Libro blanco de las ACES Pediátricas 2024

Gastroenterología, Hepatología y Nutrición Pediátrica. Anexos ❚ 291 13 3. Be able to advise on postoperative management H IV Management of the life-threatening GI conditions Including: • Gastrointestinal bleeding • Diseases requiring imminent surgical treatment 1. Knows how to assess severity of bleeding H 2. Applies the principles of fluid resuscitation H 3. Arranges endoscopy at the appropriate time H 4. Participates in interventional upper gastrointestinal endoscopy (with variceal banding +/-sclerotherapy) H 5. Knows methods to secure haemostasis H 6. Recognises the signs of re-bleeding and liaises with other disciplines such as interventional radiology or surgery H 7. Applies an understanding of the role of pharmacotherapy in managing acute gastrointestinal bleeding H 8. Advises other centres on how to initiate first-line treatment for gastrointestinal bleeding and when it is safe to transfer the child to another centre for definitive treatment H 9. Knows the causes of intestinal obstruction and mechanical ileus H 10. Knows the differential diagnosis and is able to investigate a patient with acute abdominal pain (including acute appendicitis, perforation, intussusception etc.) H 11. Knows the differential diagnosis of bilious vomiting H 12. Is able to differentiate and investigate abdominal masses H 13. Is able to recognize and diagnose bowel ischemia together with possible causes H V Management of upper GI disease Including: • Oesophageal disorders caused by caustic agents, medications and trauma • Foreign body oesophageal impaction • Diagnosis and management of oesophageal strictures • Helicobacter pylori infection • Other causes of gastritis • Peptic ulcer disease 1. Knows how to diagnose and understands treatment modalities in oesophageal disorder caused by caustic agents, medications, infection and trauma H 2. Recognizes the importance of an early diagnosis and management of oesophageal impaction by foreign body H 3. Knows causes of oesophageal strictures and stenosis and recognize treatment options H 4. Understands Helicobacter pylori infection and its clinical implications H 5. Knows how and when to diagnose and treat H. pylori infection H 6. Recognizes differential causes of gastritis and peptic ulcer disease (PUD) (e.g. H pylori infection, other infections, IBD, hypersecretory state, immune related etc.) H 7. Knows how to diagnose and treat PUD H VI Management of nutrition allergies and GI eosinophilic diseases 1. Knows and recognizes symptoms of food allergy in all age groups H