Veidlapa Nr. M-3 (8)
Study Course Description

Paediatric Gastroenterology

Main Study Course Information

Course Code
RPE_014
Branch of Science
Clinical medicine; Paediatrics
ECTS
6.00
Target Audience
Medicine
LQF
Level 8

Study Course Implementer

Course Supervisor

Residency Speciality

Speciality
Supervisor of Medical Speciality
Contacts

-

About Study Course

Objective

To ensure acquisition and improvement of theoretical knowledge and practical skills in accordance with the general concept of gastroenterological diseases pursuant to the Regulations of Pediatric Speciality when reading literature or coming across in clinical practice, in order to refer a patient to a specialist when necessary, and to provide emergency aid in acute situations.

Learning Outcomes

Knowledge

1.During acquisition of the study course a resident acquires basic knowledge on the most common paediatric gastroenterological disorders, their aetiology, pathogenesis, clinical expressions, diagnostic testing algorithms and treatment principles.

Skills

1.Following acquisition of the study course the resident will be able to carry out examination and evaluation of the objective gastroenterological condition based upon the age of the child, to gather comprehensive anamnesis of his/her life and illnesses, to draw up an examination plan, to order additional examination methods and evaluate the results, to draw up various diets according to the patient’s illness, to provide emergency aid, when necessary.

Competences

1.Upon successful completion of the study course the resident acquires mandatory competence of a certified paediatrician. The necessary level of competence varies for various gastroenterological disorders and is provided below. The competence levels are the following: 1st level: acquired knowledge complies with general concept of the subject matter, allowing the practitioner to understand the situation by reading literature or when coming across in practice, by engaging in purposeful search for necessary additional information and referring the patient to a specialist, when necessary. 2nd level: acquired knowledge on the particular matter is sufficient for understanding its nature, to diagnose the problem and provide emergency aid, when necessary, refer to a specialist, as well as to carry out diagnostics, treatment and prevention under the supervision of a specialist. 3rd level: acquired knowledge allows the practitioner to solve the particular problem independently. Digestive system 1. Normal Digestive Tract Phenomena 2 2. Major Symptoms and Signs of Digestive Tract Disorders 2 3. Development and Developmental Anomalies of the Teeth 2 4. Disorders of the Oral Cavity Associated With Other Conditions 2 5. Syndromes With Oral Manifestations 2 6. Embryology, Anatomy, and Function of the Esophagus 2 7. Congenital Anomalies 2 8. Obstructing and Motility Disorders of the Esophagus 2 9. Dysmotility 2 10. Hiatal Hernia 2 11. Gastroesophageal Reflux Disease 2 12. Eosinophilic Esophagitis, Pill Esophagitis, and Infective Esophagitis 2 13. Esophageal Perforation 2 14. Esophageal Varices 2 15. Ingestions 2 16. Normal Development, Structure, and Function of the Stomach and Intestines 2 17. Pyloric Stenosis and Other Congenital Anomalies of the Stomach 2 18. Intestinal Atresia, Stenosis, and Malrotation 2 19. Intestinal Duplications, Meckel Diverticulum, and Other Remnants of the Omphalomesenteric Duct 2 20. Motility Disorders and Hirschsprung Disease 2 21. Ileus, Adhesions, Intussusception, and other Obstructions 2 22. Foreign Bodies and Bezoars 2 23. Peptic Ulcer Disease in Children 2 24. Inflammatory Bowel Disease 2 25. Eosinophilic Gastroenteritis 2 26. Disorders of Malabsorption 2 27. Intestinal Transplantation in Children With Intestinal Failure 1 28. Acute Gastroenteritis in Children 3 29. Chronic Diarrhea 2 30. Functional Gastrointestinal Disorders 3 31. Cyclic Vomiting Syndrome 3 32. Acute Appendicitis 2 33. Tumors of the Digestive Tract 2 34. Inguinal Hernias 2 35. Embryology, Anatomy, and Physiology of the Pancreas 2 36. Pancreatic Function Tests 2 37. Disorders of the Exocrine Pancreas 2 38. Treatment of Pancreatic Insufficiency 2 39. Pancreatitis 2 40. Pancreatic Fluid Collections 2 41. Pancreatic Tumors 2 42. Morphogenesis of the Liver and Biliary System 2 43. Manifestations of Liver Disease 2 44. Cholestasis 2 45. Metabolic Diseases of the Liver 2 46. Viral Hepatitis 2 47. Liver Abscess 2 48. Liver Disease Associated With Systemic Disorders 2 49. Mitochondrial Hepatopathies 2 50. Autoimmune Hepatitis 2 51. Drug- and Toxin-Induced Liver Injury 2 52. Acute Hepatic Failure 2 53. Cystic Diseases of the Biliary Tract and Liver 2 54. Diseases of the Gallbladder 2 55. Portal Hypertension and Varices 2 56. Liver Transplantation 1 57. Peritoneal Malformations 2 58. Ascites 2 59. Peritonitis 2 60. Epigastric Hernia 2

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
During the study course a resident has to acquire theoretical knowledge on the most common paediatric gastroenterological diseases, their aetiology, pathogenesis, early diagnostics, emergency care, principles of treatment, diagnostic methods in paediatric gastroenterology, their indications and interpretation of results, concept of possibilities of social care, paying attention to tasks of a paediatrician-practitioner in care for such children to be able to theoretically justify actions in clinical practice in paediatrics, communication with doctors and parents of children.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
1) At the end of the cycle the lecturer gives an assessment of the practical skills in the 10-point grading scale by entering the grade in the student’s gradebook. 2) Theoretical knowledge is assessed in written form; the 10-point grading system is used for knowledge assessment.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Feeding disorders. Child with a reduced body weight, investigations, treatment.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Constipation.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Gastrointestinal bleeding.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

GERD in children.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Neonatal cholestasis.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Acute and chronic pancreatitis.
  1. Seminar

Modality
Location
On site
Specialized room

Topics

Intestinal inflammation diseases.
  1. Seminar

Modality
Location
-
-

Topics

Topical problems and pharmacotherapy in paediatric gastroenterology.
Total ECTS (Creditpoints):
6.00
Number of Residency Seminars:
8
Length (weeks):
4
Final Examination:
Residency exam (Theory and practice)

Bibliography

Required Reading

1.

https://my.rsu.lv/ > E-datubāzes > E-grāmatas, https://www.clinicalkey.com/

2.

Kliegman R. M., Behrman R. E., Jenson H. B. Stanton B. F. „Nelson Textbook of Pediatrics” 21st ed, 2020.

3.

Wyllie, Robert. “Pediatric Gastrointestinal and Liver Disease, 6th Edition”, 2021

4.

Lantos, John D. Ethics Rounds: a Casebook in Pediatric Bioethics American Academy of Pediatrics (AAP); American Academy of Pediatrics, 2019

Other Information Sources