Ashraff.A.Samad
COLOMBO
The newly opened gastroenterology clinic, situated within Lady Ridgeway Hospital, represents a significant milestone in healthcare provision within the region. Formerly primarily managed by adult gastroenterology services, the need for specialized care for pediatric gastroenterological conditions became evident over time. This necessity was particularly highlighted following the arrival of Professor Shaman to Lady Ridgeway Hospital in 2018. Recognizing the gap in services, efforts were directed towards establishing a dedicated gastroenterology clinic. Originally operating as a stoma clinic, the success and demand for expanded services prompted its transformation into the LRH gastroenterology clinic in 2022. This evolution reflects a commitment to addressing the unique healthcare needs of pediatric patients, ensuring comprehensive and specialized care for gastrointestinal conditions from infancy through adolescence.
Services Offered: The LRH gastroenterology clinic offers a comprehensive range of services catered specifically to pediatric patients, all provided free of charge. From newborns to 14-year-olds, the clinic addresses a spectrum of gastroenterological ailments, ranging from common issues like constipation to more complex conditions such as inflammatory bowel disease and pancreatic diseases. Diagnosis is conducted through meticulous interviews, a battery of tests, and when necessary, endoscopic procedures.
Beyond diagnosis and treatment, the clinic places a significant emphasis on awareness and prevention. Through educational initiatives, they strive to spread awareness about gastrointestinal conditions, aiming to prevent cases from going undiagnosed or untreated.
Moreover, recognizing the emotional and psychological toll that gastroenterological conditions can have on families, the clinic provides extensive support services. This includes counseling sessions, support groups, and networking opportunities for parents and guardians, creating a holistic approach to care that addresses both the physical and emotional well-being of patients and their families.
Specialization and Expertise:
The LRH gastroenterology clinic boasts specialized services and expertise tailored to meet the unique needs of pediatric patients with gastrointestinal conditions. One notable offering is endoscopy, a crucial diagnostic and therapeutic procedure utilized in the evaluation of gastrointestinal disorders. Additionally, the clinic provides comprehensive assessments of psychological profiles, recognizing the intertwined nature of mental health with physical well-being in managing gastroenterological conditions.
Furthermore, the clinic offers advanced diagnostic techniques such as motility studies, which assess the movement and function of the digestive tract, and pH and manometry studies, which help evaluate conditions like gastroesophageal reflux disease (GERD) and esophageal motility disorders. These specialized services underscore the clinic’s commitment to providing thorough and individualized care to pediatric patients with a diverse range of gastrointestinal concerns.
4. Medical Team:
The LRH gastroenterology clinic is supported by a dedicated and highly qualified medical team committed to delivering exceptional care to pediatric patients with gastrointestinal concerns. At the forefront are two consultants: Prof Shaman Rajindrajith and Senior Lecturer Dr Wathsala Hathagoda in gastroenterology and endoscopy, renowned not only for their clinical expertise but also for their contributions to groundbreaking research in the field. These consultants bring a wealth of experience and a passion for advancing pediatric gastroenterology care.
Working alongside the consultants are trained stoma nurses, equipped with specialized skills to provide expert care for patients requiring stoma management. Their proficiency ensures that patients receive comprehensive support and assistance throughout their treatment journey.
In addition to the medical staff, the clinic is supplemented by a nutritionist who plays a crucial role in optimizing the dietary management of gastrointestinal conditions. The collaborative approach of the medical team extends beyond the clinic walls, with seamless referrals available for counseling services, psychiatric support, and surgical consultations as needed.
Furthermore, the clinic houses state-of-the-art facilities for investigations, including laboratory services and radiology, facilitating timely and accurate diagnostics. Under the leadership of a dedicated medical director, the entire team is united in their commitment to excellence, ensuring that each patient receives the highest standard of care and support.
5. Patient Benefits:
The LRH gastroenterology clinic offers significant cost savings to patients and their families by providing essential services that would otherwise necessitate seeking care in the private sector. For instance, the management of conditions like constipation involves considerable expenses, including medications and diagnostic procedures such as Upper Gastrointestinal Endoscopy (UGIE) and Lower Gastrointestinal Endoscopy (Lower GI). These procedures alone can incur costs upwards of 100,000 rupees each, totaling 130,000 rupees when performed together, not to mention additional expenses for specialized tests like manometry. However, through the clinic’s services, patients benefit from comprehensive care without the burden of follow-up expenses, as all services are provided entirely free of charge.
Moreover, for patients requiring treatment for inflammatory bowel disease (IBD), the financial relief is substantial. Drugs like Infliximab, which may cost 65,000 rupees per dose when administered weekly, coupled with the ongoing nursing care and stoma management, can place a significant strain on financial resources. However, with access to the clinic’s resources, including dedicated stoma care provided predominantly within government facilities, patients receive essential care without the financial burden. Additionally, services such as bowel washes, crucial for maintaining stoma health, are available to patients at no cost, further reducing the financial strain associated with managing gastrointestinal conditions.
