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Pediatric Gastroenterology

History

DEPARTMENT OF PEDIATRIC GASTROENTEROLOGY –ICH & HC

The Pediatric Gastroenterology department was started by Dr. V.Sankara Narayanan along with Dr. Bhaskar Raju in the year 1984 as 10 bedded unit with Diarrhea training unit DTTU attached to it.
Now the department is functioning as full-fledged one with all advanced equipments fulfilling the needs of children across the state as well as neighboring states.
We have state of art facility in diagnostic,therapeutic endoscopies, Manometry devices. The department has substantially shown good performance under CMCHIS and all specialized work has benefitted patients attending the hospital. The department works in close association with department of Surgery, pediatric Medicine & other allied speciality departments. Regular interaction with other departments is being carried out regularly. The department encourages MD postgraduates to undertake dissertation topics related to Gastroenterology. Regular classes are being taken for MBBS and Nursing Students.
The department conducts regular CME. The department work is regulary published in indexed National and International Journals. The department actively participated in national pediatric gastroenterology conferences as faculty as well in APASL.
DM course in Pediatric gastroenterology was started in the year 2022 with a yearly intake of 2 post graduate students.

Faculty & Residents

DR.D.NIRMALA

PROFESSOR AND HOD

Dr. D. Nirmala, Head of Paediatric Gastroenterology at Madras Medical College, is a senior expert with 21+ years of experience. She pioneered South India’s first DM program in the specialty and is noted for her work in paediatric hepatology.

R.SENTHIL KUMAR

ASSOCIATE PROFESSOR

Dr. R. Senthil Kumar, Associate Professor of Paediatric Gastroenterology. His key interests include endoscopy and liver disorders

DR.S.WINSTON THOMAS

ASSISTANT PROFESSOR

Dr. S. Winston Thomas, Assistant Professor in Paediatric Gastroenterology. He is known for his strong teaching skills and keen interest in research methodology.

S.No	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	Name of the Residents joined in the year 2023	Name of the Residents joined in the year 2024
1	-	-	-	S.AJIDA BHARATHI	P.VIGNESH
2			J.DEEPA	M.MONICA	S.GIRIDHARAN
3			T.A.SINDHUJA

