National key specialties
The Department of Gastroenterology of Guangzhou Women and Children's Center was established in 1987. After 31 years of development and innovation, it now integrates clinical, teaching and scientific research, and has become a well-known digestive specialist in South China. In 2011, he was awarded the title of National Key Clinical Specialist. In 2013, he became the leader of the Xiao Chemical Group of the Pediatrics Branch of the Chinese Medical Association. At present, there are 58 beds in the ward and 60 medical staff. All the specialists are master's degree or above, including 3 postdocs, 4 doctors and 7 doctors.
In addition to the common diseases of children's digestive system such as diarrhea, acute and chronic gastritis, peptic ulcer and other common diseases, this specialist has more serious diseases such as severe pancreatitis, gastrointestinal bleeding and inflammatory bowel disease. High level of diagnosis and treatment. The characteristics of this special medical service are concentrated in the following aspects: research and diagnosis of digestive tract diseases, endoscopic diagnosis and treatment technology, enteral nutrition treatment for children, inflammatory bowel disease, hepatobiliary and pancreatic diseases, monitoring of digestive tract dynamics in children, laboratory testing of digestive diseases The specialty specialties are in line with the international development trend and are at the leading level in China. The specific performance is as follows:
1. The research on digestive tract diseases is leading in China. The department has made important achievements in the study of the mechanism of childhood viral infection and inflammatory bowel disease, and elucidated the molecular mechanism of human norovirus regulating the expression of sodium/hydrogen exchanger 3 (NHE3) in intestinal epithelial cells to promote diarrhea; exploring PKD1 in children with inflammation Role and mechanism of eosinophil recruitment in enteric disease; synthesis of a phenothiazine-based near-infrared fluorescent dye and its application in IBD (NEC) examination; analysis of Coxsackievirus A6 (CVA6) virus-like particles The structure of (VLP) has developed a enterovirus D68 (EVD68) virus-like particle (VLP) vaccine.
2. The diagnosis and treatment of digestive tract diseases ranks leading in China. 1) In the treatment of inflammatory bowel disease in children, it is the first to carry out total enteral nutrition and biological preparation treatment in China; 2) in the diagnosis of Helicobacter pylori (Hp) in children, firstly detect the gastric juice and gastric mucosa Hp by PCR technology, accuracy Gao, which provides a basis for the development of new clinical detection methods for Hp, and is the first to propose sequential therapy in Hp treatment in China. This therapy has a good curative effect on Hp eradication and guides the development of expert consensus on the diagnosis and treatment of Helicobacter pylori in China; 3) Leading domestically in the diagnosis and treatment of gastrointestinal diseases related to food allergies, guiding the establishment of expert consensus on the diagnosis and treatment of digestive tract diseases caused by food allergies, establishing a cohort study of children with milk protein allergy; 4) in children with pancreatitis By previous endoscopic transnasal jejunal catheterization, our department improved the treatment of acute and chronic pancreatitis by hand-nose nasal jejunal tube, and went to several provincial hospitals for demonstration guidance.
3, children's digestive endoscopy diagnosis and treatment technology ranks at the domestic leading level. This specialist has established the largest and most complete children's digestive endoscopy diagnosis and treatment technology platform in China, and the endoscopic diagnosis and treatment technology of digestive tract is at the leading level in China. Equipped with children's electronic gastroscope, colonoscopy, double balloon push enteroscopy, duodenoscopy, endoscopic ultrasound, argon gas knife, capsule endoscopy and other equipment, carry out conventional electronic gastroscope, colonoscopy, enteroscopy, endoscopic ultrasound, Capsule endoscopy significantly improves the accuracy of the diagnosis of digestive tract diseases. The application of transdermal gastrostomy (PEG) in infants is leading in China. The minimum age of children is 1.8 months, and the lightest weight is 3.2kg. The first double balloon enteroscopy and capsule endoscopic diagnosis and treatment technology has accumulated rich clinical experience. Endoscopic balloon dilatation is a prominent technique for treating digestive tract stenosis. The treatment of diseases including esophagus Stenosis, achalasia, pyloric stenosis and duodenal stenosis.
4. The application and research of enteral nutrition ranks first in China. In the country, the first domestic enteral nutrition treatment for children with digestive tract diseases, percutaneous gastroscopic gastrostomy, gastroscopic jejunal catheterization, freehand jejunal catheterization, catheter catheterization and catheter care have reached the international advanced level, chronic diarrhea, Intestinal nutrition of pancreatitis, inflammatory bowel disease and allergic gastrointestinal disease is at the leading level in China, and the country's first “breast milk bank” has been established to carry out the evaluation of digestive tract function. The timing, methods, routes and feeding of enteral nutrition. He has extensive experience in tolerance, nutritional formula selection and management of complications. He has established mature enteral nutrition treatment norms and management procedures to meet the clinical needs of children with different diseases. Perioperative clinical nutrition management such as severe congenital heart disease and congenital gastrointestinal malformation has been carried out to explore different nutritional pathways, feeding doses and increasing rates of perioperative children, and different energy density formulas for children with disease outcomes. Affect and achieve satisfactory results.
Along the way, we adhere to the mission of “bearing health responsibilities, practicing benevolence and good deeds, benefiting women and children”, and implementing the “righteousness, professionalism, hard work, diligence” of hospital training, and provide safe and efficient services for children. , quality medical services.