DEPARTMENT OF PEDIATRIC GASTROENTEROLOGY –ICH & HC
The Pediatric Gastroenterology department was started by Dr. V.Sankara Narayanan along with Dr. Bhaskar Raju in the year 1984 as 10 bedded unit with Diarrhea training unit DTTU attached to it.
Now the department is functioning as full-fledged one with all advanced equipments fulfilling the needs of children across the state as well as neighboring states.
We have state of art facility in diagnostic,therapeutic endoscopies, Manometry devices. The department has substantially shown good performance under CMCHIS and all specialized work has benefitted patients attending the hospital. The department works in close association with department of Surgery, pediatric Medicine & other allied speciality departments. Regular interaction with other departments is being carried out regularly. The department encourages MD postgraduates to undertake dissertation topics related to Gastroenterology. Regular classes are being taken for MBBS and Nursing Students.
The department conducts regular CME. The department work is regulary published in indexed National and International Journals. The department actively participated in national pediatric gastroenterology conferences as faculty as well in APASL.
DM course in Pediatric gastroenterology was started in the year 2022 with a yearly intake of 2 post graduate students.
2Role of Honour of Directors
+
No Role of honour information available for this department.
Clinicians Profile
DR.D.NIRMALA
PROFESSOR AND HOD
Dr. D. Nirmala, Head of Paediatric Gastroenterology at Madras Medical College, is a senior expert with 21+ years of experience. She pioneered South India’s first DM program in the specialty and is noted for her work in paediatric hepatology.
R.SENTHIL KUMAR
ASSOCIATE PROFESSOR
Dr. R. Senthil Kumar, Associate Professor of Paediatric Gastroenterology. His key interests include endoscopy and liver disorders
DR.S.WINSTON THOMAS
ASSISTANT PROFESSOR
Dr. S. Winston Thomas, Assistant Professor in Paediatric Gastroenterology. He is known for his strong teaching skills and keen interest in research methodology.
S.No
Name of the Residents joined in the year 2020
Name of the Residents joined in the year 2021
Name of the Residents joined in the year 2022
Name of the Residents joined in the year 2023
Name of the Residents joined in the year 2024
1
-
-
-
S.AJIDA BHARATHI
P.VIGNESH
2
J.DEEPA
M.MONICA
S.GIRIDHARAN
3
T.A.SINDHUJA
Hospital Services
Paediatric Gastroenterology Outpatient services are available daily from Monday to Saturday between 8.00 am and 10.00 am.
Paediatric Gastroenterology inpatient services with twenty beds available.
Diagnostic Endoscopy services – Esophagogastroduodenoscopy, Enteroscopy, Colonoscopy, ERCP Endoscopic Retrograde Cholangio Pancreatography are available
Therapeutic Endoscopy procedures – Endoscopic Sclerotherapy, Variceal banding, Dilatation with C- arm, Foreign Body removal, Polypectomy services are available.
Emergency procedure such as foreign body removal from GIT is available round the clock.
Motility lab services – Oesophageal manometry, Anorectal manometry are available.
Biofeedback therapy is using anorectal manometry for children with Dyssynergic defecation.
Impedance metry and pH metry services are available.
Gastrointestinal imaging services – in-house MRI, CT, and DOPPLER services are available at the radiology department.
Metabolic workup for certain causes of Neonatal Cholestasis including Tandem Mass Spectrometry (TMS) can be done at the biochemistry department.
Metabolic workup such as DBS Dried Blood Spot for certain Neonatal Cholestasis and suspected storage diseases such as Gaucher and Neimann Pick Disease are done through Biochemistry.
Gastroenterology specialty clinics such as IBD clinic, Wilson disease clinic, Liver Transplant clinic, Pancreas clinic, Constipation clinic and chronic diarrhoea clinics are conducted from Monday to Friday.
All kinds of childhood gastrointestinal (luminal, hepato-biliary and pancreatic disorders) are evaluated and managed.
Training in Paediatric Gastroenterology is imparted to postgraduates in Paediatrics (DCH, MD, DNB) and Gastroenterology (DM), from various government and private medical colleges all over india.
