Pediatrics

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Gastroenterology Clinical Care

Faculty in the Division of Pediatric Gastroenterology, Hepatology and Nutrition at IU School of Medicine provides comprehensive, multi-disciplinary care for patients. With access to the full spectrum of pediatric specialties, including pediatric surgery, pediatric nutrition and pediatric interventional radiology support, the award-winning team of physicians and staff in the Division of Pediatric Gastroenterology, Hepatology and Nutrition treat patients with a variety of gastrointestinal, liver and nutritional disorders. Multi-disciplinary clinics enhance these collaborations, and dedicated programs are available for patients with inflammatory bowel disease, liver disease, eosinophilic diseases, short bowel syndrome, cystic fibrosis, obesity and motility disorders. Additionally, the division has a large endoscopic practice with a highly professional and efficient system and many years of experience.

State-of-the-Art Facilities

Faculty, medical students, residents and fellows see patients at Riley Hospital for Children, IU Health North Hospital, IU Health Saxony Hospital, South Bend Clinic, Fort Wayne Clinic, IU Health Deaconess Hospital in Evansville, and at Southern Indiana Pediatrics in Bloomington. When hospitalization is necessary, patients are admitted to Riley Hospital for Children (downtown Indianapolis) or to the pediatric unit at IU North Hospital, which has one of the highest customer satisfaction rankings in the midwest.

Special Clinics and Programs

This multidisciplinary clinic is staffed by a pediatric hepatologist, a pediatric surgeon and a dietitian—and meets monthly.

Pediatric gastroenterologists collaborate with pediatric surgeons, dietitians and clinical pharmacologists. A support group is being developed.

Riley physicians are pioneers in Eosinophilic Intestinal Disease and have extensive expertise in managing these diseases. The multidisciplinary eosinophilic esophagitis clinic meets monthly, and pediatric allergists and dietitians contribute to the program.

This monthly clinic, staffed by pediatric gastroenterologists, pediatric surgeons, transplant surgeons, dietitians and social workers, aims to help children with short bowel syndrome advance in their ability to feed using the intestine. The center provides comprehensive care to these challenging patients, some of whom require transplantation.

This clinic is a result of collaboration between pediatric gastroenterologists, ENT physicians and pediatric pulmonologists. The Airway and Digestion Clinic offers multidisciplinary approach to children with swallowing, airway or upper GI tract issues.

The Pediatric Liver Program provides expert diagnosis and management of children with a variety of liver diseases, including elevated liver enzymes, fatty liver, viral hepatitis, cholestatic liver disease, metabolic liver disease, hepatomegaly and neonatal jaundice. The doctors, nurses and other specialists with the Pediatric Liver Disease Program at Riley Hospital for Children are highly skilled in diagnosing and treating simple to complex liver conditions. The program most often treats conditions that interrupt the flow of bile such as biliary atresia and cirrhosis. Supportive care, such as nutrition and medicines, as well as advanced procedures to address bleeding issues are offered in this clinic, and the liver transplant program is the only one in Indiana. Clinic faculty also work with expert adult hepatobiliary endoscopists/gastroenterologists who perform highly specialized procedures such as angiography, cholangiography and endoscopic retrograde cholangiopancreatography (ERCP) to treat bile duct problems and liver conditions.

Inaugurated in 1987, the Liver Transplant program at IU Health has transplanted livers in more than 150 children with severe liver disease. Children are sometimes placed on the liver transplant list if they have an inherited metabolic condition such as Wilson’s disease, alpha-1 antitrypsin deficiency or a urea cycle defect.

Faculty physicians in the Division of Pediatric Gastroenterology offer years of experience in performing endoscopies and related procedures in infants, toddlers, children and adolescents to medical students, residents and fellows. Services offered include upper GI endoscopy, lower GI endoscopy, G-Tube placement, pH probe studies (including Bravo®), capsule endoscopy, percutaneous liver biopsy, rectal biopsies and manometry, and motility studies to examine the motility of the GI tract.

Faculty in the Division of Pediatric Gastroenterology, Hepatology and Nutrition at IU School of Medicine were pioneers in the performance of esophageal manometry back in 1980. Joseph Croffie, MD, Director of the Pediatric GI Motility Laboratory, began performing anorectal manometry in 1995. He has a national reputation in this area and in the performance of biofeedback training for patients with difficulties passing stool. The addition of stomach, small intestine and colonic motility studies became available in the Riley Motility Laboratory in early 2000. Marian Pfefferkorn, MD also performs anorectal manometry and biofeedback training. Shamaila Waseem, MD, is focused on gastroparesis and other gastrointestinal motility disorders.