GASTROINTESTINAL DIAGNOSTIC CENTER

Under the direction of our pediatric gastroenterologists, children receive the specialized care they need for a wide variety of problems, including:

• Abdominal Pain (recurrent/persistent)
• Anorexia and Other Eating Disorders
• Biliary Atresia
• Celiac Disease
• Crohn's Disease
• Constipation
• Cystic Fibrosis
• Diarrhea-Malabsorption
• Dysphagia
• Fecal Incontinence
• Feeding Disorders or Difficulties
• Failure to Thrive
• GE Reflux
• GI Bleeding
• Giardia and other GI Infections
• Helicobacter Pylori
• Hepatitis
• Hirschprung's Disease
• Inflammatory Bowel Disease
• Lactose Intolerance
• Short Bowel Syndrome
• Ulcerative Colitis
• Vomiting

SERVICE PROVIDED INCLUDES:

• Esophagoggastroduodenoscopy
• Sigmoidoscopy
• Colonoscopy
• Small bowel and rectal suction biopsy
• Esophageal dilatation
• 24-hour esophageal pH monitoring
• Diagnostic small bowel aspirates
• Liver biopsy
• Anorectal manometry
• Esophageal manometry
• Management of chronic liver disease
• Liaison of liver transplantation

The GI Center also provides nutritional assessment and counseling, including calorie counts and menu planning for the overweight child, as well as the patient with special dietary restrictions. It also provides subspecialty clinics in inflammatory bowel disease, gastroesophageal reflux and encopresis.

PREVENTIVE TESTING

Endoscopy (lower and upper): A procedure done when the patient persists with symptoms and has no improvement.

Helicobacter Pylori Screening: We test for titers in serum and stain biopsies for bacteria. Early diagnosis can prevent gastric ulcers as well as gastric cancer.

Cholesterol Screening: This screening allows us to detect children who are at high risk for heart disease, test them, and with the help of our nutritionist fashion an appropriate diet plan for them.

Body Fat Composition Test: This test is useful in determining the amount of body fat in relation to a child's height and weight.

Lactose Intolerance Test: Used to determine if a child is intolerant to milk or other products containing lactose. Early detection can prevent unnecessary discomforts and can be treated with adequate diet.

pH Probe Study (with or without polysomnogram): Used to detect the presence of gastroesophageal reflux.

For more information, or to schedule an appointment, please call (305) 661-6110.

Miami Children's Hospital Based Office Practice:

Jesse Reeves-Garcia, MD, FAAP
Interim Director of the Division of Gastroenterology

William I. Muinos, MD, FAAP

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