Center for Pediatric Gastroenterology of the Morozov Children's City Clinical Hospital. Pediatric gastroenterology Pediatric gastroenterologist children's hospital

This is a specialist who diagnoses, treats and prevents pathologies of the digestive tract in children. Diseases of the digestive system are among the most common today. Their causes are varied: from unbalanced nutrition to stress, and the child’s body is least protected from the effects of these factors. That is why consultation with a pediatric gastroenterologist is necessary in case of any problems related to the digestive system.

If you are looking for a pediatric gastroenterologist in Moscow, contact the CELT multidisciplinary clinic. We employ leading domestic specialists who have extensive experience and have all the means to determine the cause of the disease, make a correct diagnosis and prescribe effective treatment.

Why should you contact a pediatric gastroenterologist?

A good pediatric gastroenterologist is necessary for many young patients with digestive problems. It is no secret that childhood has its own anatomical and physiological characteristics. This rule also applies to the gastrointestinal tract. Therefore, the need to consult a child with a pediatric specialist is obvious.

When is it necessary to contact a pediatric gastroenterologist?

A number of clinical manifestations should be a reason to visit a pediatric gastroenterologist:

pain in the abdomen of varying intensity, different nature and any location;
nausea and vomiting;
heartburn and belching;
loss of appetite;
bad breath;
bowel dysfunction: constipation, diarrhea;
flatulence, increased gas formation in the abdomen

Urgent consultation is also required by suspicion of bleeding from the gastrointestinal tract, which manifests itself in the form of vomiting mixed with blood, black stools, and stools mixed with blood. Such situations are rare, but should be regarded as life-threatening, and therefore immediately supervised in a hospital setting!

During the appointment

During the consultation, a pediatric gastroenterologist conducts an initial examination and listens to any complaints. It is very good if parents bring with them to the consultation the data of all diagnostic studies, if any have been carried out before, as well as previous conclusions of specialists. This will save both time and money. In order to make a diagnosis, pediatric gastroenterologists at the CELT clinic conduct a comprehensive examination, which is prescribed based on a specific clinical situation and may include the following:

ultrasound examination of the abdominal cavity;
X-ray examination;
endoscopic examination (gastroscopy);
blood, urine, stool tests.

If the situation requires it, a pediatric gastroenterologist can join forces with other pediatric specialists (neurologist, surgeon, endocrinologist, otolaryngologist, dentist, pediatrician) to jointly evaluate the results of a diagnostic examination and draw up an individual treatment program.

Multidisciplinary clinic CELT: we will take care of your baby’s health!

Every parent, at least subconsciously, is always afraid that their child will get sick. And this really happens sometimes - children get sick. However, in such cases they do not always require the help of a pediatrician or otolaryngologist. Sometimes you have to contact a doctor such as a gastroenterologist. What kind of specialist is he, what does he treat, and where can I find the best pediatric gastroenterologist?

Who is a gastroenterologist

First of all, it is worth clarifying what kind of doctor a gastroenterologist is and what ailments he treats. After all, not everyone is strong in medical terminology. So, a gastroenterologist (for children or adults, it doesn’t matter) is a specialist who treats the gastrointestinal tract. In addition, he also deals with the prevention of various types of diseases of this body system. The most common disease among them, but by no means the most dangerous, is, perhaps, gastritis. The word "gastroenterologist" in Greek means "womb" (gaster), "gut" (enteron) and "teaching" (logos). It turns out that this doctor treats organs such as the intestines, gall bladder, esophagus, liver, duodenum, and the like.

What diseases can you treat?

As mentioned above, probably the most common reason for contacting (at least to a pediatric gastroenterologist) is gastritis. This is an inflammation of the stomach lining, usually due to poor diet and lifestyle in general. Also, the reason to come to the clinic for an appointment with this doctor may be:

stomach ulcer;
hepatitis of various types;
dysbacteriosis;
pancreatitis (inflammation of the pancreas);
stones in the urinary and/or gall bladder;
a symptom of the so-called acute abdomen (that is, sharp and acute pain), which includes appendicitis, peritonitis and many other diseases.