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

SEMINAR / SYMPOSIUM

S.No	Date	Seminar/Symposium with Title	Presentors & Moderators with their Designation	University / TNMSC Credits / Both if Present	State or National or Institute
1	31.3.23	Inflammatory Bowel Disease	Presentors: Dr Aishwarya, Dr Rathinakumar, Dr Ramakrishnan, Dr Malavika, Dr Sivaramakrishnan, Dr Chaumya, Dr Jeyaraj, Dr Nandhitha, Dr Deepa, Dr Rathnakumar, Dr Sindhuja, Dr Kishore Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas	Nil	Institute
2	27.4.23	Drug Induced Liver Injury in Children	Presentors: Haseen, Jaronraj, Pavithra, Sinjudha, Deepa Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas	Nil	Institute
3	30.6.23	Non-Invasive Tests of Liver Fibrosis	Presentors: Dr Raveen, Dr Nandhitha, Dr Sindhuja, Dr Deepa Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas	Nil	Institute
4	28.7.23	Hepatitis C	Presentors: Dr Ganesh, Dr Keerthy Priya, Dr Sindhuja, Dr Deepa Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas	Nil	Institute
5	30.8.23	Complementary Feeding / Algorithmic Approach to Malabsorption and Tests for Malabsorption	Presentors: Dr Deepa, Dr Sindhuja Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas	Nil	Institute
6	05.09.23	Nutrition in Chronic Liver Disease	Presentors: Dr Naresh, Dr Karthik, Dr Srinivas, Dr Somasekara Moderator: Prof Nirmala D	Nil	Institute
7	2.12.23	Acute Pancreatitis	Presentors: Dr Monica, Dr Deepa, Dr Sindhuja Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas	Nil	Institute
8	10.1.24	Pediatric Acute Liver Failure	Presentors: Dr Sindhuja, Dr Deepa, Dr Monica, Dr Ajidhabarathi, Dr Maniraj Moderators: Prof D Nirmala, Dr Senthil Kumar, Dr Winston Thomas	Nil	Institute
9	17.4.24	NAFLD	Presentors: Dr Sindhuja, Dr Deepa, Dr Monica, Dr Ajidhabarathi Moderators: Prof D Nirmala, Dr Senthil Kumar, Dr Winston Thomas	Nil	Institute
10	30.5.24	Hepatitis B	Presentors: Dr Monica, Dr Ajidha, Dr Sindhuja, Dr Deepa, Dr Inbarasan Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas	Nil	Institute
11	26.6.24	Lactose Intolerance	Presentors: Dr Monica, Dr Ajidha, Dr Sindhuja, Dr Deepa Moderators: Prof Sumathy B, Prof Nirmala D	Nil	Institute
12	15.7.24	Fat Malabsorption	Presentors: Dr Monica, Dr Ajidhabarathi, Dr Deepa, Dr Sindhuja, Dr Kavitha Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas	Nil	Institute
13	25.11.24	Autoimmune Hepatitis	Presentors: Dr Monica, Dr Ajidhabarathi, Dr Deepa, Dr Sindhuja, Dr Rajkali, Dr Tamoghna Moderators: Prof Dr Nirmala, Dr Senthilkumar, Dr Winston Thomas	Nil	Institute
14	21.12.24	APASL – PHT Guidelines	Presentor: Dr Deepa Moderators: Prof Dr D Nirmala, Dr Senthilkumar, 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, Dr Sindhuja T A	Nil	National
2	25.1.23 / 29.1.23	Pre MCLD 2023- Learn from the legend- Prof. Patrick Kamath MCLD 2023 Prof. Dr. Nirmala chaired a session Attended by- Dr Deepa J, Dr Sindhuja T A	Nil
3	12.2.23	CME ON PAED GASTRO UPDATE Attended by- Dr Deepa J	4
4	11.02.2023	CLINICAL SCENARIOS IN PEDIATRIC LIVER DISEASE Prof. Dr. Nirmala chaired session on TJP2 deficiency in PFIC Attended by- Dr Deepa J, Dr Sindhuja T A	Nil	National
5	25.3.23-26.3.23	TNISGCON 2023 Prof. Dr. Nirmala chaired session on Pediatric Gastroenterology Attended by- Dr Deepa J, Dr Sindhuja T A	4	State
6	24.6.23	TNISG MONTHLY MEET Dr Deepa J presented a rare case: “UNUSUAL SYNERGY WITH DEPLETING ENERGY”	0.5	State
7	18.06.2023	1st National Midterm Conference- ISPGHANCON Prof. Dr. Nirmala delivered lecture on PPI Attended by- Dr Deepa J, Dr Sindhuja T A	Nil	National
8	15.9.23-17.9.23	INTERNATIONAL PANCREAS CONFERENCE, New Delhi Poster: Dr Deepa J - PCC in child Attended by- Prof. Dr. Nirmala, Dr Deepa J, Dr Sindhuja T A	Nil	International
9	23.9.23	TNISG Mid Term Conference Posters: Dr Deepa J - CALFAN, Dr Sindhuja TA - TrichoHepatic Enteric Syndrome	Nil	State
10	26.10.23-29.10.23	NATIONAL ISPGHANCON Prof. Dr. Nirmala panellist - Functional Dyspepsia Posters: Dr Deepa J & Dr Sindhuja TA - multiple awards	Nil	National
11	24.2.24	CLINICAL SCENARIOS IN PEDIATRIC LIVER DISEASE Prof. Dr. Nirmala chaired session Attended by- Dr Deepa J, Dr Sindhuja T A, Dr Ajidha Bharathi SD, Dr Monica	Nil	State
12	25.2.24	ISPGHAN Consensus Management Guidelines on PALF Prof. Dr. Nirmala lead discussant	Nil	National
13	10.2.24	TNISGCON 2024 Lecture by Prof. Dr. Nirmala Poster: Dr Sindhuja TA Attended by - Dr Sindhuja T A, Dr Ajidha Bharathi SD, Dr Monica	4	State
14	8.3.24-10.3.24	1st APCDS 2024 - Asia Pacific Celiac Disease Symposium Attended by - Dr Ajidha Bharathi SD, Dr Monica	Nil	International
15	16.4.24 to 17.4.24	SGPGI 2nd Founder Day - Ped Gastro Clinics Attended by - Dr Deepa J, Dr Sindhuja T A	Nil	National
16	19.4.24 to 21.4.24	ENDOCON 2024 Attended by - Prof. Dr. Nirmala	Nil	National
17	21.4.24	ISPGHAN MID TERM MEETING ON Pediatric NAFLD HEPATICON 2024 Attended by - Dr Ajidha Bharathi SD, Dr Monica	Nil	National
18	27.4.24	TNISG MONTHLY MEET Case discussion: Dr Sindhuja TA - RALF Attended by - Dr Deepa J, Dr Ajidha Bharathi SD, Dr Monica	0.5	State
19	26.05.24	Monothematic Meet on PIBD Prof. Dr. Nirmala panellist Attended by - Dr Deepa J, Dr Sindhuja T A, Dr Ajidha Bharathi SD, Dr Monica	2	National
20	06.08.24	STANCON 2024 Lecture: Prof. Dr. Nirmala - GI Bleed in Children Attended by - Dr Deepa J, Dr Sindhuja T A, Dr Ajidha Bharathi SD, Dr Monica	2	State
21	22.6.24-23.6.24	INMA 7th National Annual Congress Posters: Dr Deepa J, Dr Monica, Dr Ajidha Bharathi SD	Nil	National
22	29.6.24	TNISG MONTHLY MEET Dr Deepa J presented: Review of Literature on EHPVO Attended by - Dr Sindhuja T A, Dr Ajidha Bharathi SD, Dr Monica	0.5	State
23	7.8.24-9.8.24	INASL 2024 Posters: Dr Deepa J, Dr Sindhuja TA, Dr Ajidha Bharathi SD, Dr Monica M	Nil	National
24	10.08.24-11.08.24	GI IMAGING SERIES, AIIMS NEW DELHI Attended by - Dr Deepa J, Dr Sindhuja T A, Dr Ajidha Bharathi SD, Dr Monica M	Nil	National

