Practical Algorithms in Pediatric Gastroenterology

Unlike adult gastroenterology, pediatric gastroenterology is characterized by developmental disorders; the approach to the same disease condition may therefore be widely different, and there is an increasing need from pediatric gastroenterologists and pediatricians for easy diagnostic tools. Algorithms provide a logical, concise and cost-effective approach to medical reasoning and help avoid excessive unnecessary procedures and testing. 'Practical Algorithms in Pediatric Gastroenterology' is a simple, bedside pragmatic text which classifies common clinical symptoms and signs, laboratory abnormalities and issues of management in the expanding field of pediatric gastroenterology as presented in daily practice. Written by leading experts in the field of pediatric gastroenterology and surrounding fields, this book is aimed at an audience of general and family practitioners, pediatricians and trainees who are not exposed on a day-to-day basis to pediatric gastroenterology problems.>CONTENTS

Various gastrointestinal conditions

2 Abdominal pain

R. Arnon; S. Misra

4 Acute gastroenteritis

A. Lo Vecchio; D. Turck; A. Guarino

6 Food allergy

B. Wershil; F.A. Sylvester

8 Failure to thrive

A. Lahad; S. Reif

10 Chronic diarrhea

Y. Finkel; A. Guarino

12 Upper gastrointestinal bleeding

C.G. Sauer; B.D. Gold

14 Lower gastrointestinal bleeding

F.A. Sylvester; D. Turck

16 Malnutrition

P.S. Lemos; B. Wershil

18 Perianal disease

A.S. Day; N.L. Jones

20 Gastrointestinal foreign bodies

I. Rosen; R. Shaoul

Gastroesophageal refl ux and vomiting

22 Neonatal vomiting

R. Shaoul; N.L. Jones

24 Nausea and vomiting

P.S. Lemos; R. Shaoul

26 Recurrent vomiting and/or

regurgitation

Y. Vandenplas; R. Shaoul

28 Typical and atypical refl ux syndrome

Y. Vandenplas; R. Shaoul

30 Recurrent vomiting and/or

regurgitation and poor weight gain

Y. Vandenplas; R. Shaoul

32 Cyclic vomiting syndrome

Y. Vandenplas; B.D. Gold

Other motility disorders

34 Achalasia

S. Nurko; Y. Vandenplas

36 Constipation

S. Misra; H.M. Van de Vroot

38 Dysphagia

P.E. Hyman; T. Zangen

40 Fecal incontinence

A. Siddiqui; O. Eshach Adiv; S. Nurko

42 Hirschsprung’s disease

P.E. Hyman; T. Zangen

44 Chronic intestinal

pseudo-obstruction

T. Zangen; P.E. Hyman

46 Irritable bowel syndrome

E. Chiou; S. Misra; S. Nurko

Stomach and intestine

48 Protein-losing enteropathy

B. Zeisler; F.A. Sylvester

50 Celiac disease

Y. Bujanover; R. Shaoul

52 Helicobacter pylori

N.L. Jones; B.D. Gold

54 Gastrointestinal polyps

B. Zeisler; F.A. Sylvester

56 Intestinal malabsorption – Part 1:

Pathogenesis and etiology

A. Guarino; E. Ruberto; Y. Finkel

58 Intestinal malabsorption – Part 2:

First diagnostic steps

A. Guarino; E. Ruberto; Y. Finkel

Infl ammatory bowel disease

60 Infl ammatory bowel disease

D. Turner; A.S. Day

62 Crohn’s disease

D. Turner; A.S. Day

64 Ulcerative colitis

D. Turner; A.S. Day

Surgical conditions

66 Abdominal mass

R. Udassin; A. Vromen; E. Gross

68 Right lower quadrant abdominal pain

I. Sukhotnik; P.S. Lemos

70 Peritonitis

S. Peleg; R. Shaoul

72 Short bowel syndrome

Y. Finkel; I. Sukhotnik

Liver

74 Neonatal jaundice

E. Fitzpatrick; A. Dhawan

76 Acute hepatitis

Y. Bujanover; S. Reif

78 Hepatitis B

E. Granot

80 Hepatitis C

