Chawla, MBBS, chief
Difalco, RN, CPNP
Usmani, RN, CPNP
Stony Brook student, residency at Schneider’s children’s hospital and
fellowship at Montefiore hospital in
The division of Pediatric
Gastroenterology & Nutrition provides outpatient and inpatient
consultations for pediatric patients with gastrointestinal, liver and
treats a large number of children with reflux, acute and chronic abdominal pain,
gastrointestinal bleeding, Celiac Disease, failure to thrive, chronic
constipation, feeding problems, Irritable Bowel Syndrome, Crohn’s Disease and
Children with a wide
range of liver diseases, including infectious hepatitis, autoimmune hepatitis,
congenital anomalies, and Wilson’s Disease are evaluated and followed through
In addition to these
disorders, an increasing number of children with fatty liver(an emerging
serious liver disease) are also evaluated and followed at Stony Brook.
Nutritional consultations are
provided for children with severe feeding problems, children dependent on tube
feeds, those with Celiac Disease, with excessive weight gain, obesity,
hypercholesterolemia, and with severe food allergies.
The division also manages nutritional support
for patients with Cystic Fibrosis.
nutritional services are provided by Maria Puangco, pediatric dietician for
over 20 years and by Dr. Chawla who is also board certified in nutrition
The division prides itself for
providing excellent care and support for families with children requiring tube
Gastrostomy tubes are placed
via endoscopy in the endoscopy suite or bedside in the ICU in critically ill
children by the division’s physicians.
For those patients in whom persutaneous
gastrostomy tubes can not be placed, the service works with the Pediatric
surgeons at Stony Brook to coordinate the surgical placement of these tubes.
The division performs over 500
procedures a year.
colonoscopies, polyp removal, pH probe studies, 48 hour BRAVO pH monitoring,
motility studies are performed in a State of the Art endoscopy suite at the
Liver biopsies are performed
in the Pediatric ICU. Capsule endoscopy is now available for small bowel
All pediatric endoscopies
are performed under sedation/anesthesia provided by a pediatric
anesthesiologist, therefore markedly enhancing the safety and comfort our
The division has offices at the
Hospital as well as locations in
At present we see an average of 500
outpatients a month.
In spite of 9
clinics a week our waiting period has been over a month, a situation we will
remedy with the addition of Dr. Morganstern to our faculty in July of
In spite of the heavy clinical
load, all patients who are felt to require urgent visits by their Pediatrician
are accommodated on an urgent basis at the request of the Pediatricians.
The division is actively involved in clinical research in
children with Crohn’s Disease, Ulcerative Colitis, Celiac Disease, Cystic
Fibrosis and Irritable Bowel Syndrome. The division has presented papers as
well as invited lectures at several national conferences.
Current and recently completed research
of Total caloric Intake on Parenteral Nutrition Associated Cholestasis in Low
Birth Weight Infants. Blau,J., Sridhar,S.,
Chawla,A.. Completed. Manuscript in preparation.
of Autoimmune Thyroiditis and Celiac Disease. Wilson,T., Lane,A,
Lazare,F. Data analysis n progress.
of Infant Length Measurement: A Comparison of Tape and Length Board.
acquisition and analysis in progress.
Aloe Vera Gel(DAVG) for the treatment of Irritable Bowel Syndrome in Children.
Chawla A. Patient enrollment in progress.
We also now have a Stony Brook chapter of the “Reach out
for Youth with Ileitis and Colitis”, support group for children with Crohn’s
disease and Ulcerative Colitis. For information about this group and all
services provided by our division we can be contacted at 444-8115.