When you don't have to endure

It's no secret that the mentality of the Russian person is such that he does not like to go to doctors. It would be better to endure until the last minute, and go to a specialist only if it becomes completely unbearable. Still, you should overcome yourself and not wait until it “presses”, but go to the clinic yourself or call a doctor at home. If this advice is relevant for adults, then it is even more important when it comes to the health of a child.

So, in what cases is it necessary to consult a gastroenterologist?

The child complains of abdominal pain that has not gone away for some time and prevents him from leading a normal life.
Appetite decreased or disappeared altogether, weight decreased.
In addition to pain, the child often experiences nausea and/or vomiting.
His stomach hurts not only during the day, but also at night, preventing him from sleeping normally.
The child has a history of any (any) gastrointestinal disease.

At an appointment with a specialist

Most often, it is impossible to get to a gastroenterologist without a referral from a pediatrician, therefore, you will first have to visit this doctor. You should have a medical card and test results with you, if available, of course. Important: if white, yellow or any other coating appears on your tongue, you do not need to remove it before visiting a doctor. Examination of the tongue is an indispensable condition of the examination process, as it helps the gastroenterologist to create a more complete and clear picture of what is happening.

Before you rush to use the services of a pediatric gastroenterologist in a hospital hospital at the slightest complaint in a child, you should familiarize yourself with the information below, which, by the way, is a recommendation from specialized specialists.

Firstly, if your baby has a stomach ache and the pain is not sharp or sharp, then there is no need to panic and assume the worst. First, you should call a local doctor from your clinic, he should examine the child and only then decide what to do next. However, if the pain arose suddenly, “out of nowhere”, it is strong, sharp, then there is no need to wait, you need to immediately call an ambulance.

Another tip concerns nutrition. If a child has had stomach problems before and has been prescribed a diet, it is necessary to strictly follow it. In case of deviation from the regime and consumption of forbidden foods, one should not be surprised that the child’s old illness worsens again.

Very often, parents with tiny children, infants under one year old, sign up for a consultation with a pediatric gastroenterologist. Digestive disorders in such babies are usually caused by the same poor diet. The main food for children of this age should remain milk - mother’s milk or formula, it doesn’t matter. Parents, trying to introduce complementary foods as quickly as possible, begin to feed him what the baby’s stomach is not yet ready for. Therefore, there is no need to force things. You need to strictly follow the pediatrician’s recommendations and remember that everything has its time. Then you won’t need to make an appointment with a pediatric gastroenterologist later.

Where to contact

If such a specialist is still needed, where to go? Where to find a good doctor? Where does a pediatric gastroenterologist see in the capital? Indeed, in Moscow there are so many different clinics, it’s easy to get confused. Below we list at least some of them (which patients respond well to) with an obligatory indication of the cost of services.

So, the Best Clinic medical center on Nizhnyaya Krasnoselskaya Street is very famous among residents of the metropolitan metropolis. Providing assistance in the field of pediatric gastroenterology varies there within two thousand rubles (plus/minus one hundred to two hundred rubles). The family clinic "Miracle Doctor" near the Ploshchad Ilyich metro station is no less popular, and the cost of an appointment there, although not much, is cheaper - from 1600 to 1800 rubles. There is a center “K+31” on Lobachevsky Street, where a pediatric gastroenterologist provides consultations for 2,800 rubles. In 2nd Tverskoy-Yamsky Lane there is a very expensive, but, judging by the reviews, very good center of JSC "Medicine", where you will have to pay 4,300 rubles for an appointment with such a specialist.

Depending on the service, the price at the Family Clinic near the Kashirskaya metro station also fluctuates: the minimum is 1900, the maximum is 3800 rubles. And a pediatric gastroenterologist at the SM-Doctor diagnostic center on Priorova will be able to help for 1800-2350 rubles (depending on the type of help needed). By the way, this same clinic is also on Kibalchicha Street. The cheapest appointment is in the network of family clinics "Dobromed" - about 1,600 rubles.

Specialists

A good doctor is always doubly valued, and a good pediatric gastroenterologist is worth his weight in gold. That is why it is so important to know the names of these specialists. Of course, you cannot list all the competent doctors of this profile in multimillion-dollar Moscow, but you can at least name a few.