E. Granot

82 Elevated aminotransferases

J. Garah; R. Shaoul

84 Elevated alkaline phosphatase

R. Shaoul; J. Garah

86 Autoimmune liver disease

G. Mieli-Vergani; M. Samyn

88 Sclerosing cholangitis

G. Mieli-Vergani; M. Samyn

90 Acute liver failure

G. Mieli-Vergani; M. Samyn

92 Hepatomegaly

E. Fitzpatrick; A. Dhawan

94 Gallstones

E. Broide; S. Reif

96 Portal hypertension

R. Arnon; A. Dhawan

98 Ascites

A. Ben Tov; S. Reif

Pancreas

100 Acute pancreatitis

M. Wilschanski; R. Arnon

102 Chronic pancreatitis

M. Wilschanski; R. Shaoul

104 Index

109 Abbreviations

Orly Eshach Adiv, MD

Pediatric Gastroenterology and Nutrition Unit

Rambam Medical Center

Haifa, Israel

Ronen Arnon, MD, MHA

Associate Professor of Pediatrics and Surgery

Medical Director of Pediatric Hepatology and

Liver Transplantation

Recanati-Miller Transplant Institute

Mount Sinai School of Medicine

New York, NY, USA

Efrat Broide, MD

Head of Pediatric Gastroenterology

Institute of Gastroenterology

Assaf Harofeh Medical Center

Zerifin, Israel

Prof. Yoram Bujanover

Pediatric Gastroenterology Unit

Edmond and Lili Safra Children’s Hospital

Sheba Medical Center

Tel Hashomer, Israel

Eric Chiou, MD

Pediatric Gastroenterology, Hepatology and

Nutrition

Texas Children’s Clinical Care Center

Houston, TX, USA

Prof. Andrew S. Day

Paediatric Gastroenterologist

Department of Paediatrics

University of Otago

Christchurch, New Zealand

Anil Dhawan

Professor of Paediatric Hepatology

Director Paediatric Liver GI and Nutrition Centre

King’s College Hospital

London, UK

Prof. Yigael Finkel

Department of Clinical Science and Education

Karolinska Institutet

Stockholm, Sweden

Emer Fitzpatrick

Consultant Paediatric Hepatologist

Paediatric Liver GI and Nutrition Center

King’s College Hospital

London, UK

Jamal Garah, MD

Pediatric Gastroenterology and Nutrition Unit

Rambam Medical Center

Haifa, Israel

Benjamin D. Gold, MD, FACG

Pediatric Gastroenterology, Hepatology and

Nutrition

Children’s Center for Digestive Healthcare

Atlanta, GA, USA

Esther Granot, MD

Kaplan Medical Center

Rehovot and Hebrew University-Hadassah

Medical School

Jerusalem, Israel

Eitan Gross, MD

Pediatric Surgery Department

The Hebrew University Medical School

Hadassah

Jerusalem, Israel

Alfredo Guarino, MD

Section of Pediatrics

Department of Translational Medical Science

University of Naples Federico II

Naples, Italy

Paul E. Hyman, MD

Professor of Pediatrics, Louisiana State University

Chief, Gastroenterology

Children’s Hospital

New Orleans, LA, USA

Nicola L. Jones, ND, FRCPC, PhD

Departments of Paediatrics and Physiology

University of Toronto

Cell Biology Program, Hospital for Sick Children

Toronto, ON, Canada

Avishay Lahad, MD

Pediatric Gastroenerology and Nutrition Unit

Pediatric B North Department

Edmond and Lili Safra Children’s Hospital

Sheba Medical Center

Tel Hashomer, Israel

Piedade Sande Lemos, MD, PhD

Pediatric Gastroenterology Consultant

Hospital Fernando Fonseca

Director, Clinica CUF Cascais

Cascais, Portugal

Andrea Lo Vecchio, MD

Section of Pediatrics

Department of Translational Medical Science

University of Naples Federico II

Naples, Italy

Giorgina Mieli-Vergani

Professor of Paediatric Hepatology

Consultant Paediatric Hepatologist

Paediatric Liver, GI and Nutrition Centre

