Practical Approach to Paediatric Gastroenterology, Hepatology and Nutrition

Practical, handy and succinct, this full colour pocketbook provides clear-cut clinical guidance to the main symptoms that infants and children commonly present with in both primary and secondary care.

Clearly divided into specific sections covering the GI tract, liver and nutrition, Professor Kelly and her team discuss how best to investigate and manage specific clinical problems such as vomiting, abdominal pain, acute diarrhoea, constipation and jaundice using a highly clinical problem-orientated approach. 

They cover the management of important clinical problems such as chronic liver disease, ascites, malnutrition, obesity, coeliac disease and inflammatory bowel disease, and provide advice on nutritional problems in premature infants and children including weaning and food aversion.

Key points, potential pitfalls, and management algorithms allow for rapid-reference, and link with the latest evidence, guidelines and protocols from ESPGHAN and NASPGHAN providing coverage of the major professional society recommendations for clinical practice.

 Brought to you by the experts, Practical Approach to Gastroenterology, Hepatology and Nutrition is the perfect accompaniment for trainees in gastroenterology, hepatology and pediatrics, as well as nutritionists, GI nurses and GPs.

Deirdre Kelly, Professor of Paediatric Hepatology, Liver Unit, Birmingham Children's Hospital, NHS Trust, Birmingham, UK

Prof Kelly is one of the world's leading pediatric hepatologists, and was responsible for?helping create the?Paediatric Liver Unit at Birmingham Children's Hospital, a leading national and international institution?for children with liver disease and?undergoing liver transplantation. She runs an active research programme focussing on viral hepatitis in children, molecular genetics of inherited liver disease, and quality/outcome of life following liver/intestinal transplantation.
She's?a former President of the European Society of Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN),?the British Society for Paediatric Gastroenterology, Hepatology and Nutrition and the International Paediatric Transplant Association. She has been on the?editorial boards of the Journal of Liver Transplantation and Surgery, Pediatric Transplantation?and Alimentary Pharmacology & Therapeutics, and has had?250?papers published, as well as?7 books and 26 book chapters. She is editor of Diseases of the Liver & Biliary System in Children.

Jane Hartley, Consultant Paediatric Hepatologist, Birmingham Children's Hospital, UK.

Ronald Bremner, DM MB ChB BSc (MedSci) MRCPCH, Consultant Paediatric Gastroenterologist, Birmingham Children's Hospital, UK.

Diana Flynn, Consultant Paediatrician, NHS Glasgow & Clyde, UK.

Preface, vii

Acknowledgements, viii

Part I Gastroenterology, 1

1 The infant with abdominal pain, 3

2 The child with abdominal pain, 6

3 The infant with vomiting, 15

4 The child with vomiting, 21

5 Difficulty swallowing, 24

6 Abdominal distension, 29

7 The infant with acute diarrhoea, 32

8 The child with acute diarrhoea, 35

9 The infant with chronic diarrhoea, 40

10 The child with chronic diarrhoea, 47

11 Gastrointestinal bleeding, 61

12 Food-associated symptoms, 67

13 Abdominal mass, 76

14 The infant with constipation, 79

15 The child with constipation, 83

16 Perianal pain, 90

Part II Hepatology, 93

17 The infant with jaundice, 95

18 The acutely unwell infant, 108

19 The infant with splenomegaly, 118

20 The infant with a hepatic cause for abdominal distension, 121

21 The older child with jaundice, 128

22 The older child who is acutely unwell, 134

23 The older child with hepatic causes of abdominal distension, 138

24 Chronic liver disease: itching, 141

25 Chronic liver disease: ascites, 145

26 Chronic liver disease: haematemesis or meleana, 148

27 Children with incidental abnormal liver biochemistry, 150

28 The child with cystic fibrosis, 152

29 The child with liver disease following chemotherapy, 155

30 The management of a child with acute liver failure, 158

31 Indications for liver transplant, 164

32 Complications following liver transplant, 166

Part III Nutrition, 171

33 Nutritional monitoring, 173

34 Nutrition in the normal infant: breast-feeding, 176

35 Nutrition in the normal infant: infant formulae, 180

36 Nutrition in premature infants, 183

37 Problems with weaning, 186

38 The infant or child with poor feeding, 188

39 Food aversion, 192

40 Ingestion of non-food items (pica), 194

41 Nutrition in neurodisability, 198

42 Malnutrition, 201

43 Obesity, 209

44 Intestinal failure, 213

45 Parenteral nutrition: initiating and monitoring, 225

46 Parenteral nutrition: complications, 230

47 Parenteral nutrition: weaning, 237

48 Home parenteral nutrition, 239

49 Enteral tube feeding, 241

50 Nutrition in cystic fibrosis, 247

Index, 249

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