Alfiya Aminova

In several places at once (for example, on Kashirskoye Highway), Doctor of Sciences, an employee of one of the medical institutes, a specialist in pediatric gastroenterology and pediatrics, Alfiya Aminova, receives patients, who has received many grateful reviews from the patients treated by her. Everyone notes not only the high professionalism of this doctor, but also her friendliness towards both parents and young patients. The doctor is competent, polite, pleasant, answers essentially all questions, and gives recommendations. And most importantly, he knows how to communicate with children. For all these and many other qualities, pediatric gastroenterologist Aminova deserves to be on the list of the best specialists in the capital. The price for the services she provides is within two and a half thousand rubles.

Lyudmila Pugacheva

Another pediatric gastroenterologist in Moscow charges a little less (from 1800 to 2350 rubles). This is Lyudmila Pugacheva, who works in the clinic at Priorov. Having graduated from the Krasnoyarsk Medical Institute with a degree in pediatrics, she was later certified as a doctor of the highest qualification category and underwent retraining in two specialties at once: endoscopy and gastroenterology. It can be used both for the treatment and diagnosis of various diseases of the digestive system, including endoscopic examination of the stomach. A significant advantage of doctor Pugacheva is that she works with children of absolutely all ages, including newborn babies, who often suffer from digestive disorders. In the rating of pediatric gastroenterologists, Pugacheva always occupies a leading position, and reviews about her are almost completely positive.

Sergey Kholodov

Pediatric gastroenterologist Sergei Kholodov works on Vorotynskaya Street and Kashirskoe Highway. He is a doctor of the highest qualification category and part-time endoscopist. Kholodov S. has been working in this field for twenty years. This specialist differs from others in that he can work with overweight patients using a unique technique. Kholodov sees both children and adults with gastroenterological problems, and in addition, you can come to him for an endoscopic examination.

People speak very positively about this specialist. They write that he gives the necessary recommendations, speaks informatively and to the point, is pleasant to talk to, and carries out all procedures deftly and painlessly. The main thing that parents note is his ability to find contact with a small patient, including an obstinate teenager. This pediatric gastroenterologist in Moscow charges two thousand rubles for his appointment.

Diana Shatveryan

Diana Shatveryan works at the clinic near Ilyich Square, whose services will cost patients 1,800 rubles. Endoscopist and gastroenterologist Shatveryan is also a candidate of medical sciences. She easily performs endoscopic interventions of any kind, including stopping gastric bleeding. This pediatric gastroenterologist also works with adults, and the list of diagnostic tests that Dr. Shatveryan can perform is incredibly extensive. There are no bad reviews about this specialist, and among the positive ones there are words about sensitivity, goodwill, and attentiveness to his patients.

Elena Tomilina

In the same clinic as Shatveryan, another good pediatric gastroenterologist, Elena Tomilina, is seeing her. She defended her PhD and received additional specialization as an endoscopist, working with both small and adult patients. They, in turn, do not spare good words addressed to their doctor, noting in their reviews how competent and knowledgeable a specialist he is, who understands not only his field, but also related ones, and can give really worthwhile recommendations, and will also popularly explain everything that interests him. and incomprehensible moments. And Dr. Tomilina’s optimism and sociability make her “their person” in the eyes of the children. Services in the field of pediatric gastroenterology provided by this specialist cost a little more than the previous appointment - two and a half thousand rubles.

Anatoly Matyukhin

Anatoly Matyukhin works on Yaroslavskaya Street, not far from VDNKh. He has not been working for so long, but nevertheless he has already managed to win the trust and respect of patients and colleagues. Dr. Matyukhin is a member of the Russian Gastroenterological Association, gives lectures on gastroenterology, and writes scientific works. He is actively involved in the diagnosis and treatment of such unpleasant phenomena as ulcers, all kinds of problems of the digestive system, colitis, as well as Crohn's disease (a disease that most often affects the small and/or large intestine, although any other organ of the digestive system can be affected). For his services in the field of pediatric gastroenterology, Matyukhin charges from 1800 to 2350 rubles. But this price is justified: patients are, if not delighted, then at least have a very favorable impression of visiting this specialist. They call him partly a psychologist - the doctor understands his patients so subtly.

