Gastroenterology, Hepatology, Nutrition Fellowship Program:
Department of Pediatrics
Clinical Care
Our inpatient Pediatric GI unit is quite active with over 300 admissions per year. In addition, over 250 consults from various other inpatient services, and over 3000 patient clinic visits are conducted annually. We have an extensive referral base not only within the entire State of Iowa, but also from southern Minnesota, southwestern Wisconsin, western Illinois, eastern Nebraska, and northern Missouri. In addition, fellows have the option to participate in outreach clinics within the State of Iowa.
Our team works with a renowned child psychologist and behavioral feeding specialist, Dr. Linda Cooper-Brown, in managing children with difficult behavioral feeding issues. We also enjoy having an excellent, friendly relationship with our pediatric surgery division.
Fellows perform or are directly involved in a diverse number of procedures. All procedures are supervised by faculty. These include diagnostic and therapeutic upper endoscopy for foreign body removal, esophageal banding, sclerotherapy, esophageal or pyloric dilatation, diagnostic and therapeutic colonoscopy for polypectomy, sclerotherapy, colonic dilatation, fluoroscopically guided nasojejunal and gastrojejunal feeding tube placement, percutaneous endoscopic gastrostomy tube placement, esophageal, gastric, small intestinal, colonic, and anorectal manometry, ultrasound guided liver biopsies, abdominal paracentesis, breath tests and intraluminal esophageal impedance and pH probe placement and measurement.
We perform the majority of our procedures under conscious sedation. In high risk or critically ill patients, general anesthesia is available for all procedures in the endoscopy unit. Patients are monitored by endoscopy nurses trained in pediatrics. We perform around 500 upper endoscopies and 100 colonoscopies per year.
During their 3rd year, fellows have one month elective to do a rotation in the Internal Medicine Gastroenterology Service. This rotation is fully dedicated to doing endoscopic procedures and is intended to advance the fellows' procedural skills.
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