Per-cutaneous gastrostomy

Gut Investigations Per-cutaneous gastrostomy This is a technique by which a small tube is passed via endoscopy straight through the abdominal wall into the stomach cavity and a plastic tube is left there in order that feeds can be administered to promote good nutrition. This is particularly helpful for children with very bad feeding problems…

Read More

ERCP & MRCP

Gut Investigations ERCP & MRCP The full name of this is endoscopic retrograde cholangio pancreaticography which is a way of looking at the drainage of the liver and the pancreas for any abnormalities such as gall stones impacted in the biliary tree which is the drainage system of the liver or any evidence to suggest…

Read More

Abdominal MRI Scan

Gut Investigations Abdominal MRI Scan An MRI scan is an excellent way of looking at the structures, not the function, of the intestinal tract and the rest of the organs in the abdomen and it is very helpful for looking at structural abnormalities such as scarring and strictures of the gut.It can also help delineate…

Read More

Pancreatic function studies

Gut Investigations Pancreatic function studies The easiest way to test for normal pancreatic function is by a sample of stool but more formal pancreatic function studies may occur via collection of the juice produced by the pancreas under direct vision by sucking this out by endoscopy and this may take up to an hour. This…

Read More

Cranial MRI Scan

Gut Investigations Cranial MRI Scan This is particularly helpful for looking at the structures inside the head and particularly for the drainage system for cerebral spinal fluid to make sure there is no blockage and also for any tumours within the brain. It can be helpful to determine whether there is any raised pressure within…

Read More

Abdominal CT Scan

Gut Investigations Abdominal CT Scan A CT scan is a sophisticated x-ray which involves older children lying still in a machine for around 30-60 minutes but sometimes less time and younger children would probably need an anaesthetic to keep them still.The CT scan of the abdomen involves an amount of radiation, which is relatively significant…

Read More

Oesophageal motility and manometry studies

Gut Investigations Oesophageal motility and manometry studies These are a way at looking at the movement of the oesophagus and pressure waves set up by normal movement of the oesophagus and are quite unusual to be required. They are not particularly pleasant to undergo and therefore we do not use them very frequently in Paediatrics.…

Read More

Cranial CT scan

Gut Investigations Cranial CT scan A cranial CT scan involves in a younger child an anaesthetic, and usually is performed in older children when lying still, and we look with special x-rays on the computer to determine whether there are any abnormalities within the head. It is particularly helpful for looking for abnormalities involving any…

Read More

Practical Advice before Endoscopic Procedures

Gut Investigations Practical Advice before Endoscopic Procedures Bowel Prep This is the term used to encompass the technique to clean the large bowel of faeces prior to doing a colonoscopy. It will require that your child comes into hospital with you in the late afternoon prior to the colonoscopy and at that junction the nurses…

Read More