Elena Fridkina

And on Maroseyka, near Kitay-Gorod, you can get an appointment with pediatric gastroenterologist Elena Fridkina, whose experience in medicine is almost thirty years, and whose experience and competence leave no doubt. She deals with various issues: diagnoses and treats all kinds of diseases of various organs of the digestive system. In addition, Friedkin’s doctor can help in the field of dietetics, since he has this additional specialization. At the same time, the cost of her services is not so high, especially in comparison with the above-mentioned professionals - only 1,650 rubles. Patients respond favorably to this doctor, noting her ability to find an individual approach to each patient, desire and ability to delve into another person’s problem and help deal with it.

Briefly about the main thing

And one more doctor needs to be mentioned separately in the end - the main pediatric gastroenterologist. On the website of the capital’s Department of Health it is indicated that Tamara Skvortsova is one of them (albeit freelance). She concurrently works as the head of the gastroenterology department and heads the center for pediatric gastroenterology at the Morozov Children's City Clinical Hospital.

Medical staff of the Center for Pediatric Gastroenterology:

Skvortsova Tamara Andreevna - head of the Center for Pediatric Gastroenterology and the Center for IBD, Morozovskaya Children's City Clinical Hospital, Doctor of Medical Sciences, gastroenterologist, chief freelance pediatric gastroenterologist in Moscow
Glazunova Lyudmila Vladislavovna – pediatrician, gastroenterologist, deputy head of the gastroenterological service of the Morozov Children’s Hospital
Mukhina Tatyana Fedorovna – pediatrician, gastroenterologist of the highest category
Olga Aleksandrovna Goryacheva – pediatrician, gastroenterologist, candidate of medical sciences
Sarycheva Alexandra Andreevna – pediatrician, gastroenterologist

Pediatric gastroenterologist

A pediatric gastroenterologist is a doctor who diagnoses and treats diseases of the gastrointestinal tract in children: esophagus, stomach, intestines, pancreas, liver, gall bladder. The children's gastrointestinal tract is distinguished by delicate mucous membranes and their abundant blood supply. Due to less secretion of gastric juice and its low bactericidal properties, the child is more susceptible to pathogens of gastrointestinal infections, and many diseases of the digestive system begin in childhood.

If you need to consult a doctor, you can make an appointment with a pediatric gastroenterologist from the Family Doctor network of clinics by calling a 24-hour phone number or leaving a request on the website.

Diseases treated by a pediatric gastroenterologist

1. Diseases of the esophagus:

reflux esophagitis is the occurrence of erosive formations of the esophageal mucosa caused by the backflow of stomach contents into the esophagus.

2. Stomach diseases:

gastritis – inflammation of the gastric mucosa, leading to disruption of its functions;

ulcer of the stomach and duodenum.

3. Diseases of the pancreas:

Pancreatitis is inflammation of the tissue and ducts of the pancreas. In children, a chronic course of the disease is more common, leading to gradual impairment of organ functions.

4. Diseases of the liver and biliary tract:

hepatitis - inflammation of the liver, most often of viral origin;

obstruction of the bile ducts - their blockage due to cholelithiasis, tumors or inflammation of the bile ducts.

5. Intestinal pathologies.

colitis - inflammation of the large intestine, causing abdominal pain and changes in stool;

duodenitis - inflammation of the duodenal mucosa;

enteritis - acute or chronic inflammation of the small intestine;

celiac disease – damage to the intestinal mucosa due to gluten intolerance;

stool disorders - diarrhea, constipation, change in stool color not associated with the use of coloring products;

Dysbacteriosis is a disorder of the intestinal microflora.

Any problems in the functioning of the digestive system or a child’s complaints of abdominal pain should be a reason to make an appointment with a pediatric gastroenterologist, since only identification and treatment of pathology at an early stage of development will protect the patient from possible complications.

Symptoms that should be a reason to contact a pediatric gastroenterologist

If a child develops at least one of the listed symptoms, an appointment with a pediatric gastroenterologist is necessary.