Workshop / Training Programme

S.NO	Date	WORKSHOP / TRAINING with Title	University / TNMSC Credits / both if present	State or National level
1	25.03.23	TNISG 2023 HANDSON ENDOSCOPY WORKSHOP Attended by Dr. Deepa J, Dr. Sindhuja TA	-	State
2	28.04.23 to 29.04.23	IV ACCESS – NATIONAL WORKSHOP ON VENOUS ACCESS DEVICES Attended by Dr. Deepa J	-	National
3	25.08.23	HANDSON ENDOSCOPY WORKSHOP Attended by Dr. Deepa J, Dr. Sindhuja TA	-	State
4	26.10.23	ISPGHANCON 2023 MOTILITY WORKSHOP Attended by Dr. Deepa J, Dr. Sindhuja TA	-	National
5	31.03.24	ELECTROSURGERY IN ENDOSCOPY Attended by Dr. Sindhuja T A (Senior Resident), Dr. Ajidha Bharathi SD (Senior Resident), Dr. Monica (Senior Resident)	-	State
6	27.07.24 - 28.07.24	EUS LIVE CHENNAI 2024 Attended by Dr. Deepa J (Senior Resident), Dr. Sindhuja T A (Senior Resident), Dr. Ajidha Bharathi SD (Senior Resident), Dr. Monica (Senior Resident)	-	State
7	04.08.24	GEME- MODULE WORKSHOP IN GI EMERGENCIES Attended by Dr. Deepa J (Senior Resident), Dr. Sindhuja T A (Senior Resident), Dr. Ajidha Bharathi SD (Senior Resident), Dr. Monica (Senior Resident)	-	State
8	04.10.24	ISPGHAN WORKSHOP - INTESTINAL ULTRASOUND Attended by Dr. Deepa J (Senior Resident), Dr. Sindhuja T A (Senior Resident) MANOMETRY Attended by Dr. Ajidha Bharathi SD (Senior Resident), Dr. Monica (Senior Resident)	-	National

