Pediatric Gastroenterology

Pediatric Gastroenterology

History

No history information available for this department.

Faculty & Residents

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Dr. Nirmala. D.

Professor

A Director/Professor provides academic leadership, oversees institutional operations, and guides research and teaching initiatives.

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Dr. Senthil Kumar. R.

Associate Professor

A Director/Professor provides academic leadership, oversees institutional operations, and guides research and teaching initiatives.

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Dr. Winston Thomas.S.

Assistant Professor

A Director/Professor provides academic leadership, oversees institutional operations, and guides research and teaching initiatives.

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Dr. Deepa. J

Senior Residents

A provides academic leadership, oversees institutional operations, and guides research and teaching initiatives.

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Dr. Sindhuja. T.A

Senior Residents

A provides academic leadership, oversees institutional operations, and guides research and teaching initiatives.

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Dr. Ajidhabharathi. S.D.

Senior Residents

A provides academic leadership, oversees institutional operations, and guides research and teaching initiatives.

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Dr Monica. M

Senior Residents

A provides academic leadership, oversees institutional operations, and guides research and teaching initiatives.

Name of the Residents joined in the year 2020 Name of the Residents joined in the year 2021 Name of the Residents joined in the year 2022
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Facility & Clinical Care

  • Paediatric Gastroenterology Outpatient services are available daily from Monday to Saturday between 8.00 am and 10.00 am.
  • Paediatric Gastroenterology inpatient services with twenty beds available.
  • Diagnostic Endoscopy services – Esophagogastroduodenoscopy, Enteroscopy, Colonoscopy, ERCP Endoscopic Retrograde Cholangio Pancreatography are available
  • Therapeutic Endoscopy procedures – Endoscopic Sclerotherapy, Variceal banding, Dilatation with C- arm, Foreign Body removal, Polypectomy services are available.
  • Emergency procedure such as foreign body removal from GIT is available round the clock.
  • Motility lab services – Oesophageal manometry, Anorectal manometry are available.
  • Biofeedback therapy is using anorectal manometry for children with Dyssynergic defecation.
  • Impedance metry and pH metry services are available.
  • Gastrointestinal imaging services – in-house MRI, CT, and DOPPLER services are available at the radiology department.
  • Metabolic workup for certain causes of Neonatal Cholestasis including Tandem Mass Spectrometry (TMS) can be done at the biochemistry department.
  • Metabolic workup such as DBS Dried Blood Spot for certain Neonatal Cholestasis and suspected storage diseases such as Gaucher and Neimann Pick Disease are done through Biochemistry.
  • Gastroenterology specialty clinics such as IBD clinic, Wilson disease clinic, Liver Transplant clinic, Pancreas clinic, Constipation clinic and chronic diarrhoea clinics are conducted from Monday to Friday.
  • All kinds of childhood gastrointestinal (luminal, hepato-biliary and pancreatic disorders) are evaluated and managed.
  • Training in Paediatric Gastroenterology is imparted to postgraduates in Paediatrics (DCH, MD, DNB) and Gastroenterology (DM), from various government and private medical colleges all over india.

Academic Forum

Guest Lectures / Oration
S.NO Date Name of the Guest Lecturer Topic of the Guest Lecture State or National Level
1 25.4.22 Dr. B. BHASKAR RAJU MD, DM
Former HOD,
Dept of Paed Gastro, ICH and HC		 Infantile Colic
Seminar / Symposium
S.NO Date Seminar / Symposium with Title Presentor & moderators with their designation University / Tnmsc Credits / Both if Present State or National or Institue
1 31.3.23 INFLAMMATORY BOWEL DISEASE PRESENTORS-
1) DR AISHWARYA
2) DR RATHINAKUMAR
3) DR RAMAKRISHNAN
4) DR MALAVIKA
5) DR SIVARAMAKRISHNAN
6) DR CHAUMYA
7) DR JEYARAJ
8) DR NANDHITHA
9) DR DEEPA
10) DR RATHNAKUMAR
11) DR SINDHUJA
12) DR KISHORE
MODERATORS-
1) PROF NIRMALA
2) DR SENTHILKUMAR
3) DR WINSTON THOMAS		 Nil Institute
CME / Conference
S.NO Date CME / Conference – Title University / TNMSC Credits / Both if present State or National Level
1 21.1.24 IBD CONCLAVE Attended by-
Prof. Dr. Nirmala
Dr Deepa J Senior Resident
Dr Sindhuja T A Senior Resident
 Nil National
Workshop / Training Programme
S.NO Date Workshop / Training with Title University / TNMSC Credits / Both if present State or National level
1 25.3.23 TNISG 2023 HANDSON ENDOSCOPY WORKSHOP Attended by
Dr. Deepa J
Dr Sindhuja TA 		State
Quiz /competitions
S.NO Date Quiz /competitions with Title University / TNMSC Credits / both if present Prizes awarded to a. Inter or Intra – Collegiate Level b. State or National level
1
Others Events
S.NO Date Other events with Title Details
1 22.2.23 Clinical Society Meeting Dr Deepa J presented a rare case of Mitochondrial DNA depletion syndrome “ UNUSUAL SYNERGY WITH DEPLETING ENERGY”

Scientific Forum

Completed Projects
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Ongoing Projects
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Publications
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Sponsored Projects
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Awards & Achievements

No Awards information available for this department.