1. Chronic constipation.

It can be psychological when the baby clamps down and prevents the exit of feces. But it may also indicate dysbacteriosis, gastroduodenitis, dysfunction of the digestive glands, helminthiasis, polyps, and intestinal tumors. An appointment with a pediatric gastroenterologist is necessary if the child has bowel movements only 1-2 times a week and experiences pain.

Its most common cause is infection with rotavirus infection or pathogenic bacteria. Diarrhea can also be caused by secretory insufficiency of the gastrointestinal tract. Blood, mucus, and food debris in the stool are characteristic of colitis, enteritis, and biliary dyskinesia. In these cases, treatment should be started immediately.

3. Nausea and vomiting.

4. Lack of appetite, weight loss.

In some cases, they indicate gastroenterological diseases: gastric and duodenal ulcers, colitis, hepatitis, intestinal dysbiosis or celiac disease.

5. Severe flatulence.

In newborn babies, colic is a temporary physiological feature. In preschool and school age, increased gas formation can be caused by an unbalanced diet or be a symptom of serious dyspeptic diseases: inflammation of the pancreas, stagnation in the intestines, mucous colitis, etc. In the latter case, the child should be brought to see a pediatric gastroenterologist to prescribe treatment.

6. Abdominal pain.

Caused by inflammatory, mechanical causes, constipation, tumors, acute and chronic infectious diseases. An appointment with a pediatric gastroenterologist, for example, is needed if a child experiences regular pain in the abdomen. If you have acute abdominal pain, you should call an ambulance.

7. Bad breath.

an acetone smell appears with dysbacteriosis, helminthiasis, and pancreatic diseases;

putrefactive – with low acidity of the stomach and diseases of the esophagus;

sour – with high stomach acidity, gastritis and reflux esophagitis;

sweetish – for liver diseases;

chemical – for biliary dyskinesia.

Diagnosis of pediatric gastroenterological diseases

The initial appointment with a pediatric gastroenterologist includes examination of the child:

palpation of the abdomen;

tapping the abdominal area;

checking the skin;

examination of the oral cavity;

conducting a breath test for Helicobacter pylori (if necessary), the causative agent of inflammation of the stomach and duodenum.

Changes in the color of the skin, oral mucosa, localization of pain when palpating the abdomen, and collection of patient complaints allow the doctor to make a preliminary diagnosis and prescribe a series of tests and studies.

1. Analyzes.

General blood and urine tests show the general condition of the body.

Biochemical blood test - diagnosis of metabolic disorders.

Stool analysis for scatology - identification of pathologies of all organs of the digestive system.

Analysis of stool for dysbacteriosis - determination of the composition of intestinal microflora.

Analysis of stool for carbohydrates - diagnosis of lactase deficiency in a child.

2. Visualization methods.

Ultrasound of the abdominal organs is a standard examination for parenchymal (dense) organs of the digestive system. Problems of hollow organs (esophagus, stomach, intestines) are usually not detected by ultrasound diagnostics.

Magnetic resonance imaging (MRI) – examination for suspected tumors, cholelithiasis or pancreatitis.

X-ray - for diagnosing intestinal obstruction, congenital anomalies of intestinal development, chronic enteritis, ulcerative colitis and some other pathologies.

3. Endoscopic methods.

Prescribed for diagnosing diseases of the digestive system with regular abdominal pain, the presence of neoplasms, and malformations of the gastrointestinal tract. Endoscopy allows you to collect biomaterial for analysis, carry out treatment and perform manipulations to stabilize the child’s condition in case of internal bleeding, acute intestinal obstruction, or the presence of foreign objects in the esophagus, stomach or intestines. In pediatric gastroenterology it is used:

gastroscopy – endoscopy of the esophagus and stomach.

Colonoscopy – endoscopy of the rectum and colon.

A pediatric gastroenterologist at the Family Doctor clinic in Moscow may suggest performing the procedure on a child over 7 years of age in a state of medicated sleep.

Treatment methods used by a pediatric gastroenterologist

1. Conservative treatment.

Drug therapy.

Physiotherapy.

