Pediatrics: Gastroenterology

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Clinical Programs

CARE (Constipation and Reflux Evaluation) Program: Up to 25% of children who are referred to GI have a disorder of defecation management and 25% of infants are referred for reflux. Treatment and management of constipation and reflux are provided in the CARE Program by the team of Pediatric Nurse Practitioners in collaboration with our Gastroenterologists. Our approach consists of a combination of education, behavior management and medication interventions that are tailored to meet the unique needs of each child. Dietitians and psychologists also support the program by providing additional intervention on diet and when behavioral issues interfere with management.

A new treatment, percutaneous colonoscopic cecostomy, (PECC) is available for children with fecal incontinence due to spina bifida and constipation and encopresis following surgical repair of imperforate anus.

Celiac Disease: The Bonnie Lynn Mechanic Celiac Disease Clinic uses a multi-disciplinary team approach for diagnosing, educating and managing children and their families with the long-term follow-up care of Celiac Disease.

Eosinophilic GI Disorders: The eosinophilic esophagitis (EE) clinic was started in 2007 as a joint version between the division of Gastroenterology and the division of Allergy-Immunology and food allergy specialist dietitians. The goal of the clinic is to provide comprehensive, interdisciplinary care for children with eosinophilic esophagitis. The clinic provides diagnostic endoscopy, diagnosis and management of dietary and environmental allergies, expert dietary guidance and overall long-term management of eosinophilic esophagitis.

Gastrointestinal Motility: We offer complete evaluation and treatment for children with known or suspected disorders of gastrointestinal motility. Testing available includes esophageal and anorectal manometry, antroduodenal and colonic motility studies and measurement of gastric emptying. Testing is helpful in infants and children with known or suspected intestinal pseudo-obstruction, feeding disorders, dysphagia and constipation or encopresis following surgical treatment of Hirschprung's disease and imperforate anus.

Inflammatory Bowel Disease Program: The IBD program brings state of the art facilities and multidisciplinary expertise to children with long ignored, chronic devastating forms of inflammatory bowel disease in this state. This clinic fosters an interdisciplinary approach to diagnosis and treatment of children with Crohn's disease and ulcerative colitis. This clinic is staffed by pediatric gastroenterologists with special expertise in pediatric inflammatory bowel disease, a pediatric IBD nurse and pediatric nutritionist on a regular basis. The clinic service includes a professionally staffed patient education team to work with patients and families. Individual and family counseling by psychologists specializing in chronic disease is also available. Surgical treatment when needed is provided by pediatric surgeons specialized in complex IBD surgery. During the last two years our research has been focused on understanding the cause of IBD and the development of new and novel treatment strategies. The director of the pediatric IBD clinic is funded by National Institutes of Health for patient oriented clinical research in children. Educational services are available to patients/families through support group meetings, brochures, audio visual aids and symposiums dedicated to the lay public.

Obesity (New Kids Program): In conjunction with ongoing care from the providing physician, the NEW Kids Program offers a team approach in treating the increasing number of children who are overweight. NEW Kids is a multi-disciplinary program that coordinates efforts of nurse practitioners, psychologists, dietitians, exercise physiologists and physicians. We partner with the YMCA of Metropolitan Milwaukee to attack this nationwide epidemic.

Tube Feeding Clinic: This clinic is designed for the treatment of children receiving gastrostomy and jejunostomy tube feedings. This clinic is attended by a gastroenterologist, a registered dietician and an enterostomal therapist so that complete care is offered in a single visit. We have special interest in the evaluation and treatment of patients who are intolerant of have difficulty with tube feedings. Percutaneous endoscopic gastrostomy (PEG) and percutaneous endoscopic jejunostomy (PEJ) are offered. We have a special interest in the treatment of children with pancreatitis and offer skilled ERCP in infants and children of all ages. Other programs include the treatment of children on home TPN and liver transplantation.

Clinical Laboratory: Our CLIA approved clinical reference laboratory performs the following tests: 
 

  • Disaccharidase from small bowel biopsies: Lactase, sucrase, palatinase (isomaltase equivalent) and glucoamylase
  • Pancreatic function tests*: Duodenal fluid lipase, amylase, trypsin, and protein
  • Stool enzymes: Alpha 1-antitrypsin
     

Normal Values (PDF)
 

Liver Disease / Transplant: Staff members in the Liver Disease Clinic see patients with a variety of liver problems and are experts in liver disease. We focus on family-centered care and use a multidisciplinary team approach to provide education, support and ongoing management to our ongoing patients.

The pediatric liver transplant program at Children's Hospital of Wisconsin provides medical care to patients before and after liver transplantation. Patients are followed closely into adulthood by the transplant team. We focus on family-centered care in our clinic, and our goal is to use a multi-disciplinary team approach to provide education, support and on-going management of this unique population.

Nutrition: The Nutrition Clinic offers a team approach in managing children who have complex nutritional needs such as tube fed dependent and TPN dependent.

Feeding and Swallowing Disorders: The Wal-Mart/Sam's Club Feeding,

Swallowing and Nutrition Center at Children's Hospital of Wisconsin provides complete evaluation and treatment for children with feeding and swallowing disorders. Families come to the center from throughout Wisconsin, Illinois and Michigan as well as from other parts of the United States and around the world.

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Page Updated 01/10/2014