Pediatric gastroenterology deals with the diagnosis and treatment of stomach, intestinal and liver diseases in children aged 0-18.
Baby and Child Nutrition
Infancy and childhood are the periods when adequate and balanced nutrition is very important due to growth and development. For this reason, besides planning a healthy and balanced diet in infants and children, enteral and parenteral nutrition can also be recommended to prevent negative effects on growth and development during illness periods. Enteral nutrition via oral (oral), nasogastric and orogastric tubes or by means such as percutaneous endoscopic gastrostomy (PEG), percutaneous endoscopic jejunostomy (PEJ); For individuals who cannot perform their digestive function, the appropriate method of total parenteral nutrition, which is a completely intravenous feeding method, is preferred.
Child with no appetite
One of the most common problems encountered in childhood is anorexia problem. Many reasons such as eating too little food, selective nutrition, difficulty in self-feeding, having unusual eating habits, and being objectionable to nutrition may cause anorexia and consequently developmental delay in children. If there are physiological problems that cause loss of appetite by multidisciplinary teams consisting of specialist physicians, dieticians and other auxiliary health personnel, the problem of anorexia can be eliminated with appropriate methods after their treatment.
Gastroesogageal reflux, also known as reflux disease, is a very common gastroenterological disease. This disease, which is frequently seen in infancy and childhood, includes problems caused by the leakage of stomach contents into the esophagus (esophagus) due to various reasons. Reflux disease can be controlled with appropriate medication, nutritional planning and lifestyle changes. Quality of life can be increased by preventing serious problems that may occur due to the disease.
Child Endoscopy (Gastroscopy and Colonoscopy)
Endoscopic applications such as gastroscopy and colonoscopy are frequently used in Pediatric Gastroenterology units, especially in the diagnosis process. With the help of such endoscopic techniques, all organs belonging to the digestive canal can be clearly visualized, while invasive applications such as any surgical intervention, incision, wound, stitches are not required. With the help of these applications, which allow the diagnosis of gastroenterological diseases, samples (biopsy) can be taken from the lesions seen at the same time and sent to the laboratory for examination.
Gastritis and Peptic Ulcer
Gastritis, which develops as inflammation of the gastric mucosa lining the inner surface of the stomach, and peptic ulcer, which develops in the form of ulcers due to the damage of the inner surface of the digestive system, can occur in childhood and infancy in some cases, although it is usually seen in adulthood. Diagnosis and treatment procedures of individuals under the age of 18, who have these diseases requiring treatment due to their progressive nature, are carried out in Pediatric Gastroenterology units.
Chronic Abdominal Pain
Chronic abdominal pain, which is very common especially in adolescent girls, is the medical name for abdominal pain that is continuous and repetitive for at least 3 months or causes periodic disruption of daily activities for at least 6 months. Pain may occur due to the menstrual cycle, gynecological diseases or any physiological disorder or due to psychiatric reasons.
Digestive System Bleeding
It is a health problem that manifests itself with problems such as digestive system bleeding that causes anemia and loss of life, bleeding from the mouth due to gastrointestinal diseases (hematemesis), blood in the stool (melena and hematochezia) and occult blood in the stool that can only be detected in laboratory tests. A treatment protocol should be started as soon as possible in children who apply to health institutions with the complaint of bleeding and children who are found to have suspected gastrointestinal bleeding during routine tests.
Inflammatory Bowel Diseases (Ulcerative colitis and Crohn’s disease)
Inflammatory bowel diseases such as ulcerative colitis and Crohn’s disease are serious health problems that can occur in childhood. Although the treatments of these diseases, which are frequently seen between the ages of 10-19, are similar to those in adulthood, the involvement locations in the intestines and the severity of the disease differ from adults. In this disease, which negatively affects digestion, nutritional supports may also be needed during the attack periods in order to maintain healthy growth and development.
Celiac disease, which may also be called gluten enteropathy; It is caused by an abnormal response by the body to a substance called gluten found in wheat, barley and rye. A special nutrition program that does not contain any foods containing gluten complex should be applied to these patients. Patients should be kept under medical supervision and treatment throughout their life, and the diet plan should be constantly checked under the supervision of a dietician.
In childhood, acute and chronic pancreatitis (pancreatitis) and benign or malignant tumor formations in the pancreas are the most common pancreatic diseases. In addition to medical and pharmacological treatments, personalized diet programs with reduced fat content should also be applied in pancreatic diseases, which are usually manifested by nausea, vomiting and increased blood levels of enzymes produced by the pancreas.
Fat accumulation around the liver due to various reasons and liver size increase above normal is called fatty liver. Although this disease, which is common in childhood and especially in overweight children, does not cause acute symptoms, it can cause problems that can lead to liver damage in the long term, so it should be controlled with medical treatment and medical nutrition therapy.
Yellowing of the skin and the white part of the eye is called jaundice. Bilirubin, which is produced by the destruction of a substance called hemoglobin, which gives blood its red color, is removed from the body by the liver. In newborn babies, the liver has just taken over this task from the placenta, and jaundice may occur in childhood due to some liver diseases. In patients with jaundice, first of all, the health problem that causes jaundice should be determined and the treatment process should be planned accordingly.