologist should also know the indications, contraindications, complications and interpretation of therapeutic methods. He must be able to track dispensary patients and take appropriate decisions.

A Pediatric gastroenterologist can provide treatment to numerous gastric diseases, incl. chronic diseases, related with the nutrition of the children, the pancreas or the liver.

Acute diarrhea is one of the most common diseases. Globally, each of the 140 million children born annually experience an average of 7-30 episodes of diarrhea in the first 5 years of life. Some of the causes are infections, lower levels of zinc or problems with some gastric cells.

Infant regurgitation is caused by a central nervous system reflex involving both autonomic and skeletal muscles in which gastric contents are forcefully expelled through the mouth because of coordinated movements of the small bowel, stomach, esophagus, diaphragm. Regurgitation must be two or more times per day for three or more weeks, and there is a strong involuntary effort to vomit, hematemesis, aspiration, apnea, failure to thrive or abnormal posturing.

The following treatmets and test are applied at pediatric gastroenterology clinics and departments:

• Treatment and follow-up
• Upper and lower endoscopy
• Endoscopic polypectomy
• Endoscopic, histological imaging for Crohn's disease
• Diagnosis of H. pylori
• Microbiological research
• Breathing, urea and fecal tests
• Endoscopic and histological tests
• Diagnosis of celiac enteropathy- tTG (immunological screening)
• Histological examination
• Diet treatments
• Diagnosis, treatment, prevention and monitoring of allergy to dairty proteins
• Diagnosis, treatment, prevention and monitoring of chronic metabolic diseases
• Diagnosis, treatment, prevention and monitoring of autoimmune and viral liver diseases
• Liver Biopsy
• Histological examination
• Fiber-scan (non-invasive test for liver fibrosis)

2015-12-07T15:22:38+01:00
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