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	Related Images
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”
2	21.7.23	Clinical Society Meeting –	A Tale of 2 Ds - Dr Deepa J (Senior Resident) A Rise Before a Fall - Dr Sindhuja T A (Senior Resident)
3	24.6.23	TNISG - Monthly Meet	Post graduate session: Dr Deepa J presented a rare case of Mitochondrial DNA depletion syndrome “UNUSUAL SYNERGY WITH DEPLETING ENERGY”
4	27.4.24	TNISG - Monthly Meet	Post graduate session: Dr Sindhuja TA presented case discussion on “RECURRENT ACUTE LIVER FAILURE”
5	21.6.24	Clinical Society Meeting –	Dr Ajidhabharathi SD presented “EMERGING FROM DARKNESS - A CASE OF CHRONIC CHOLESTATIC LIVER DISEASE”
6	29.6.24	TNISG - Monthly Meet	PG Session on Review of Literature: Dr Deepa J presented on Review of Literature on EHPVO in Children
7	23.8.24	Clinical Society Meeting –	Dr Monica M presented “HYPER-MANGANESEMIA WITH DYSTONIA – UNVEILING A TREATABLE CULPRIT IN CHRONIC LIVER DISEASE”

Scientific Forum

Completed Projects

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Ongoing Projects

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Publications

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Awards & Achievements

S.NO	Date/Month & Year	Name of the Awards & achievements received	Name of the awardee with designation	District level / State level / National level	Images
1	29/10/2023	POSTER OF EXCELLANCE-1ST PRIZE-ISPGHAN NATIONAL CONFERENCE 2023	DR DEEPA J SENIOR RESIDENT	National	View
2	06/10/2024	POSTER OF EXCELLANCE 3RD PRIZE-ISPGHAN 2024	DR SINDHUJA TA SENIOR RESIDENT	National	No Image
3	13/10/2024	MODERATED POSTER-UNITED EUROPEAN GASTROENTEROLOGY WEEK	DR SINDHUJA TA SENIOR RESIDENT	National	View
4	14/10/2024	MODERATED POSTER-UNITED EUROPEAN GASTROENTEROLOGY WEEK-INTERNATIONAL CONFERENCE	DR DEEPA J SENIOR RESIDENT	National	View
5	04/12/2024	LIVER CLINICS 1ST PRIZE-ISGCON 2024	DR MONICA M SENIOR RESIDENT	National	View
6	30/03/2025	YOUNG INVESTIGATOR AWARD-ASIA PACIFIC ASSOCIATION FOR THE STUDY OF LIVER-INTERNATIONAL CONFERENCE 2025	DR DEEPA J SENIOR RESIDENT	National	View
7	30/03/2025	QUIZ 1ST PRIZE-PED GASTRO UPDATE 2025	DR MONICA M SENIOR RESIDENT	State	View
8	30/03/2025	QUIZ 3RD PRIZE-PED GASTRO UPDATE 2025	DR SINDHUJA TA SENIOR RESIDENT	State	No Image
9	30/03/2025	QUIZ 3RD PRIZE-PED GASTRO UPDATE 2025	DR SINDHUJA TA SENIOR RESIDENT	State	View
10	17/05/2025	YOUNG INVESTIGATOR AWARD-ESPHAGN 2025	DR DEEPA J SENIOR RESIDENT	National	View

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.

Guests Lectures

DR.SOMASEKHAR

Topic: NUTRITION IN CHRONIC LIVER DISEASE ,Nutrition in Liver transplant

STATE

Dr. Gunasekaran

Topic: Upper GI Bleed – Case scenarios and management

STATE

Prof.Dr Sumathi B MD DM

Topic: Lactose intolerance

STATE

Prof. Dr. V.S. Sankaranarayanan

Topic: Lecture on PPI

STATE

Organ Transplant

No Organ Transplant information available for this department.

Pediatric Gastroenterology

History

DEPARTMENT OF PEDIATRIC GASTROENTEROLOGY –ICH & HC

Faculty & Residents

Facility & Clinical Care

Academic Forum

SEMINAR / SYMPOSIUM

CME / CONFERENCE

Workshop / Training Programme

Quiz /competitions

Renew , Rejoice - CME on renal transplantation

Others Events

Scientific Forum

Completed Projects

Ongoing Projects

Publications

Sponsored Projects

Awards & Achievements

Success Stories

Others

Guests Lectures