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GI Clinical Programs

What We Treat

Conditions We Treat

Get a diagnosis and treatment for nearly every pediatric GI condition, from food intolerances to chronic complex digestive disorders. We treat:

  • Celiac disease – A digestive disorder in which gluten causes the immune system to damage the small intestine
  • Esophagitis – Inflammation or swelling of the esophagus, including eosinophilic esophagitis (EoE)
  • Failure to thrive – A condition in which a child’s weight or rate of weight gain is significantly less than their peers’
  • Feeding and swallowing disorders (dysphagia) – Difficulty gathering, sucking, chewing or moving food down the throat
  • Functional gastrointestinal disorders (FGIDs) – Persistent, recurring symptoms that occur due to abnormal sensitivity of the nerves of the digestive tract
    • Abdominal pain
    • Irritable bowel syndrome (IBS) – Abdominal pain associated with diarrhea and/or constipation
    • Nausea and/or vomiting, including cyclic vomiting syndrome (CVS)
    • Constipation or diarrhea
  • Gastroesophageal reflux disease (GERD) – Stomach contents leak back into the esophagus, causing heartburn and other symptoms
  • Helicobacter pylori (H. pylori) infections – Bacterial stomach infection that causes gastritis and ulcers and can lead to stomach cancer
  • Inflammatory bowel disease (IBD), including ulcerative colitis and Crohn’s disease – Chronic inflammation of the digestive tract
  • Lactose intolerance – Inability to digest foods containing lactose, the sugar found in milk and dairy products
  • Liver diseases
    • Biliary atresia – Bile gets trapped in the liver due to a lack of bile duct openings
    • Hepatitis – Inflammation of the liver; may be caused by a virus or an autoimmune condition
  • Newborn jaundice – High levels of bilirubin, a substance created when the body replaces red blood cells, make your baby’s skin look yellow
  • Intestinal insufficiency – Part of the small intestine is missing, making it difficult for the body to absorb enough fluid and nutrients; sometimes referred to as short bowel syndrome

Treatments

GI Services & Treatments

Take advantage of an extensive range of consultations and procedures, including:

  • Endoscopy procedures – Allow doctors to see and treat your child’s digestive tract without surgery
    • Upper endoscopy (EGD) – Looks at the esophagus, stomach, and the first part of the small intestine (the duodenum)
    • Colonoscopy – Looks inside the entire large intestine (colon)
    • Flexible sigmoidoscopy – Looks inside the lower end of the large intestine
    • Foreign body retrieval – Removes a potentially dangerous item from a child’s esophagus or stomach
    • Esophageal dilation – Stretches a narrowed area of the esophagus
    • Sclerosis of esophageal varices – Controls bleeding by injecting medicine into a large vein in the esophagus
    • Banding of esophageal varices – Controls bleeding by placing a tiny ring on a large vein in the esophagus
  • Oral motor and behavioral feeding therapy
  • Nutrition consultations and management
  • Esophageal pH test – Diagnoses acid reflux by measuring acid that backs up into the esophagus from the stomach
  • Hydrogen breath testing – Measures hydrogen in a breath to determine how well your child’s body breaks down lactose (milk sugar) or sucrose (table sugar)
  • Medications
  • Feeding tubes and total parenteral nutrition (TPN) – Delivers nutrition and hydration through a tube or IV (TPN) to children who can’t or shouldn’t eat
  • Biopsy – Removes a small piece of tissue so it can be examined for signs of damage or disease
  • GI surgery
  • Liver transplant

In collaboration with our adult GI Division we offer:

  • Esophageal and anal manometry – Assesses muscle contractions
  • Endoscopic retrograde cholangiopancreatogram (ERCP) – Allows a doctor to see and treat the bile system, gallbladder and pancreas

Most pediatric procedures are performed in a dedicated GI suite at N.C. Children’s Hospital. A few procedures are performed in the adult GI center at N.C. Memorial Hospital, which is right next door to the Children’s Hospital.

Ask for a Referral

You’ll need a physician’s referral for most pediatric GI care. For more information, talk to your doctor or call us at 919-966-2435.

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