Happy tummies ensure a healthy childhood

Diagnostic Work Up

• Paediatric Endoscopy (Gastroscopy and Colonoscopy)

  Diagnostic Assessment: Allows for the direct visualisation of the oesophagus, stomach, small bowel and colon to identify inflammation, polyps, ulcers or structural anomalies.

  Biopsy Sampling: Enables the collection of tissue samples for definitive diagnosis of conditions like Coeliac Disease, Inflammatory Bowel Disease (IBD) and eosinophilic oesophagitis.

• Capsule Endoscopy

  A non-invasive procedure using a tiny, swallowed camera to examine the entire small intestine, often used for suspected small bowel bleeding or Crohn's Disease.

• PH Metry with Impedance

  Measures both acidic and non-acidic reflux episodes to diagnose Gastro-Oesophageal Reflux Disease (GORD) and assess the effectiveness of treatment.

• Breath Tests

  Hydrogen/Methane Breath Tests: Used to diagnose Small Intestinal Bacterial Overgrowth (SIBO) and various carbohydrate intolerances, such as lactose and fructose intolerance.

• Complete Fatty Liver Package:

  1. Biochemical parameters
  2. USG for Fat (Liver)
  3. Liver Elastography (FibroScan)
  4. MLD Elastography (Country Body)
  5. Dietary consultation

• Diagnostic Liver Imaging and Biopsy

  Utilising advanced ultrasound and MRI techniques to assess liver structure, along with minimally invasive liver biopsies for definitive diagnosis of chronic liver diseases.

Interventional Paediatric Gastroenterology

• Polypectomy

  The removal of polyps from the colon during a colonoscopy is performed to prevent future complications.

• Foreign Body Removal

  Endoscopic retrieval of accidentally ingested foreign objects from the upper digestive tract.

• Endoscopic Dilatation

  Widening of narrowed sections (strictures) of the oesophagus or bowel, often necessary after inflammation or surgery.

• Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement

  Endoscopic placement of a feeding tube directly into the stomach for children requiring long-term nutritional support.

Medical Management and Specialised Care

• Coeliac Disease and Food Allergies/Intolerances

  Comprehensive Diagnostics: Including serological testing and endoscopy with biopsies for Coeliac Disease.

  Dietary Management: Expert guidance from our dietetics team for strict, lifelong gluten-free diets or elimination diets for allergies.

• Inflammatory Bowel Disease (IBD): Crohn's Disease and Ulcerative Colitis

  These chronic conditions cause inflammation in the digestive tract. Our approach includes:

  Advanced Medical Therapy: Utilising immunosuppressants and biologics to induce and maintain remission.

Drug Monitoring: INFLIXIMAB & ADALIMUMAB

Nutritional Support: Addressing potential malnutrition and growth issues, often involving specific dietary plans or enteral feeding.

Achalasia Cardia

• Chronic Constipation and Soiling (Encopresis)

  A multi-faceted approach to manage complex constipation, including:

  Medical Laxative Regimens: Tailored use of medication to ensure regular, comfortable bowel movements.

  Behavioural Therapy: Education and support for families and children to establish healthy toileting habits.

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• Additional Diagnostic & Therapeutic Options:

  1. LGI Manometry
  2. Bio Feedback Therapy

• Liver Diseases (Hepatology)

  We specialise in managing acute and chronic liver conditions, including Biliary Atresia, autoimmune hepatitis and fatty liver disease. Treatment involves:

  Medication Management: For conditions such as cholestasis and portal hypertension.

  Pre- and Post-Liver Transplant Care: Comprehensive support in conjunction with specialist transplant centres.

• Gastro-Oesophageal Reflux Disease (GORD) and Eosinophilic Oesophagitis (EoE)

  Medical Regimens: Using acid-suppressing medication and, in the case of EoE, specialised dietary or topical steroid therapy.

• Intestinal Failure and Nutritional Support

  For children who cannot absorb nutrients normally, we provide:

  Enteral and Parenteral Nutrition: Delivering essential nutrients via feeding tubes (enteral) or directly into the bloodstream (parenteral/Total Parenteral Nutrition - TPN).

  Monitoring: Close monitoring of fluid balance, blood chemistry and growth parameters.