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The gastroenterology, hepatology and nutrition service cares for children and young people with a wide range of conditions including:
We are a multidisciplinary team including consultants, clinical nurse specialists, dietitians, clinical psychologists and a physiologist.
We provide services for children admitted to hospital with gastroenterological conditions and we treat children at the request of colleagues in other disciplines and in multidisciplinary outpatient clinics. According to referral pathways, and at the discretion of the gastroenterology consultants, groups of patients are reviewed in specialised multidisciplinary clinics for:
We also have some transitional clinics for patients with inflammatory bowel diseases, liver and pancreatic disease depending on where they are being transitioned too. Investigations and procedures performed by our department are:
The Gastrointestinal Physiology Department can perform a wide range of investigations to assist with diagnosis and management of several Gastrointestinal conditions.
Referrals can be accepted by the Gastrointestinal Physiology Department directly if the patient is under the care of a medical consultant who is able to manage the patients follow up care.
Once referred, your patient will be assessed, an investigation performed, and a report returned directly to the referrer with a full technical report and clinical summary of the investigation. We work the latest international standards and classifications. Your report will not be reviewed by our Gastroenterology Consultants, but the Gastrointestinal Physiology Department are able to support.
Referrals should be sent via letter with the investigation required, indications, contact details and a recent weight to the Gastrointestinal Physiology Department
Please note: We are unable to provide results directly to patients and are unable to accept referrals from GP’s.
Email Address: GIPhysiology@alderhey.nhs.uk
Telephone Number: 0151 293 3518 (Answer machine facility available)
Address: Gastrointestinal Physiology Department, Office 2A, Alder Hey Children’s Hospital, East Prescott Road, Liverpool, L12 2AP
Indications and Investigations
Oesophageal Manometry: For Dysphagia, GORD, Rumination syndrome (Biofeedback available), non-cardiac chest pain, Regurgitation, Standard Pre-fundoplication work-up and Gold Standard diagnosis for Achalasia (can classify into subtypes). Invasive investigation, however most children tolerate well.
Anorectal Manometry: For Faecal incontinence or Constipation not managed by medical management, Follow-up to anal injury. Biofeedback Therapy is also available.
Impedance Studies: For GORD assessment of reflux off/on medications, comparative studies pre-/post feed changes, Diagnosis of GORD, part pre-fundoplication work-up. We advise that Children older than 14 to undergo Oesophageal Manometry alongside Impedance Study
Hydrogen Breath Testing: For Small Intestinal Bacterial Overgrowth (SIBO), Sugar Malabsorption; Fructose, Sucrose or Lactose Malabsorption. All Malabsorption’s referrals are recommended to be assessed for SIBO via Lactulose Breath Test prior to Malabsorption Testing.
Urea Breath Test: For assessment for Helicobacter pylori or confirm eradication post treatment
For More Information
Our stoma nurses care and support children with varying types of stomas-colostomy, ileostomy, ACE, gastrostomy, and jejunostomy.
Our aim within the department is to provide a high quality service for children with stomas by recognising that the family is the constant in the child’s life and to provide the family with the skills and knowledge to support the child at home and where possible facilitate independent living.
To make an appointment to visit a stoma nurse, please call us on 0151 252 5541 or 0151 293 3683.
We know that having a long-term chronic health condition can place a great burden upon young people and their families. It can affect any area of life including attending school, making friends, thinking about the future as well as the way someone feels about themselves. Needing to take daily medications, attending clinic appointments and having overnight stays in hospital can be worrying and stressful too.
As clinical psychologists, we aim to provide support when things related to your child's health condition become tricky to manage. We are also keen to support young people to develop skills and strategies to manage their health so that we can help to prevent further difficulties from emerging.
Clinical Psychologists are trained in understanding how people develop, think, feel and behave. We use this knowledge to try to help children, young people and families to cope with and adjust to any difficulties associated with their health condition and the way in which this affects their lives.
We can offer individual appointments to discuss any worries or concerns young people and their families may have in relation to their health condition. We aim to help families and young people to find different ways of managing their difficulties. This may involve individual work with children, young people, with parents/carers or with the family as a whole.
We may also talk (with your consent) to other professionals that you are involved with (e.g. school, GP, children’s services, other medical teams) to ensure we are thinking about all aspects of the young person’s life.
In some circumstances we can offer appointments on the ward if your child is an inpatient and/or when your child is seen as an outpatient. Most of our appointments take place at Alder Hey but it can sometimes be useful to do home and school visits as well. We try to be as flexible as possible with appointment times.
Depending on the age and confidence of the child, it can sometimes be helpful to see children separately. Older children and teenagers will usually be offered the chance to be seen on their own. Parents may also be seen separately when necessary.
All information that you share with us is treated confidentially unless we are worried that someone’s safety is at risk. We ask to share some information with other professionals involved with your child to help us provide the best care.
You can ask to be referred to clinical psychology by any member of the gastroenterology team. They may then discuss with us whether the referral is appropriate for support from our service. There may be some occasions where we feel that other services would provide more suitable support for the young person or family. A Clinical Psychologist may also be present when you come to outpatient clinics and you can discuss your support needs with them at this time.
Referrals must be made by the child's GP, or another consultant, using established referral pathways.
We provide special nurse-led telephone access clinics for certain groups of children with chronic problems.
Our department is active in clinical and experimental research. We are engaged in local and national ethically approved clinical research studies in the following areas:
Neither you nor your child are obliged to participate in research and our priority is to offer the best available treatment for every child.
Our team ethos is to provide training opportunities for all existing job specifications. This includes excellent training opportunities for doctors, dietitians, clinical nurse specialists and secretaries.
GASTRO Admin team - 0151 293 4555 Option 1 Extn 4555
Stoma Nurse - 0151 293 3683
TPN Nurse - 0151 293 3457
IBD Nurses - 0151 252 5446 and 0151 252 5190
GI Physiology - Extn 3518
Dr Cameron and Dr Nair - 0151 252 5541 (Extn 2541)
Dr Tamhe and Dr Renje - 0151 252 5449 (Extn 2449)
Dr Auth and Dr Cheng - 0151 252 5153 (Extn 2153)
PCO inbox - firstname.lastname@example.org
IBD inbox - ahc-tr.IBDnurses@nhs.net
GI physiology - GIphysiology@alderhey.nhs.uk
Gastro Dieticians - Gastrodieticians@alderhey.nhs.uk
Alder Hey Children's Charity