6. Accessibility and Appointment Process:
Accessing the services offered by the LRH gastroenterology clinic is straightforward and accessible to all patients. Those seeking care can visit Lady Ridgeway Hospital and proceed to the Outpatient Department (OPD). If a gastrointestinal ailment is identified during the initial consultation, patients will be referred to the gastroenterology clinic for further evaluation and management.
For patients residing in peripheral areas or seeking care from other hospitals, the process begins by consulting with their local pediatrician. Patients or their caregivers can request a referral to the gastroenterology clinic at Lady Ridgeway Hospital for specialized care.
The clinic operates during regular hospital hours, ensuring that patients can access care during convenient times.
To access the services offered by the LRH gastroenterology clinic, patients can visit Lady Ridgeway Hospital and proceed to Room 39. For inquiries or to schedule appointments, individuals can contact the clinic directly at 075 3464313. The clinic operates on Thursdays from 8:00 am to 12:00 pm, ensuring that patients can access care during these designated hours. Additionally, patients residing in peripheral areas or seeking referrals from other hospitals can consult with their local pediatrician and request a referral to the gastroenterology clinic at Lady Ridgeway Hospital for specialized care.
7. Community Impact:
The establishment of the LRH gastroenterology clinic has had a profound impact on the local community, significantly improving access to essential healthcare services and addressing unmet needs in gastroenterological care. The clinic plays a pivotal role in addressing a wide range of gastrointestinal conditions prevalent within the community, including common ailments like constipation, which often lead to multiple referrals and prolonged suffering if left untreated. By providing timely diagnosis and intervention, the clinic helps alleviate the burden on patients and their families while improving overall health outcomes.
Moreover, the clinic’s focus on emerging diseases such as inflammatory bowel disease (IBD), liver diseases like biliary atresia and autoimmune hepatitis, and functional gastrointestinal disorders like irritable bowel syndrome and functional abdominal pain underscores its commitment to addressing evolving healthcare needs within the community. By offering specialized care and advanced treatments, the clinic ensures that patients receive comprehensive and effective management of these conditions, preventing potential complications and improving their quality of life.
Furthermore, the clinic’s dedication to stoma care is instrumental in supporting patients with ostomies, providing essential services and resources to promote optimal stoma health and well-being. Through a combination of clinical care, research endeavors, and community outreach initiatives, the clinic not only addresses immediate healthcare needs but also contributes to advancing the understanding and management of gastrointestinal conditions on a broader scale. By fostering collaboration and innovation, the clinic serves as a catalyst for improving gastroenterological care and enhancing the overall health and well-being of the local community.
The LRH gastroenterology clinic routinely sees patients presenting with a variety of gastrointestinal symptoms. Common presentations include reduced bowel movements, which may indicate constipation or other bowel motility disorders. Abdominal pain, often accompanied by altered bowel habits, is another frequent complaint, suggesting conditions such as irritable bowel syndrome or inflammatory bowel disease. Bleeding per rectum (PR) is a concerning symptom that can indicate conditions such as inflammatory bowel disease, warranting prompt evaluation and management.
Indigestion, characterized by discomfort or pain in the upper abdomen, may be indicative of gastroesophageal reflux disease (GERD) or peptic ulcers. Jaundice, a yellowing of the skin and eyes, suggests liver dysfunction and may be associated with conditions like hepatitis or biliary obstruction. Vomiting, particularly when recurrent or accompanied by other symptoms, can signal a wide range of gastrointestinal issues, including gastroenteritis, gastric ulcers, or bowel obstruction. Haematemesis, the vomiting of blood, is a serious symptom often associated with upper gastrointestinal bleeding from conditions such as esophageal varices.
By recognizing these common presentations and conducting thorough evaluations, the clinic can diagnose and treat a diverse range of gastrointestinal conditions, ultimately improving outcomes and enhancing the quality of life for patients.
8. Call to Action:
It’s crucial to take action when it comes to addressing gastrointestinal ailments, especially in children. Early intervention is key to preventing complications and ensuring optimal health outcomes. If your child is experiencing symptoms such as reduced bowel movements, abdominal pain, or any other gastrointestinal issue, don’t hesitate to seek advice early from your general practitioner.
