T.C. SAĞLIK BAKANLIĞI Ankara Şehir Hastanesi

Pediatric Gastroenterology And Hepatology Güncelleme Tarihi: 09 Haziran 2020

Pediatric Gastroenterology And Hepatology



PEDIATRIC GASTROENTEROLOGY 

Our department is located in Ankara City Hosptal since 2019. The department staff and specialists previously worked in other hospitals. We help children with symptoms related to chronic abdominal pain, reflux, constipation, chronic diarrhea and malnutrition and some other specific conditions like celiac disease, Crohn’s Disease, ulcerative colitis, liver diseases and pancreas diseases. Our team consists of faculty members, pediatric gastroenterologists, pediatricians, fellows, residents, dieticians and nurses work for interventional procedures such as endoscopy, colonoscopy, liver biopsy in the polyclinics and service wards for inpatients. We search for innovative ways to improve the quality of care for every child in order to overcome difficulties. We offer a variety of diagnostic and therapeutic options in our gastroenterology procedure unit which is equipped with the latest techonology. If your child is referred to us by another center or facility, the first step to do is to schedule an appointment by calling 182.

General Titles of Interventional Procedures

Liver Biopsy: It is a procedure performed to determine the severity and/or cause of injury in patients with liver disease, and it is the procedure of taking a small sample from the liver with a special needle. If the patient, who decides to undergo a biopsy, tends to bleed, it is previosuly investigated by blood tests. The patient is hospitalized on the day of the biopsy and is followed up in the hospital one night after the biopsy. The results of the histopathology examination become available within 15 days, depending on the nature of the procedures performed.

Esophagogastroduodenoscopy Colonoscopy: The endoscope (7 and 9 mm in diameter) examines the patient's esophagus, stomach and first 10 cm of his/her intestine. When necessary, samples are taken for microscopic examination. Patients should have empty stomach, they should not eat or drink anything after midnight including water. Families are informed about the fasting period in younger children and infants. Adequate bowel cleansing is essential for complete examination of the colon mucosa during colonoscopy. In order to have a good cleansing, the patient should start a diet that does not leave the pulp three days before and during this period and take the drugs which ensure colconic emptying. There is supposed to be no stool in the large intestine to block the image. Before the procedure, the patients are put to sleep with anesthetic drugs given intravenously and they do not remember anything about the procedure when they awake. At the end of the procedure, the patient is observed for 2-3 hours. The results of the histopathology examination become available within 15 days, depending on the nature of the procedures performed.

Percutaneous endoscopic gastrostomy jejunostomy

Gastrostomy is the insertion of a feeding tube via anterior abdominal wall to stomach and jejunostomy into small intestine. These tubes can be placed endoscopically or surgically. When a patient is hospitalized, the procedures starts to be carried out. Patient/Parents are discharged within 1-2 days after being trained in nutrition and ostomy care.

Esophageal Band Ligation

In chronic liver and liver vascular diseases and cirrhosis; mostly in the lower part, enlarged veins (varices) are formed in the esophagus, and these may occasionally bleed and cause life-threatening conditions. This process aims to reduce the risk of bleeding. Procedure preparations are the same as in esophagogastroduodenoscopy. During endoscopy, varicose veins in the esophagus are seen, and the varices are strangled with a rubber band by using a unique tool. This procedure should be repeated at different times.
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