Education
SEMINAR / SYMPOSIUM
S.No
Date
Seminar/Symposium with Title
Presentors & Moderators with their Designation
University / TNMSC Credits / Both if Present
State or National or Institute
Related Images
1
31.3.23
Inflammatory Bowel Disease
Presentors: Dr Aishwarya, Dr Rathinakumar, Dr Ramakrishnan, Dr Malavika, Dr
Sivaramakrishnan, Dr Chaumya, Dr Jeyaraj, Dr Nandhitha, Dr Deepa, Dr Rathnakumar, Dr Sindhuja, Dr
Kishore Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas
Nil
Institute
2
27.4.23
Drug Induced Liver Injury in Children
Presentors: Haseen, Jaronraj, Pavithra, Sinjudha, Deepa Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas
Nil
Institute
3
30.6.23
Non-Invasive Tests of Liver Fibrosis
Presentors: Dr Raveen, Dr Nandhitha, Dr Sindhuja, Dr Deepa Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas
Nil
Institute
4
28.7.23
Hepatitis C
Presentors: Dr Ganesh, Dr Keerthy Priya, Dr Sindhuja, Dr Deepa Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas
Nil
Institute
5
30.8.23
Complementary Feeding / Algorithmic Approach to Malabsorption and Tests for Malabsorption
Presentors: Dr Deepa, Dr Sindhuja Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas
Nil
Institute
6
05.09.23
Nutrition in Chronic Liver Disease
Presentors: Dr Naresh, Dr Karthik, Dr Srinivas, Dr Somasekara Moderator: Prof Nirmala D
Nil
Institute
7
2.12.23
Acute Pancreatitis
Presentors: Dr Monica, Dr Deepa, Dr Sindhuja Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas
Nil
Institute
8
10.1.24
Pediatric Acute Liver Failure
Presentors: Dr Sindhuja, Dr Deepa, Dr Monica, Dr Ajidhabarathi, Dr Maniraj Moderators: Prof D Nirmala, Dr Senthil Kumar, Dr Winston Thomas
Nil
Institute
9
17.4.24
NAFLD
Presentors: Dr Sindhuja, Dr Deepa, Dr Monica, Dr Ajidhabarathi Moderators: Prof D Nirmala, Dr Senthil Kumar, Dr Winston Thomas
Nil
Institute
10
30.5.24
Hepatitis B
Presentors: Dr Monica, Dr Ajidha, Dr Sindhuja, Dr Deepa, Dr Inbarasan Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas
Nil
Institute
11
26.6.24
Lactose Intolerance
Presentors: Dr Monica, Dr Ajidha, Dr Sindhuja, Dr Deepa Moderators: Prof Sumathy B, Prof Nirmala D
Nil
Institute
12
15.7.24
Fat Malabsorption
Presentors: Dr Monica, Dr Ajidhabarathi, Dr Deepa, Dr Sindhuja, Dr Kavitha Moderators: Prof Nirmala, Dr Senthilkumar, Dr Winston Thomas
Nil
Institute
13
25.11.24
Autoimmune Hepatitis
Presentors: Dr Monica, Dr Ajidhabarathi, Dr Deepa, Dr Sindhuja, Dr Rajkali, Dr
Tamoghna Moderators: Prof Dr Nirmala, Dr Senthilkumar, Dr Winston Thomas
Nil
Institute
14
21.12.24
APASL – PHT Guidelines
Presentor: Dr Deepa Moderators: Prof Dr D Nirmala, Dr Senthilkumar, Dr Winston Thomas
Nil
Institute
Renew , Rejoice - CME on renal
transplantation
CME / CONFERENCE
S.NO
Date
CME / CONFERENCE – Title
University / TNMSC Credits / both if present
State or National level
Related Images
1
21.1.24
IBD CONCLAVE Attended by- Prof. Dr. Nirmala, Dr Deepa J, Dr Sindhuja T A
Nil
National
2
25.1.23 / 29.1.23
Pre MCLD 2023- Learn from the legend- Prof. Patrick Kamath MCLD 2023 Prof. Dr. Nirmala chaired
a session Attended by- Dr Deepa J, Dr Sindhuja T A
Nil
3
12.2.23
CME ON PAED GASTRO UPDATE Attended by- Dr Deepa J
4
4
11.02.2023
CLINICAL SCENARIOS IN PEDIATRIC LIVER DISEASE Prof. Dr. Nirmala chaired session on TJP2
deficiency in PFIC Attended by- Dr Deepa J, Dr Sindhuja T A
Nil
National
5
25.3.23-26.3.23
TNISGCON 2023 Prof. Dr. Nirmala chaired session on Pediatric Gastroenterology Attended by- Dr
Deepa J, Dr Sindhuja T A
4
State
6
24.6.23
TNISG MONTHLY MEET Dr Deepa J presented a rare case: “UNUSUAL SYNERGY WITH DEPLETING ENERGY”
0.5
State
7
18.06.2023
1st National Midterm Conference- ISPGHANCON Prof. Dr. Nirmala delivered lecture on
PPI Attended by- Dr Deepa J, Dr Sindhuja T A
