Pediatric Gastroenterology, Hepatology and Nutrition

Experts in the diagnosis and treatment of children’s digestive, liver and nutritional problems.

Your child’s frequent tummy aches may be more than just a sensitive stomach. Our experienced team of pediatric gastroenterologists will figure out the issue and help your child feel better.

In any given week, nearly 40 percent of school-children report abdominal pain, and another 35 percent report nausea, vomiting or constipation. At UHealth Jackson Children’s Care, our multidisciplinary team of pediatric gastroenterology specialists treats a wide range of conditions that may cause these symptoms.

As an academic medical center, we are also involved in research into children’s digestive health, as well as clinical trials.

You can count on us to treat conditions including:

  • Abdominal pain
  • Anorectal disorders
  • Bleeding in the gastrointestinal tract
  • Celiac disease
  • Complex congenital malformations – anorectal & esophageal
  • Constipation and diarrhea
  • Esophageal achalasia
  • Fecal incontinence
  • Feeding disorders
  • Food allergies
  • Gastroesophageal reflux (GERD)
  • Gastroparesis
  • Hepatitis
  • Inflammatory bowel disease
  • Intestinal pseudo-obstruction syndrome
  • Lactose intolerance
  • Liver disease
  • Motility disorders
  • Nutritional problems
  • Pancreatic insufficiency
  • Short bowel syndrome
  • Vomiting

Description

In any given week, nearly 40 percent of school-children report abdominal pain, and another 35 percent report nausea, vomiting or constipation. At UHealth Jackson Children’s Care, our multidisciplinary team of pediatric gastroenterology specialists treats a wide range of conditions that may cause these symptoms.

As an academic medical center, we are also involved in research into children’s digestive health, as well as clinical trials.

You can count on us to treat conditions including:

  • Abdominal pain
  • Anorectal disorders
  • Bleeding in the gastrointestinal tract
  • Celiac disease
  • Complex congenital malformations – anorectal & esophageal
  • Constipation and diarrhea
  • Esophageal achalasia
  • Fecal incontinence
  • Feeding disorders
  • Food allergies
  • Gastroesophageal reflux (GERD)
  • Gastroparesis
  • Hepatitis
  • Inflammatory bowel disease
  • Intestinal pseudo-obstruction syndrome
  • Lactose intolerance
  • Liver disease
  • Motility disorders
  • Nutritional problems
  • Pancreatic insufficiency
  • Short bowel syndrome
  • Vomiting

Our Services

Motility and Abdominal Pain

At the Comprehensive Motility & Abdominal Pain Center at Holtz Children’s Hospital, we are dedicated to improving the lives of our patients and families through personalized diagnostic and treatment options.
Led by our world-renowned pediatric motility specialists, our team uses a multidisciplinary approach, which may include nutritionists, psychologists, social workers, child life specialists and complementary medicine when appropriate.

What is motility?
“Motility” is a term used to describe the contraction of the muscles that mix and propel contents in the gastrointestinal (GI) tract. Any abnormality in the gut muscle and/or nerves, whether from birth or acquired, can disrupt the normal contractions and produce symptoms.

What are the symptoms of a gastrointestinal motility disorder?
Symptoms may include frequent and regular:

  • Difficulty swallowing
  • Choking
  • Gagging
  • Aspirating
  • Vomiting
  • Regurgitation
  • Chest pain
  • Abdominal pain or distension
  • Constipation
  • Diarrhea
  • Incontinence or soiling
  • Weight loss

At Holtz Children’s Hospital, we help your child with the following motility testing and therapies:
Testing

  • Esophageal manometry
  • Antroduodenal manometry
  • Anorectal manometry
  • Colonic manometry
  • 24 hours pH-impedance study
  • Gastric emptying studies

Therapies

  • Internal anal sphincter chemodenervation with botulinum toxin
  • Endoscopic pyloric injection of botulinum toxin
  • Endoscopic lower esophageal injection of botulinum toxin
  • Esophageal balloon dilatation
  • Biofeedback
  • Antegrade continence enema surgery

Hepatology

World Renowned Hepatology, Liver failure, intestinal rehab and transplant program; In addition ao liver and intestinal transplant, our board certified hepatologists specialize in various pediatric liver diseases such as primary sclerosing cholangitis (PSC), autoimmune hepatitis, Wilson’s disease, metabolic diseases, biliary atresia, nonalcoholic fatty liver disease (NAFLD) and acute liver failure.

Holtz Children’s Hospital is a designated William’s Disease Center of Excellence.

Inflammatory Bowel Disease (IBD)

Inflammatory Bowel Disease (IBD) – As with any chronic condition, the impact of Crohn’s and ulcerative colitis has a significant medical, psychological and social impact on children and teens. Our specialists offer a multidiscipliary approach to care for these patients and their families; providing the very best medical and surgical options, in a compassionate environment.

Food Allergies

Food Allergies and food intolerance is a growing problem. Our specialists work with a multidisciplinary team to diagnose conditions such as Celiac Disease, Lactose Intolerance and other food allergies, and develop a personalized treatment and management plan for each patient.

Center for Intestional Rehab

Holtz Children’s Hospital has one of the few multidisciplinary intestinal rehabilitation programs in the United States. The program cares for children with intestinal failure, generally caused by short bowel syndrome. Our multidisciplinary intestinal rehabilitation team of caregivers and researchers includes:

  • Board-certified pediatric gastroenterologist
  • Board-certified pediatric hepatologist
  • Pediatric surgeons
  • Transplant surgeons
  • Pediatric nurse practitioner
  • Registered dietitian
  • Medical assistant
  • Research assistant

What is short bowel syndrome?
Short bowel syndrome is a complex and often devastating disorder caused by the loss of part of the small bowel and the decreased ability of the intestine to absorb nutrition. The loss of bowel can be due to congenital diseases or surgical removal.

Treating short bowel syndrome
Treatment consists primarily of specialized nutrition management aimed at helping the remaining intestines adapt and take on the absorption functions that were lost. Most of these patients depend on parenteral nutrition, the intravenous feeding of special nutritional products.

Before the creation of the advanced intestinal rehabilitation program, the only option for these patients was intestinal/liver transplant. With our program, transplant is an option for patients who fail home parenteral nutrition therapy.

The Center for Intestinal Rehabilitation at the Miami Transplant Institute provides a multidisciplinary framework for addressing complex digestive problems. We focus on restoring the function of the digestive system through various rehabilitative efforts, without resorting to transplant surgery unless it is the best option.

Each of our patients receive customized medical treatment and interventions to restore their digestive tracts. Ultimately, our team’s goal is to help patients minimize, or even eliminate, the need for parenteral nutrition.

Gastroenterology: Surgical Options

When children require a liver or intestinal transplant or more routine abdominal surgery, our pediatric gastroenterologists work closely with pediatric surgeons to ensure they receive the best possible care.

Our multidisciplinary intestinal rehabilitation team of caregivers and researchers includes:

  • Board-certified pediatric gastroenterologist
  • Board-certified pediatric hepatologist
  • Pediatric surgeons
  • Transplant surgeons
  • Pediatric nurse practitioner
  • Registered dietitian
  • Medical assistant
  • Research assistant

Our multidisciplinary intestinal rehabilitation team of caregivers and researchers includes:

  • Board-certified pediatric gastroenterologist
  • Board-certified pediatric hepatologist
  • Pediatric surgeons
  • Transplant surgeons
  • Pediatric nurse practitioner
  • Registered dietitian
  • Medical assistant
  • Research assistant

Location

Location

Meet the Team

Big Miracles for Little Patients