Remember, early referral to specialized care can make a significant difference in your child’s health journey. Conditions like constipation and abdominal pain, if left untreated or undiagnosed, can lead to more severe issues later on, potentially evolving into adult problems. Inflammatory bowel disease (IBD) is another condition where early referral is paramount, as delayed diagnosis can result in complications leading to permanent bowel injury
Don’t wait until symptoms worsen. Act now to schedule an appointment at the LRH gastroenterology clinic or seek more information about the services available. By taking proactive steps, you can ensure that your child receives the care they need, minimizing the risk of complications and promoting their overall well-being. Spread the word about the clinic to friends and family who may benefit from its services, and together, let’s prioritize early intervention for better gastrointestinal health in our community.
9. Partnerships and Collaborations:
The LRH gastroenterology clinic has forged valuable partnerships and collaborations with various healthcare organizations, government agencies, and non-profit organizations, enhancing its establishment and ongoing operation.
One significant partnership is with the hepatology team in Ragama, which provides expertise and support in managing liver-related conditions, contributing to comprehensive care for patients with liver diseases.
International collaborations have also played a pivotal role in the clinic’s success. Collaborations with EMORI University’s gastroenterology department facilitate discussions on complex cases, allowing for multidisciplinary approaches to diagnosis and treatment. Similarly, partnerships with organizations like EMMA in Amsterdam, Netherlands, provide valuable insights and expertise in managing children with complex gastrointestinal conditions.
The clinic’s collaboration with Queensland Hospital in Australia is particularly beneficial for patients with complex motility disorders, as it allows for access to specialized care and advanced treatment options. Additionally, partnerships with the Ella Institute in Chennai for liver transplant services expand the clinic’s capabilities in providing comprehensive care for patients requiring liver transplantation.
These partnerships and collaborations not only contribute to the establishment and ongoing operation of the clinic but also enrich its services by providing access to expertise, resources, and advanced treatment modalities. Through these collaborative efforts, the clinic continues to advance its mission of providing high-quality care to pediatric patients with gastrointestinal conditions
10. Community Outreach Efforts:
The LRH gastroenterology clinic is committed to raising awareness about gastrointestinal health and preventive measures through various community outreach initiatives and educational programs.
One such initiative involves organizing school awareness programs where clinic representatives visit local schools to educate students, teachers, and parents about gastrointestinal health. These programs aim to increase awareness about common gastrointestinal issues, promote healthy habits, and emphasize the importance of early intervention.
Doctors’ awareness programs are also conducted to ensure that healthcare professionals stay updated on the latest developments in pediatric gastroenterology. These programs provide opportunities for networking, knowledge exchange, and discussions on best practices in diagnosis and treatment.
The clinic actively participates in the training of medical students and pre-interns, providing them with hands-on experience and exposure to pediatric gastroenterology care. Through mentorship and clinical rotations, aspiring healthcare professionals gain valuable insights into the management of gastrointestinal conditions in children.
To engage younger patients and make educational materials more accessible, the clinic issues illustrated books on gastrointestinal health tailored for children. These books use age-appropriate language and visuals to explain common conditions, treatment options, and preventive measures in a child-friendly manner.
In addition, the clinic distributes leaflets in the community to disseminate information about gastrointestinal health, symptoms to watch out for, and available resources for seeking help. These leaflets serve as valuable educational tools for families and individuals seeking guidance on gastrointestinal issues.
Through these community outreach initiatives and educational programs, the LRH gastroenterology clinic aims to empower individuals with knowledge, promote early intervention, and ultimately improve the overall gastrointestinal health and well-being of the community.
11. Sustainability and Future Plans
The LRH gastroenterology clinic is committed to ensuring the sustainability of its operations and has ambitious plans for future expansion, with a strategic focus on prevention and research and development initiatives.
Recognizing the importance of preventive measures in promoting gastrointestinal health, the clinic aims to shift its focus towards prevention rather than solely therapeutics. To achieve this, the clinic is actively engaged in research and development efforts to identify emerging gastrointestinal diseases and risk factors. By staying at the forefront of medical advancements, the clinic can proactively address emerging health threats and implement preventive strategies.
One key area of focus is the prevention of bowel diseases and bowel cancer. Through community outreach initiatives, educational programs, and awareness campaigns, the clinic seeks to raise awareness about the importance of early detection and lifestyle modifications in reducing the risk of these conditions. Additionally, the clinic collaborates with other healthcare organizations and government agencies to implement screening programs and promote healthy behaviors that can prevent the onset of gastrointestinal diseases.
Furthermore, the clinic is dedicated to addressing the challenge of undiagnosed pancreatic diseases by emphasizing prevention strategies. By conducting research to better understand the underlying causes and risk factors of pancreatic diseases, the clinic aims to develop targeted interventions and prevent the progression of the disease.
Overall, the LRH gastroenterology clinic’s commitment to sustainability, prevention, and innovation positions it as a leader in pediatric gastrointestinal care, with a vision for a healthier future for all.
