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Practical Approach to Paediatric Gastroenterology, Hepatology and Nutrition


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Table of Contents

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

About the Author

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.

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