Pediatric Gastroenterology, Hepatology, and Nutrition Centers

Aerodigestive Center

The Aerodigestive Center is a multidisciplinary clinic specializing in the comprehensive evaluation and management of all disorders of the upper aerodigestive tract, including:
  • Voice disorders (hoarseness, vocal cord dysfunction)
  • Airway disorders
  • Swallowing disorders
  • Noisy breathing (stridor, recurrent or prolonged croup)
  • Aspiration, including suspicion of microaspiration (chronic choking, gagging, cough)
  • Chronic cough
  • Gastroesophageal reflux with extraesophageal manifestations
  • Velopharyngeal insufficiency
  • Complex infant and childhood apnea
A state-of-the-art equipment to allows our team of highly skilled pediatric specialists including pulmonologists, gastroenterologists, otolaryngologists, craniofacial surgeons, dietitians, nurses, and speech and language specialists to provide coordinated care and follow-up to infants and children in a unique one-stop clinic setting.

Feeding Difficulties Center

The Feeding Difficulties Center evaluates and treats children who either have poor oral skills limiting their growth and nutritional goals or are unable to progress through the different textures up to solids despite efforts by the parent, PCP, or previous outpatient speech therapy. Throughout the course of treatment, the team works closely together to provide comprehensive assessment, treatment and follow-up. Patients can be referred for an intensive outpatient day program or a regular feeding clinic, with appropriate disciplines as needed. Once improvement in feeding is established, the caregivers/parents are also trained to continue with the program.
The Feeding Difficulties Center treats children with:
  • Food refusal Food selectivity by type
  • Food selectivity by texture
  • Oral motor dysfunction
  • Feeding tube dependence
  • Failure to thrive
  • Self-Feeding deficits
  • Adipsia
  • Mealtime tantrums

Celiac Center

The Celiac Center was created for the diagnosis and treatment of celiac disease in children. Celiac disease is an autoimmune disease that primarily damages the lining of the digestive system and interferes with absorption of nutrients. It is the second most frequent malabsorptive disorder with the 1% prevalence in the general population. Our team of specialists provides comprehensive care for all of the nutritional and medical needs of children with celiac disease, and includes a medical director with a Ph.D. in celiac disease, physicians, two full-time dietitians and a nurse coordinator.
The Celiac Center offers:
  • Regular scheduled visits
  • Second opinion for patients
  • Education visits
  • Yearly educational events for children and families
  • Access to support groups

Motility Center

The Motility Center is equipped with state-of-the-art equipment to evaluate and treat children with a wide variety of gastrointestinal motility disorders including:
  • Gastroesophageal reflux
  • Achalasia
  • Recurrent vomiting
  • Recurrent abdominal pain
  • Esophageal motility disorders
  • Gastroparesis
  • Chronic idiopathic intestinal pseudo-obstruction Intractable constipation
  • Anorectal disorders
The Motility Center performs a large number of specialized diagnostic procedures for the evaluation of gastrointestinal motility disorders, including esophageal, antroduodenal, colonic and anorectal manometry; electrogastrography; and biofeedback.

Gastrointestinal Specialty Diagnostic Lab

The GI Specialty Diagnostic Lab performs tests not commonly available in clinical diagnostic laboratories. Highly trained team members perform testing locally in our state-certified laboratory with results available in as little as 24-48 hours. The laboratory is equipped with robotic instrumentation to ensure accuracy and precision. The GI Specialty Diagnostic Lab currently offers the following gastrointestinal testing:
  • Disaccharidase Assay: Test performed on small bowel mucosal biopsy obtained at endoscopy
  • Pancreatic Enzyme Analysis Test performed on pancreatic juice obtained at endoscopy after pancreatic stimulation with CCK or secretin
  • Airway Pepsin measurement from tracheal washing, bronchial lavage fluid or middle or middle fluid to rule out reflux and aspiration.

Other Special Programs

Other pediatric programs associated with the Pediatric Gastroenterology, Hepatology, and Nutrition Fellowship include:

  • Small Intestine Failure Program
  • Home TPN Clinic
  • Joint Pediatric Hepatology Clinic
  • IBD Center
  • Joint Pediatric Transplant Clinic
  • Encopresis Program
  • Joint Spina Bifida Clinic
  • Joint Cystic Fibrosis Clinic