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Gastroenterology

Description of Services

  • Board certified pediatric gastroenterologists and hepatologists on staff.
  • Clinic gastrointestinal diseases consultation.
  • Liver diseases consultation.
  • Nutritional problems consultation.

Information for Referral Sources

  • Treatment is provided in close cooperation with the patient’s referring physician.
  • Pre-authorization is required by all insurance plans.
  • Patient instructions for specific tests will be provided after evaluation by the physician.
  • To avoid unnecessary testing, families are asked to bring relevant medical records, test results, and X-rays to an appointment.
  • Diagnosis, evaluation and recommended treatment information is provided promptly to the referring physician.
  • Patients are seen at outreach locations and some laboratory testing is performed at these facilities. All special procedures such as endoscopies, pH monitoring, breath tests, motility studies, etc. are performed at the main Children’s Hospital of Michigan (CHM) facility only.
  • Experienced staff members dispense brochures and handouts on various procedures, and schedules appointments after a physician has discussed options with the patient.

Our Objectives

  • Patient Care: To provide state-of-the-art care for children and adolescents with all types of gastrointestinal, hepatic, and nutritional diseases.
  • Clinical Research: To be a  leader of pediatric clinical research in gastroesophageal reflux disease, inflammatory bowel disease, H. pylori infection, motility disorders, feeding disorders, and endoscopic procedures (among others).
  • Basic Research: To support the investigation of prevention, causes, treatments, and cures for pediatric gastrointestinal, hepatic and nutritional diseases.
  • Education: To support the training and preparation of medical professionals in pediatric gastroenterology.

Outreach
The division strives to address and meet the needs of the community – as they relate to pediatric gastrointestinal, hepatic, and nutritional diseases – through advocacy, health education, and promotion activities.

Future Goals
The Division of Gastroenterology continues to be a leader in starting new programs. Future goals include:

  • Creating a Pediatric IBD center.
  • To continue to facilitate research in the only Pediatric Motility Center in the state.
  • Starting a feeding disorder center.

Pediatric Motility Center
The Pediatric Gastrointestinal Motility Center at CHM is equipped to provide a full array of motility procedures for children of all ages. This is the only center of its kind for pediatric patients in the state of Michigan. The procedures include:

  • Stationary and pull-through esophageal manometry
  • Botulinum toxin injection for patients with achalasia
  • Antro-duodenal manometry
  • Electrogastrography
  • Multichannel intraluminal impedance
  • Anorectal manometry
  • Olonic manometry
  • Extended intraesophageal ambulatory manometry
  • Intraluminal ultrasonography
  • Barostat studies to assess visceral hyperalgesia

Pediatric Inflammatory Bowel Disease Center
Chronic inflammatory bowel disease (IBD) encompasses a spectrum of disorders, however, the two most common are ulcerative colitis and Crohn’s disease. Approximately 25 percent of patients with IBD have their onset of disease in childhood. This can cause special complications in pediatric patients, of which the most significant is growth failure.

We provide a team approach for the management of children and adolescents with these diseases. Patients with IBD have access to a nutritionist, nurse practitioner, psychologist, social worker and other consultants on an as needed basis so that preventive strategies can be discussed with families. Excellent clinical care and participation in ongoing pediatric clinical trials puts us in the forefront for providing state-of-the-art care for these patients.

An endowed chair for research in pediatric IBD has also been created at Wayne State University School of Medicine, which should enhance our role in contributions to pediatric IBD research.

Problems Diagnosed and Treated

  • Swallowing and esophageal disorders
  • Vomiting and gastroesophageal reflux
  • Chronic diarrhea and malabsorption
  • Abdominal pain
  • Irritable bowel syndrome
  • Failure to thrive
  • Gastrointestinal bleeding
  • Alergic gastroenteropathy
  • Constipation and encopresis
  • Gastric and duodenal ulcer disease
  • Inflammatory bowel disease
  • Intestinal motility
  • Short bowel syndrome
  • Cystic fibrosis related gastrointestinal problems
  • Liver disease and biliary disorders
  • Metabolic disorders
  • Nutrition disorders
  • Pancreatic disorders
  • Diagnostic evaluations and follow-up
  • Enteral and parenteral nutrition therapies
  • Nutritional counseling and management