A specialized department that deals with conditions affecting the gastrointestinal system in children operates within the Euroclinic Children’s Hospital.
The most common gastrointestinal conditions encountered in childhood include: gastroesophageal reflux disease (GERD), constipation, chronic diarrhea, chronic abdominal pain, inflammatory bowel diseases (ulcerative colitis, Crohn’s disease), gastrointestinal food allergy, gastritis and peptic ulcers, malabsorption syndromes (celiac disease and short bower syndrome), gastrointestinal hemorrhage, colon polyps, foreign object and caustic ingestions, and hepatobiliary diseases.
The Gastroenterology Department offers the following services:
The esophageal pH is recorded over 24 hours to diagnose gastroesophageal reflux.
This test measures the electrical intraluminal impedance between closely arranged electrodes mounted on a catheter, as well as the pH. The method is extremely sensitive and accurate in detecting reflux and intraluminal bolus movement. It may also detect the nature of the GERD (gas, liquid or a mixture of both) and whether it is acidic or non-acidic. It requires 24-hours hospitalization.
It is used to diagnose gastrointestinal infections by Helicobacter pylori. The tests runs for about 30 minutes.
It is the most reliable test used to diagnose lactose intolerance. A dose of lactose is diluted in water and administrated to the patient. A special device then measures the amount of hydrogen exhaled in the breath every 30 minutes. The test runs for 3 hours.
This test is used to diagnose esophageal motility disorders. Manometry is a method used to measure static pressures (e.g. sphincter) as well as intraluminal pressure changes. Patients may return to their normal activities immediately, without any limitations.
It is performed to study constipation. This test is used to investigate whether constipation is due to abnormal function of the anus and rectum (anorectal function). The test is performed at the Gastroenterology Department. It lasts approximately 30 minutes.
Upper gastrointestinal endoscopy (gastroscopy, tissue collection for biopsy, removal of foreign objects, gastrostomy)
Gastroscopy is generally considered the most significant test used to diagnose and treat most of the conditions associated with the esophagus, stomach and duodenum. It not only offers direct probing of these organs, but it also allows the collection of small samples from the gastric mucosa using forceps passed through the biopsy channel of the endoscope. These samples are then sent for histopathology testing (biopsy). It also offers the possibility of performing therapeutic endoscopic interventions (foreign object removal, gastrostomy).
The procedure requires admission to the One-Day Clinic and general anesthesia, which is administered by a pediatric anesthesiologist.
Colonoscopy permits the direct probing of the large intestinal and terminal ileum mucosa. It also offers the possibility of collecting tissue samples and removing polyps. On the eve of the exam, young patients must undergo bowel preparation at home, as per the pediatric gastroenterologist’s instructions.
Medical Infrastructure & Technology
The Department is equipped with the latest technology in diagnostic devices and offers the possibility of performing all available techniques and special medical exams. Most of the procedures and exams are performed at the Outpatient Clinic or the One-Day Clinic.