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Paediatric Gastroenterology, Hepatology and Transplantation

Synopsis

About The Department

Paediatric Gastroenterology, Hepatology and Transplantation

The Paediatric Gastroenterology Hepatology & Transplantation department sees paediatric patients from birth through 18 years of age. It provides a comprehensive, multidisciplinary approach to diagnosing and treating gastrointestinal, liver, pancreatic and nutritional disorders. 

Paediatric Gastroenterology

 This speciality deals with problems of the stomach and intestines of children. It is not uncommon for newborn babies and children to have tummy pain. Most of the time, it subsides by itself and is harmless. But sometimes, it can be due to serious conditions such as gallstones, intussusception, appendicitis etc. Children’s gastrointestinal problems include diarrhoea, vomiting, Constipation, etc. Paediatric gastro specialists  at Rela Hospital are specially trained To look after children’s gastrointestinal problems. 

How to book an appointment for endoscopy?

For all children with upper GI, endoscopy and colonoscopy are done under sedation. The patient should come empty stomach overnight or as advised by the doctor. Usually, the anaesthetist checks the patient before taking them into the endoscopy suite. Patients who come for colonoscopy should have taken black stative a couple of days before procedure day for having loose, watery stools. This is quite essential to view the inside of the intestine.

Paediatric hepatology

This speciality deals with liver disorders in children. In contrast to the popular belief that liver disease is not common in children, liver disease can affect children, even newborn babies. Jaundice is a common manifestation of liver disease in children. Jaundice due to viral hepatitis is a self-limiting condition which gets better within a few days. Progressive jaundice persistent for more than 5 days should be investigated as sometimes it is associated with serious disease. We have world-class paediatric liver specialists in rela hospital who can diagnose the underline problem and provide treatment solutions.

Liver disease can be of sudden onset called “acute liver failure”, where the child requires emergency intensive care treatment and sometimes liver transplantation, without which the child might not survive. Most of the time, liver disease is slowly progressive, called “ Chronic liver disease”, which requires investigation and special treatment. We have world-class Paediatric liver specialists at Rela hospital who can diagnose the underline problem and provide treatment solutions.

Paediatric liver transplantation

Paediatric liver transplant programme at Rela Hospital is one of the world’s largest children’s liver transplant programs. With more than 100 Paediatric liver transplants per year in 2022, it has evolved as the largest Paediatric liver transplant programme in the world. 

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Why choose Rela Hospital For Paediatric liver transplantation

Children are not little adults; their anatomy, Physiology and requirements vary significantly. With this in mind, the visionary founder and chairman, Prof Mohamed Rela, set up an exclusive multidisciplinary  team of Paediatric hepatologists, a paediatric intensivists and anaesthetists who can deal with children’s liver problems. Prof Mohamed Rela is well known for his expertise in Paediatric liver transplantation, with over 1000 Paediatric transplants performed by him. He has devised new surgical techniques to overcome the practical problems that happen during Paediatric liver transplantation. Due to this, liver transplantation is possible even in very small infants ( # Sivansh from Nepal). 

Paediatric liver transplant programme @ Rela Hospital

We offer liver transplants for various types of liver disease. Some liver diseases are associated with liver cirrhosis, while some of the disorders, particularly metabolic , Where the liver can look normal. Apart from liver transplantation, the team provides hepatobiliary surgery for children.

Conditions that require hepatobiliary surgery in children

  • Biliary atresia ( Kasai portoenterostomy )
  • Gall stones (cholecystectomy)
  • Choledochal cyst ( Hepaticojejunostomy)
  • Chronic pancreatitis ( pancreaticojejunostomy )
  • acute pancreatitis with pancreatic divisum  ( hepaticojejunostomy)
  • Liver tumours limited to lobes( liver resection)

Conditions that require liver transplant

  • Acute Liver Failure
  • Cirrhosis And End Stage Liver Disease
  • Metabolic Liver Diseases
  • genetic disorders affecting the liver: congenital hepatic fibrosis
  • Liver Tumours- Involving whole liver
  • Vascular Problems Of Liver Such As Butchari Syndrome

Types of liver transplant offered

  • Live donor liver transplantation
  • Deceased donor liver transplantation
  • split liver transplantation
  • mono segment liver transplantation
  • auxiliary liver transplantation
  • combined kidney liver transplantation