Nil
National
8
15.9.23-17.9.23
INTERNATIONAL PANCREAS CONFERENCE, New Delhi Poster: Dr Deepa J - PCC in child Attended by-
Prof. Dr. Nirmala, Dr Deepa J, Dr Sindhuja T A
Nil
International
9
23.9.23
TNISG Mid Term Conference Posters: Dr Deepa J - CALFAN, Dr Sindhuja TA - TrichoHepatic Enteric
Syndrome
Nil
State
10
26.10.23-29.10.23
NATIONAL ISPGHANCON Prof. Dr. Nirmala panellist - Functional Dyspepsia Posters: Dr Deepa J
& Dr Sindhuja TA - multiple awards
Nil
National
11
24.2.24
CLINICAL SCENARIOS IN PEDIATRIC LIVER DISEASE Prof. Dr. Nirmala chaired session Attended by-
Dr Deepa J, Dr Sindhuja T A, Dr Ajidha Bharathi SD, Dr Monica
Nil
State
12
25.2.24
ISPGHAN Consensus Management Guidelines on PALF Prof. Dr. Nirmala lead discussant
Nil
National
13
10.2.24
TNISGCON 2024 Lecture by Prof. Dr. Nirmala Poster: Dr Sindhuja TA Attended by - Dr Sindhuja
T A, Dr Ajidha Bharathi SD, Dr Monica
4
State
14
8.3.24-10.3.24
1st APCDS 2024 - Asia Pacific Celiac Disease Symposium Attended by - Dr Ajidha Bharathi SD, Dr
Monica
Nil
International
15
16.4.24 to 17.4.24
SGPGI 2nd Founder Day - Ped Gastro Clinics Attended by - Dr Deepa J, Dr Sindhuja T A
Nil
National
16
19.4.24 to 21.4.24
ENDOCON 2024 Attended by - Prof. Dr. Nirmala
Nil
National
17
21.4.24
ISPGHAN MID TERM MEETING ON Pediatric NAFLD HEPATICON 2024 Attended by - Dr Ajidha Bharathi SD,
Dr Monica
Nil
National
18
27.4.24
TNISG MONTHLY MEET Case discussion: Dr Sindhuja TA - RALF Attended by - Dr Deepa J, Dr Ajidha
Bharathi SD, Dr Monica
0.5
State
19
26.05.24
Monothematic Meet on PIBD Prof. Dr. Nirmala panellist Attended by - Dr Deepa J, Dr Sindhuja T
A, Dr Ajidha Bharathi SD, Dr Monica
2
National
20
06.08.24
STANCON 2024 Lecture: Prof. Dr. Nirmala - GI Bleed in Children Attended by - Dr Deepa J, Dr
Sindhuja T A, Dr Ajidha Bharathi SD, Dr Monica
2
State
21
22.6.24-23.6.24
INMA 7th National Annual Congress Posters: Dr Deepa J, Dr Monica, Dr Ajidha Bharathi SD
Nil
National
22
29.6.24
TNISG MONTHLY MEET Dr Deepa J presented: Review of Literature on EHPVO Attended by - Dr
Sindhuja T A, Dr Ajidha Bharathi SD, Dr Monica
0.5
State
23
7.8.24-9.8.24
INASL 2024 Posters: Dr Deepa J, Dr Sindhuja TA, Dr Ajidha Bharathi SD, Dr Monica M
Nil
National
24
10.08.24-11.08.24
GI IMAGING SERIES, AIIMS NEW DELHI Attended by - Dr Deepa J, Dr Sindhuja T A, Dr Ajidha Bharathi
SD, Dr Monica M
Nil
National
A tryst with histology- CME on cytology of nervous system
Workshop / Training Programme
S.NO
Date
WORKSHOP / TRAINING with Title
University / TNMSC Credits / both if present
State or National level
Related Images
1
25.03.23
TNISG 2023 HANDSON ENDOSCOPY WORKSHOP Attended by Dr. Deepa J, Dr. Sindhuja TA
-
State
2
28.04.23 to 29.04.23
IV ACCESS – NATIONAL WORKSHOP ON VENOUS ACCESS DEVICES Attended by Dr. Deepa J
-
National
3
25.08.23
HANDSON ENDOSCOPY WORKSHOP Attended by Dr. Deepa J, Dr. Sindhuja TA
-
State
4
26.10.23
ISPGHANCON 2023 MOTILITY WORKSHOP Attended by Dr. Deepa J, Dr. Sindhuja TA
-
National
5
31.03.24
ELECTROSURGERY IN ENDOSCOPY Attended by Dr. Sindhuja T A (Senior Resident), Dr. Ajidha Bharathi SD (Senior Resident), Dr. Monica (Senior Resident)
-
State
6
27.07.24 - 28.07.24
EUS LIVE CHENNAI 2024 Attended by Dr. Deepa J (Senior Resident), Dr. Sindhuja T A (Senior Resident), Dr. Ajidha Bharathi SD (Senior Resident), Dr. Monica (Senior Resident)
-
State
7
04.08.24
GEME- MODULE WORKSHOP IN GI EMERGENCIES Attended by Dr. Deepa J (Senior Resident), Dr. Sindhuja T A (Senior Resident), Dr. Ajidha Bharathi SD (Senior Resident), Dr. Monica (Senior Resident)
-
State
8
04.10.24
ISPGHAN WORKSHOP - INTESTINAL ULTRASOUND
Attended by Dr. Deepa J (Senior Resident), Dr. Sindhuja T A (Senior Resident)
MANOMETRY
Attended by Dr. Ajidha Bharathi SD (Senior Resident), Dr. Monica (Senior Resident)
