Practical Approach to Pediatric 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. CONTENTS 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