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Chapter-11 Diseases of gastrointestinal system and liver

BOOK TITLE: Partha’s Fundamentals of Pediatrics

Author
1. Srinivas S
2. Thapa BR
3. Sathiyasekaran Malathi
4. Sankaranarayanan VS
5. Raju B Bhaskar
ISBN
9788184480214
DOI
10.5005/jp/books/10588_11
Edition
1/e
Publishing Year
2007
Pages
61
Author Affiliations
1. Department of Critical Care, Care Hospitals, Banjara Hills, Hyderabad, Andhra Pradesh (India), Care Hospital, Banjara Hills, Hyderabad, Andhra Pradesh (India), Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India, Chennai, Apollo Children’s Hospital, Chennai, Tamil Nadu, India, Manipal Hospital, Bangalore, India, BRS Hospitals, Chennai, Care Hospitals, Banjara Hills, Hyderabad 500 034 (India), Apollo Children’s Hospital, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu, India
2. Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India, Postgraduate Institute of Medical Education and Research, Chandigarh, Postgraduate Institute of Medical Education and Research, Chandigarh, India, Postgraduate Institute of Medical, Education and Research, Chandigarh, India, Advanced Pediatric Center, PGIMER, Chandigarh
3. Kanchi Kamakoti Childs Trust Hospital, Sundaram Medical Foundation, Chennai, Tamil Nadu, India, Kanchi Kamakoti Childs Trust Hospital (KKCTH), Apollo Children’s and SMF Hospital Chennai, Tamil Nadu, India, Kanchi Kamakoti Child Trust Hospital; Sundaram Medical Foundation and Apollo Hospitals, Chennai, Tamil Nadu, India, Kanchi Kamakoti CHILDS Trust Hospital, Sundaram Medical Foundation, Chennai, Tamil Nadu, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Sundaram Medical Foundation and Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India, KanchiKamakoti Childs Trust Hospital, Sundaram Medical Foundation and Apollo Hospitals, Chennai, Tamil Nadu, India, KKCTH, SMF and Rainbow Children’s Hospital, Chennai, Tamil Nadu, India, Kanchi Kamakoti CHILDS Trust Hospital, Sundaram Medical Foundation and Rainbow Children Hospital, Chennai, Tamil Nadu, India, Rainbow Children’s Hospital, Chennai, Tamil Nadu, India, Kanchi Kamakoti Childs Trust Hospital, Sundaram Medical Foundation and Apollo Hospitals,
4. 16 Balaji Avenue, T Nagar, 1st Street, Chennai, Tamil Nadu, Email: drvssankaranarayanan@gmail.com, Madras Medical College and Institute of Child Health and Hospital for Children, Madras Medical College, Chennai, Madras Medical College and Institute of Child Health; Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India, Kanchi Kamakoti Childs Trust Hospital Chennai, Tamil Nadu, India, Kanchi Kamakoti Child Trust Hospital, Numgambakkam, Chennai, Tamil Nadu, India, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu, Madras Medical College and Institute of Child Health and Hospital for Children Egmore, Chennai
5. Institute of Child Health and Hospital for Children, Chennai, Tamil Nadu, Institute of Child Health and Hospital for Children, Chennai, Tamil Nadu, India, Institute of Child Health and Hospital for Children, Madras Medical College, Chennai, Tamil Nadu, Madras Medical College, Chennai, Dr Mehta Children’s Hospital, Chennai, Tamil Nadu; Institute of Child Health and Hospital for Children, Chennai, Tamil Nadu
Chapter keywords
spironolactone¸ abdominal paracentesis¸ blood culture, intractable ascites, triglycerides¸ trauma, bacteria, melena, bleeding, ligation, rex shunt, emergency surgery¸ esophageal varices¸ sclerosants, larva migrans, close contact, abdominal pain, headache, pizotifen¸ organic cause¸ medical attention¸ hematological malignancy

Abstract

This chapter discusses various child diseases of gastrointestinal system and liver in detail. Acute diarrhea should be treated at home with home available fluids/ORS to replace the ongoing losses and advise a normal diet to supply daily calorific needs and breastfeeding should be encouraged. In recurrent abdominal pain in children (RAP), the illness rather than the symptom of pain needs medical attention, best given by pediatric psychiatrist. Complement fixation tests, ELISA, gel diffusion, hemagglutination tests are helpful in the diagnosis of parasitic infestations of GI Tract such as amebiasis, strongyloidiasis, cryptosporidiosis, and trichinellosis. A meticulous approach based upon detailed history, examination and investigations is very important for management of lower gastrointestinal (LGI) bleed in Infants and Children. Ascites is treated by human salt-free albumin or dextran, Transjugular intrahepatic portosystemic shunt (TIPS), peritoneal venous shunts, or orthotopic liver transplantation.

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