-
National
A tryst with histology- CME on cytology of nervous system
Quiz /competitions
S.NO
Date
Quiz /competitions with Title
University / TNMSC Credits / both if present
Prizes awarded to
a. Inter or Intra – Collegiate Level
b. State or National level
Related Images
1
Renew , Rejoice - CME on renal transplantation
Others Events
S.NO
Date
Other events with Title
Details
Related Images
1
22.2.23
Clinical Society Meeting –
Dr Deepa J presented a rare case of Mitochondrial DNA depletion syndrome “UNUSUAL SYNERGY WITH DEPLETING ENERGY”
2
21.7.23
Clinical Society Meeting –
A Tale of 2 Ds - Dr Deepa J (Senior Resident) A Rise Before a Fall - Dr Sindhuja T A (Senior Resident)
3
24.6.23
TNISG - Monthly Meet
Post graduate session: Dr Deepa J presented a rare case of Mitochondrial DNA depletion syndrome “UNUSUAL SYNERGY WITH DEPLETING ENERGY”
4
27.4.24
TNISG - Monthly Meet
Post graduate session: Dr Sindhuja TA presented case discussion on “RECURRENT ACUTE LIVER FAILURE”
5
21.6.24
Clinical Society Meeting –
Dr Ajidhabharathi SD presented “EMERGING FROM DARKNESS - A CASE OF CHRONIC CHOLESTATIC LIVER DISEASE”
6
29.6.24
TNISG - Monthly Meet
PG Session on Review of Literature: Dr Deepa J presented on Review of Literature on EHPVO in Children
7
23.8.24
Clinical Society Meeting –
Dr Monica M presented “HYPER-MANGANESEMIA WITH DYSTONIA – UNVEILING A TREATABLE CULPRIT IN CHRONIC LIVER DISEASE”
Renew , Rejoice - CME on renal transplantation
Research
Completed Projects
Completed Projects
Ongoing Projects
Ongoing Projects
Publications
Publications
Sponsored Projects
Sponsored Projects
Awards & Achievements
S.NO
Date/Month & Year
Name of the Awards & achievements received
Name of the awardee with designation
District level / State level / National level
Images
1
29/10/2023
POSTER OF EXCELLANCE-1ST PRIZE-ISPGHAN NATIONAL CONFERENCE 2023
2 year 7 months male child, 3 rd born of 2 nd degree consanguineous marriage, who has vitamin K dependent coagulation factors deficiency diagnosed during infancy when he presented with spontaneous ecchymosis and treated with oral Vitamin K supplements now presented with night blindness for 4 months, antenatal, natal, postnatal histories were uneventful, development was normal, On examination he had bitot spots in eyes and firm hepatomegaly , on investigating , he had Anemia with HB 9, Mild Hyperbilirubinemia with TB 2mg/dl and DB 0.5mg/dl, AST 52 u/l, ALT 25 U/l, Alkaline phosphatase – 272, GGT – 5 , with preserved liver synthetic functions( on Vitamin Supplements) and low Vitamin D levels – So In the background of 3 fat soluble vitamin deficiency, firm liver, low GGT – PFIC and Bile acid synthesis disorders were considered, hence Serum bile acids were done – less than 1 micomol/L – s/o bile acid synthesis defect. WES was sent to confirm the diagnosis – Bile acid synthesis defect, congenital 1, HSD3B7, Homozygous ,Pathogenic variant was detected, Child started on fat soluble vitamins and Cholic acid and child improved clinically
Success story 2: HYPERMANGANESEMIA
three- year-old girl presented with jaundice and abdominal distension. She had a history of frequent falls. She was born to consanguineous parents. Her examination revealed hepatosplenomegaly and she had a cock-walk gait and dystonia involving lower limbs. On evaluation she was found to have chronic liver disease, polycythemia and T1 hyperintensity of basal ganglia and was suspected as hypermanganesemia with dystonia and genetic analysis sent which confirmedour diagnosis – hypermanganesemia/polycythemia/dystonia type 1. .Treatment and outcome: she was started on a 4 week cycle chelation therapy along with ironsupplementation and is in follow up with monitoring serum manganese levels.
