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Child and Adolescent Health Service

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Princess Margaret Hospital

Gastroenterology

Welcome to the Gastroenterology Department at Princess Margaret Hospital for Children (PMH).

The department provides comprehensive specialist services for children and adolescents under the age of 16, with gastrointestinal, liver, and complex nutritional problems. Both inpatient and outpatient services based at PMH are delivered by a highly qualified multi- disciplinary team.

Our team:

  • Dr Catherine Mews – Head of the Department and Clinical Lead for Liver Services
  • Dr M Ravikumara – Clinical lead for endoscopy services
  • Professor David Forbes
  • Dr Zubin Grover – Clinical Lead for Inflammatory Bowel Disease Service
  • Dr Kunal Thacker – Clinical Lead for Education
  • Gastroenterology Registrar – page 8008 via PMH switchboard
  • Gastroenterology Resident – page 7227 via PMH switchboard
  • Ainslie Lopez – Clinical Nurse Specialist for Liver
  • Angela De Nardi – Clinical Nurse Specialist for Inflammatory Bowel Disease
  • Breeanna Pavlenko – Clinical Nurse for Gastrostomy Care
  • Tanya Collins – Dietitian
  • Hans-Willem Van Hall – Clinical Psychologist (0.4)
  • Millie Kashib – Departmental secretary
  • Deborah Mayers – Social Worker

Services provided:

  • Inpatient care of children admitted to PMH, under the care of the Paediatric Gastroenterology Service.
  • Inpatient consultations requested by other disciplines.
  • Outpatient clinics – gastroenterology, liver, cystic fibrosis, and inflammatory bowel disease.
  • Parenteral nutrition services for inpatients and home parenteral nutritional service.
  • Various diagnostic and therapeutic procedures.

Procedures offered (diagnostic and therapeutic):

  • diagnostic upper GI endoscopy.
  • removal of oesophageal and gastric foreign bodies.
  • oesophageal balloon dilatation for strictures.
  • oesophageal variceal banding & sclerotherapy.
  • PEG (Percutaneous Endoscopic Gastrostomy)  insertion.
  • colonoscopy including polypectomy.
  • oesophageal and anorectal manometry studies.
  • 24 hour oesophageal MII-pH (combined multichannel intraluminal impedance –pH) monitoring.
  • body composition analysis (BODPOD).

The problems managed by the Paediatric Gastroenterology service are:

  • inflammatory bowel disease – diagnosis and management.
  • coeliac disease – diagnosis and shared care management with paediatricians.
  • short gut syndrome.
  • chronic diarrhoea and malabsorption syndromes.
  • oesophageal disorders.
  • acute and chronic liver diseases – including care of children pre and post liver transplant. At present there is no children’s liver transplant program in WA. The Children’s Hospital  at Westmead is the national paediatric liver transplant centre and WA children requiring liver transplantation receive their transplant at that centre.
  • any other complex gastrointestinal and nutritional problems.

The Gastroenterology Unit routinely accepts tertiary referrals provided by paediatricians. General practitioner referrals may be accepted when there is adequate detail in the referral suggesting a significant gastroenterological disorder, requiring tertiary level gastroenterology input. Other referrals will be forwarded to general paediatric service. The Gastroenterology Unit provides a 24 hour on-call gastroenterology consultant service to discuss urgent clinical issues.

We are able to provide a timely service, both in the outpatient setting and endoscopic procedures, within the time limit of triaging categories.

We encourage referring doctors to discuss urgent referrals with the gastroenterology registrar or the on-call consultant so the referral can be appropriately prioritised.

During office hours, all the clinical queries should be directed to the Gastroenterology Registrar, via the PMH switchboard on 9340 8222.

Contact information:

Location: L3, Harry Boan building, PMH
Hours: Operational Hours
Telephone: 9340 8355
Fax Number: 08 9340 8093
Mailing Address: Dept of Gastroenterology,
Princess Margaret Hospital,
Subiaco, WA 6008
Email: Millie.Kashib@health.wa.gov.au

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