Prescribed at an appointment by a pediatric gastroenterologist for irritable bowel syndrome, constipation, decreased intestinal motility, gastritis and some other diseases. Physiotherapy includes:

medicinal electrophoresis;

applications with paraffin, ozokerite;

ultrasound therapy;

Following a special diet.

Eliminating fatty, fried, spicy, salty foods from the diet, giving up chips, soda, smoked foods and other harmful foods and switching to natural baked, boiled or steamed foods.

2. Surgical treatment.

In some cases, surgical intervention cannot be avoided, for example, in case of inflammation of the appendix, cholelithiasis (if there is a threat of complications), malignant tumors and some others.

Emergency surgery is required for perforation of the stomach wall, bleeding caused by the progression of a peptic ulcer, and other emergency conditions (appendicitis, peritonitis, diverticulum rupture, etc.)

For intestinal obstruction, surgery is necessary to clear the blockage and remove part of the intestine.

Intestinal polyps require mandatory removal. If you have multiple polyposis, you may need to cut out the affected part of the intestine.

Surgical intervention is used as a last resort for treating duodenitis when conservative treatment is ineffective or the patient’s condition is severe.

If you notice symptoms of digestive system diseases in a child, you should immediately contact a specialist. An appointment with a pediatric gastroenterologist is possible on the website of the Family Doctor clinic, which has a network of branches in different parts of Moscow.

We are waiting for you in the network of clinics “Family Doctor”!

A wide range of instrumental, laboratory and genetic studies.
Gastroscopy in a state of medicated sleep under the supervision of experienced anesthesiologists.
Diagnostics and treatment according to international standards accepted in leading clinics in Western Europe and the USA.

Children often complain of abdominal discomfort, heartburn, nausea, sore throat, and sometimes dizziness. These symptoms may be manifestations of a disease such as (reflux of acidic contents from the stomach into the esophagus). Reflux can also manifest itself with unusual symptoms: recurrent runny nose, hoarseness, coughing, frequent sighs.

Increasingly, children are diagnosed with malabsorption syndrome - a syndrome of malabsorption in the small intestine of certain foods, which is accompanied by diarrhea or constipation, discomfort, bloating, sometimes skin rashes, impaired growth and weight gain.

Changes in the structure and size of the pancreas and an inflection in the gallbladder are often detected. In themselves, they are not a cause for concern, but in combination with complaints of abdominal pain, changes in appetite, stool, and indicators of the child’s physical development, they require additional examination to identify the cause of digestive disorders.

IMPORTANT! Acute and sudden abdominal pain, vomiting, diarrhea, and the appearance of blood in the stool are reasons to urgently consult a pediatrician.

While periodic pain, associated or not associated with food intake, the appearance of pain at night, a feeling of nausea, and decreased activity of the child most often suggest a planned additional examination.

The Children's Clinic uses a wide range of instrumental and laboratory tests, as well as genetic tests:

Ultrasound with diagnostic tests;
X-ray examinations;
gastroscopy (endoscopic examination of the esophagus, stomach, duodenum and small intestine) for children, if necessary, with a simultaneous biopsy of the mucous membrane and removal of foreign bodies;
presence breath test (HELIK-SCAN);
colonoscopy with biopsy of the intestinal mucosa.

Gastroscopy can also be performed on children at the EMC Children's Clinic in Moscow simultaneously and in a state of medicated sleep under the supervision of experienced anesthesiologists.

A pediatric gastroenterologist performs diagnostics and treatment in accordance with international standards accepted in leading clinics in Western Europe and the USA. Parents receive the most detailed information about the disease and the causes of its occurrence. A child with suspected gastroenterological pathology is first examined by a pediatrician to make a preliminary diagnosis. When the disease profile is confirmed, the small patient is referred to a pediatric gastroenterologist for consultation.

Treatment of diseases of the digestive system is not only about taking medications. A daily routine, a balanced and healthy diet, physical activity - all this is not only mandatory, but also individual for each child. Restoring digestive function is a long process. Parents often have questions and difficulties, so our doctors are always open to dialogue and are in touch with parents on any issue.

A pediatric gastroenterologist consults young patients at the EMC Children's Clinic at the address: Moscow, st. Trifonovskaya, 26.