Success story 3: DYSYNERGIC DEFECATION
10 year old male child came c/o difficulty and straining while passing hard stools for 6 months, H/0 of soiling of undergarments present, Initially managed with PEG but symptoms persisted hence anorectal manometry done – dysynergic defecation. Child was started on biofeedback therapy for dysynergic defecation. Child improved well and no soiling and able to go to school without embarrassment
Success story 4: LIVER TRANSPLANT IN WILSON
5 year old male child born out of CM came with c/o jaundice, high coloured urine and hepatosplenomegaly, CLD workup was done to evaluate the cause. Meanwhile child proceeded to have hepatic encephalopathy grade 4, PLEX and CRRT was done as bridging therapy to liver transplant and successful liver transplant was done.
Success story 5: ENTEROKINASE DEFICIENCY
9 month old 3rd born of 1st degree consanguineous marriage, child presented with chronic diarrhoea and anasarca since 6 months of age, evaluated as a case of protein losing enteropathy, after ruling out CMPA, infections, genetically diagnosed as enterokinase deficiency a and the child was started on pancreatic enzymes and child growth percentiles have improved and no protein losing enteropathy at present.
Success story 6: ANASTAMOTIC ESOPHAGEAL STRICTURE – ENDOSCOPIC DILATATION
9 month old male child K/C/O TEF – primary esophageal anastomosis done at day 2 of life. H/o recurrent RTI and aspirations and vomiting, H/o failure to thrive present. OGD was done to look for esophageal stricture – pin hole meatus seen, with difficulty guide wire passed through the narrowing(pin hole meatus) and serial SG dilatation done and child was able to swallow feeds well without vomiting and gained weight
Success story 7: Early diagnosis of Infantile Achalasia cardia
AC, an important differential diagnosis in infants with suspected GERD, needs to be diagnosed early with High index of suspicion to improve the prognosis and nutritional status. We found that the median age at presentation and diagnosis was 6 months and 16 months. Around 17 children symptomatic from infancy were diagnosed as Achalasia and successfully managed by surgery.
Success story 8: Successful treatment of chronic hepatitis C children with oral DAA
Many children acquire Hepatitis C post transfusion and are referred from haematology. One such child diagnosed with B- ALL on chemotherapy, developed transaminitis which could not be attributable from the chemotherapy drugs. Hence evaluated for acute hepatitis cause, IgM Anti HAV and HEV were negative. HbsAg anti HCV were negative. Considering the immunosuppression and high chance of acute hepatitis C for the transaminitis with a previous history of transfusion, quantitative HCV RNA and HBV DNA levels were done, which revealed a high viral load. DAA was started and LFT became normal.
Others
No Others information available for this department.
Guests Lectures
DR.SOMASEKHAR
Topic: NUTRITION IN CHRONIC LIVER DISEASE ,Nutrition in Liver transplant
STATE
Dr. Gunasekaran
Topic: Upper GI Bleed – Case scenarios and management
STATE
Prof.Dr Sumathi B M…
Topic: Lactose intolerance
STATE
Prof. Dr. V.S. Sank…
Topic: Lecture on PPI
STATE
DR.SOMASEKHAR
test
Sept. 5, 2023
NUTRITION IN CHRONIC LIVER DISEASE
Nutrition in Liver transplant
Dr. Gunasekaran
May 6, 2024
Upper GI Bleed – Case scenarios and management
Prof.Dr Sumathi B MD DM
test
June 26, 2024
Lactose intolerance
Prof. Dr. V.S. Sankaranarayanan
test
July 31, 2024
Lecture on PPI
Organ Transplant
No Organ Transplant information available for this department.