Success Stories

Success story 1: BASD
  • 2 year 7 months male child, 3 rd born of 2 nd degree consanguineous marriage, who has vitamin K dependent coagulation factors deficiency diagnosed during infancy when he presented with spontaneous ecchymosis and treated with oral Vitamin K supplements now presented with night blindness for 4 months, antenatal, natal, postnatal histories were uneventful, development was normal, On examination he had bitot spots in eyes and firm hepatomegaly , on investigating , he had Anemia with HB 9, Mild Hyperbilirubinemia with TB 2mg/dl and DB 0.5mg/dl, AST 52 u/l, ALT 25 U/l, Alkaline phosphatase – 272, GGT – 5 , with preserved liver synthetic functions( on Vitamin Supplements) and low Vitamin D levels – So In the background of 3 fat soluble vitamin deficiency, firm liver, low GGT – PFIC and Bile acid synthesis disorders were considered, hence Serum bile acids were done – less than 1 micomol/L – s/o bile acid synthesis defect. WES was sent to confirm the diagnosis – Bile acid synthesis defect, congenital 1, HSD3B7, Homozygous ,Pathogenic variant was detected, Child started on fat soluble vitamins and Cholic acid and child improved clinically
Success story 2: HYPERMANGANESEMIA
  • three- year-old girl presented with jaundice and abdominal distension. She had a history of frequent falls. She was born to consanguineous parents. Her examination revealed hepatosplenomegaly and she had a cock-walk gait and dystonia involving lower limbs. On evaluation she was found to have chronic liver disease, polycythemia and T1 hyperintensity of basal ganglia and was suspected as hypermanganesemia with dystonia and genetic analysis sent which confirmedour diagnosis – hypermanganesemia/polycythemia/dystonia type 1. .Treatment and outcome: she was started on a 4 week cycle chelation therapy along with ironsupplementation and is in follow up with monitoring serum manganese levels.
Success story 3: DYSYNERGIC DEFECATION
  • 10 year old male child came c/o difficulty and straining while passing hard stools for 6 months, H/0 of soiling of undergarments present, Initially managed with PEG but symptoms persisted hence anorectal manometry done – dysynergic defecation. Child was started on biofeedback therapy for dysynergic defecation. Child improved well and no soiling and able to go to school without embarrassment
Success story 4: LIVER TRANSPLANT IN WILSON
  • 5 year old male child born out of CM came with c/o jaundice, high coloured urine and hepatosplenomegaly, CLD workup was done to evaluate the cause. Meanwhile child proceeded to have hepatic encephalopathy grade 4, PLEX and CRRT was done as bridging therapy to liver transplant and successful liver transplant was done.
Success story 5: ENTEROKINASE DEFICIENCY
  • 9 month old 3rd born of 1st degree consanguineous marriage, child presented with chronic diarrhoea and anasarca since 6 months of age, evaluated as a case of protein losing enteropathy, after ruling out CMPA, infections, genetically diagnosed as enterokinase deficiency a and the child was started on pancreatic enzymes and child growth percentiles have improved and no protein losing enteropathy at present.
Success story 6: ANASTAMOTIC ESOPHAGEAL STRICTURE – ENDOSCOPIC DILATATION
  • 9 month old male child K/C/O TEF – primary esophageal anastomosis done at day 2 of life. H/o recurrent RTI and aspirations and vomiting, H/o failure to thrive present. OGD was done to look for esophageal stricture – pin hole meatus seen, with difficulty guide wire passed through the narrowing(pin hole meatus) and serial SG dilatation done and child was able to swallow feeds well without vomiting and gained weight
Success story 7: Early diagnosis of Infantile Achalasia cardia
  • AC, an important differential diagnosis in infants with suspected GERD, needs to be diagnosed early with High index of suspicion to improve the prognosis and nutritional status. We found that the median age at presentation and diagnosis was 6 months and 16 months. Around 17 children symptomatic from infancy were diagnosed as Achalasia and successfully managed by surgery.
Success story 8: Successful treatment of chronic hepatitis C children with oral DAA
  • Many children acquire Hepatitis C post transfusion and are referred from haematology. One such child diagnosed with B- ALL on chemotherapy, developed transaminitis which could not be attributable from the chemotherapy drugs. Hence evaluated for acute hepatitis cause, IgM Anti HAV and HEV were negative. HbsAg anti HCV were negative. Considering the immunosuppression and high chance of acute hepatitis C for the transaminitis with a previous history of transfusion, quantitative HCV RNA and HBV DNA levels were done, which revealed a high viral load. DAA was started and LFT became normal.

Others

No Others information available for this department.

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