King’s College London School of Medicine

King’s College Hospital

London, UK

Sudipta Misra, MBBS, MD, DM

Clinical Professor of Pediatrics and Chief

Division of Pediatric Gastroenterology,

Hepatology and Nutrition

Brody School of Medicine, East Carolina University

Vidant Medical Center

Greenville, NC, USA

Samuel Nurko, MD

Director

Center for Motility and

Functional Gastrointestinal Disorders

Boston Children’s’ Hospital

Boston, MA, USA

Sarit Peleg, MD

Pediatric Gastroenterology Service

Ha’emek Medical Center

Afula, Israel

Shimon Reif, MD

Director

Department of Pediatrics

Hadassah Medical Center

Jerusalem, Israel

Irit Rosen, MD

Pediatric Gastroenterology and Nutrition Unit

Rambam Medical Center

Haifa, Israel

Eliana Ruberto, MD

Section of Pediatrics

Department of Translational Medical Science

University of Naples Federico II

Naples, Italy

Marianne Samyn

Paediatric Liver, GI and Nutrition Centre

King’s College London School of Medicine

King’s College Hospital

London, UK

Cary G. Sauer, MD, MSc

Assistant Professor of Pediatrics

Emory School of Medicine

Endoscopy Director

Children’s Healthcare of Atlanta

Training Program Director, Pediatric GI Fellowship

Emory Children’s Center

Atlanta, GA, USA

Ron Shaoul, MD

Associate Clinical Professor of Pediatrics

Director, Pediatric Gastroenterology and

Nutrition Unit

Rambam Medical Center

Haifa, Israel

Anees Siddiqui, MD

Pediatric Gastroenterology

Specially for Children/Dell Children’s

Medical Center

Austin, TX, USA

Igor Sukhotnik, MD

Pediatric Surgery Unit

Bnai Zion Medical Center

Haifa, Israel

Francisco A. Sylvester, MD

Professor of Pediatrics and Immunology

University of Connecticut School of Medicine

Attending Pediatric Gastroenterologist

Connecticut Children’s Medical Center

Hartford, CT, USA

Amir Ben Tov, MD

Gastroenterology Unit

Dana-Dwek Children’s Hospital

Tel Aviv Sourasky Medical Center

Sackler Faculty of Medicine, Tel Aviv University

Tel Aviv, Israel

Dominique Turck, MD

Professor of Pediatrics

University of Lille

Lille, France

Dan Turner, MD, PhD

Head, Pediatric Gastroenterology and

Nutrition Unit

Shaare Zedek Medical Center

The Hebrew University of Jerusalem

Jerusalem, Israel

Raphael Uddasin, MD

Associate Professor of Pediatric Surgery

Head of Pediatric Surgery Department

The Hebrew University Medical School

Hadassah

Jerusalem, Israel

Prof. Dr. Yvan Vandenplas

Pediatric Gastroenterology

UZ Brussel, Vrije Universiteit Brussel

Brussels, Belgium

Holly M. Van de Voort, MD

Centennial Pediatrics Murfreesboro

Murfreesboro, TN, USA

Amos Vromen, MD

Pediatric Surgery Department

The Hebrew University Medical School

Hadassah

Jerusalem, Israel

Barry Wershil, MD

Professor of Pediatrics

Feinberg School of Medicine at

Northwestern University

Chief, Division of Pediatric Gastroenterology,

Hepatology, and Nutrition

Ann and Robert H. Lurie Children’s

Hospital of Chicago

Chicago, IL, USA

Prof. Michael Wilschanski

Director, Pediatric Gastroenterology

Hadassah University Hospital

Jerusalem, Israel

Tsili Zangen, MD

Pediatric Motility Service

Pediatric Gastroenterology and Nutrition Unit

Wolfson Medical Center

Holon, Israel

Bella Zeisler, MD

Connecticut Children’s Medical Center

Hartford, CT, USA

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