Paediatric liver transplant process

  • Meet the children liver specialist
  • Meet the transplant Co-odinators
  • Meet Prof  Mohamed Rela
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Consultants & Clinic Timing

Dr. Naresh Shanmugam

Dr. Naresh Shanmugam

MBBS, DCH, DNB(Paed), FRCPCH, Dip. In Nutri Medicine (UK),CCT (UK),CSST (UK)

Liver Disease & Transplantation, Paediatric Gastroenterology, Hepatology and Transplantation, Women & Children's Hospital, Advanced Paediatrics

Director- Women and Child Health & Senior Consultant- Paediatric Gastroenterology & Hepatology

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Dr. Jagadeesh Menon VR

Dr. Jagadeesh Menon VR

MBBS, MD (Paediatrics), DM (Paediatric Gastroenterology)

Paediatric Gastroenterology, Hepatology and Transplantation

Paediatric Hepatology - Consultant

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Dr. Anu K Vasu

Dr. Anu K Vasu

MBBS, DCH, DNB(Paeds), Fellowship in Pediatric Hepatology and Gastroenterology, Fellowship in Pediatric Transplant Hepatology

Paediatric Gastroenterology, Hepatology and Transplantation

Consultant

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Services Offered

  • Children Gastro  & Liver Clinic 
  • Liver transplant clinic
  • Liver transplantation for children
  • Endoscopic related services for children
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Common Gastro & Liver symptoms in children

Gastro Problems 

  • Reflux /vomiting
  • Infantile colic
  • Abdominal pain
  • Diarrhoea (persistent/prolonged)
  • Blood in stools

Liver Problems

  • Jaundice
  • Abdominal distension
  • Dilated veins over abdomen 
  • Swelling of legs.
  • Blood vomiting
  • Fits due to liver disease
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Common Gastro & Liver diseases in children

Common gastro diseases in children

  • Celiac disease
  • Intussusception
  • Stomach ulcers
  • Crohn’s disease
  • Ulcerative qualities
  • Hirschsprung disease
  • Short bowel syndrome

Common liver disorders in children

  • Biliary atresia
  • Alagille syndrome
  • Progressive familial intrahepatic Cholestasis
  • Wilson disease
  • Autoimmune liver disease/ sclerosing cholangitis
  • Viral hepatitis
  • Metabolic liver disease
  • Liver tumour

Common liver investigations

  • Liver biopsy (percutaneous or transjugular)
  • Endoscopy to look for varix
  • Bone marrow aspiration
  • Ultrasound Doppler of abdomen
  • Fibroscan of liver
  • Genetic testing

Endoscopic & Gastro procedures for children

Endoscopy is a daycare procedure where the patient has to be admitted in the morning and would be discharged in the evening. Usually, the doctor who has examined the child and has requested the investigation

  • Upper GI endoscopy
  • Colonoscopy
  • Sigmoidoscopy
  • Esophageal manometry
  • Anorectal manometry
  • Barium swallow
  • Barium follow through
  • Barium enema
  • Endoscopic retrograde cholangitis pancreatography
  • Polypectomy
  • Endoscopic stricture dilatation
  • Rectal suction biopsy
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Patient Testimonials


SUCCESS STORIES

Baby Arhaar’s battle with tyrosinemia

Baby Arhaar’s battle with tyrosinemia

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Baby Siheli Rehansa from Sri Lanka had undergone liver transplantation

Baby Siheli Rehansa from Sri Lanka had undergone l...

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Baby Guransh Singh was diagnosed with Alagille syndrome

Baby Guransh Singh was diagnosed with Alagille syn...

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MEDIA

Dr Deenadhayalan addressing Thalassemia patients in Nellore

Dr Deenadhayalan addressing Thalassemia patients i...

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Events

A Milestone of Miracles: Celebration of 500 Paediatrics Liver Transplants

A Milestone of Miracles: Celebration of 500 Paedia...

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Children Health Carnival

Children Health Carnival

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International Thalassemia Day 2019

International Thalassemia Day 2019

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EXPERT TALKS

Dispelling the illusions of liver detoxification | Dr. Naresh Shanmugam

Dispelling the illusions of liver detoxification |...

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How does alcohol damage the liver | Dr. Naresh Shanmugam

How does alcohol damage the liver | Dr. Naresh Sha...

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Toddler’s diarrhoea | Dr. Naresh Shanmugam

Toddler’s diarrhoea | Dr. Naresh Shanmugam

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