Veidlapa Nr. M-3 (8)
Study Course Description
Pediatric gastroenterology I
Course Code
RBG_001
Branch of Science
Clinical medicine; Paediatrics
ECTS
58.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Ieva Puķīte
Residency Speciality
Speciality
Pediatric gastroenterologist
Supervisor of Medical Speciality
Ieva Puķīte
Contacts
-
About Study Course
Objective
To gain a knowledge about embryology, development, functions and physiology of gastrointestinal tract in infats and children.
Learning Outcomes
Knowledge
1.Understand the anatomical and physiological and hormonal changes in gut and liver that occur throughour childhood. Know immune functions of gastrointestinal tract. Know the basic histopathology and cellular dysfunction of important disorders causing malabsorption including celiac disease. Know the physiology of small intestine, including short bowel. Know the common causes of food allergies and intolerances, their initial management.
Skills
1.Be able to assess, diagnose and manage conditions resulting in mabsorption including celiac disease.
Competences
1.Experience in diagnostic procedures and their interpretation. Responsibility for conducting effective pediatric assessments and interpreting findings. Effective skills in making decision about management plan.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Gain knowledge of nutritional skills, dietary requirements of children, understand physiology and development of gastrointestinal tract in children.
Prepare several clinical case reports about celiac disease, gastritis and other topics, using European guidelines to help plan management.
|
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
Study Course Theme Plan
FULL-TIME
Part 1
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Embryology and development of human gastrointestinal tract. Endocrine Function of the Gut.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Esophagus, normal esophageal function and development, the upper and lower sphincter.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
GERD- etiology, pathophysiology, diagnostic and treatment.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Esophageal motor disorders, diagnosis.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Digestive and absorptive function. Fat, protein and carbohydrates absorption.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Enterohepatic circulation of bile acids. Disorders of bile acid synthesis.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Microflora of the gut and protective function.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Gastrointestinal motility.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Development of GI immune function.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Function of neurons in the gastrointestinal tract. Enteric nervous system.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Overview of Gastrointestinal Hormones in infants and children. Role of GI Hormones on Gut Mucosal Growth.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Eating disorders and obesity. Anorexia nervosa and bulimia.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Dysphagia and vomiting. Cyclic vomiting syndrome, diagnosis, differentialdiagnosis, treatment.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Acute abdominal pain, causes, pathophysiology, management in children.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Chronic recurrent abdominal pain in children.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Diarrhea. Fluid and electrolyte transport in children.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Development of oral cavity. Disorders of the oral cavity and salivary glands.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Constipation and encopresis- diagnosis, pathophysiology, management, treatment, outcomes.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Protein- energy malnutrition in children, causes, history, management.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Stomach: development, embryology, anatomy, physiology. Normal histology of gastric mucosa.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Helicobacter pylori, diagnosis, treatment in children.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Gastritis and gastropathy in children.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Gastrointestinal manifestations of immunodeficiency states.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Peptic diseases in children. Peptic ulcer: diagnosis, pathophysiology, treatment.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Anatomy and physiology of small and large bowel. Maldigestion, malabsorption. Luminal and membranous phase of digestion. Diagnosis, lab tests.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Assesment of nutrition. Anthropometry.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Gastrointestinal food allergy. Food allergens. Food intolerance, immune and non- immune. eosinophilic gastroenteritis.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Celiac disease, clinical features, diagnosis, atypical and classical manifestations, treatment, management, long- term complications.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Short bowel syndrome in infants and children. Adaptation of intestine.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Embryology, anatomy and physiology of the pancreas. Congenital anomalies.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Specialized room
|
Topics
|
Exocrine pancreas: structure, function, functional tests. Schwachman syndrome. Other disorders of exocrine pancreas function.
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Other
|
Topics
|
-
|
-
Seminar
|
Modality
|
Location
|
|
|---|---|---|
|
On site
|
Other
|
Topics
|
-
|
Total ECTS (Creditpoints):
58.00
Number of Residency Seminars:
33
Length (weeks):
44
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
PubMed, UptoDate, www.jpgn.org, ESPGHAN mājaslapa, ECCO mājaslapa
2.
Pediatric nutrition in practice. 2nd ed.., revised edition/ Ed. B.Koletzko et Co-editors. Karger 2015.
3.
J.Pokrotnieks. Gastrointestinālā endoskopija. 2000, Rīga, Pilatus.
4.
P. Russo, D.A. Piccoli, E.D. Ruchelli. Pathology of Pediatric Gastrointestinal and Liver Disease. 2004, Springer Verlag.