Department of Pediatric Gastroenterology 


Ambition Statement

“Children are the supreme asset and service to them is our motive”


Our Present

• Department of Pediatric Gastroenterology has started functioning w.e.f October 22, 2005 at this institute. This department has emerged as an apex center for referral  in India and one among in Asia.
• It is our aim to provide the best of care for patients with gastrointestinal, liver and nutritional diseases backed up with research and postgraduate training program.
• The department provides a diagnostic and treatment source for patients referred  for gastrointestinal, hepatic and nutritional problems predominantly from north  Indian states like Uttar Pradesh, Bihar, Jharkhand, Madhya Pradesh and  Uttarakhand. Many cases are referred to our speciality from other states of India  as well.


Our Past

• Pediatric Gastroenterology for the first time started functioning as a unit of  Department of Gastroenterology from November 1991. Ever increasing patient load, successful patient outcome led to launch of separate department in October,  2005.


Our Future

1. DM in Pediatric Gastroenterology (three years course): This is to  generate highly trained manpower in this specialty.
2. Laboratory development of newer disorders
3. Therapeutic nutritional development and intervention


Why choose us?

• The institute is a public sector undertaking that is dedicated to all the sections of  the population and is equipped with multidisciplinary state-of-the-art investigative and supportive services.

• The department has a unique surgical backup from dedicated Pediatric Surgical Gastroenterology.

• We offer both outpatient and inpatient care including a wide range of  investigative procedures.

A. Endoscopy

I. Diagnostic endoscopy
Upper gastrointestinal
Colonoscopy
Endoscopic retrograde cholangiopancreatography (ERCP)

II. Therauptic Endoscopy
Sclerotherapy
Variceal band ligation
Gastric Varices glue injection
Esophageal stricture dilatation
Percutaneous endoscopic gastrostomy
Polypectomy
ERCP: therapeutic

B. GI Physiology

24 hour esophageal Ph monitoring
Manometry
• Ano-rectal
• Oesophageal
• Antroduodenal
• Hydrogen breath test

C. Percutaneous liver biopsy for infants and children
D. Radiological procedures: dedicated and highly experienced interventional radiology is fully developed at this institute. Liver abscess drainage, stenting of hepatic veins and IVC in Budd-Chiari syndrome, transjuglar liver biopsy and TIPSS.


• Outpatient Services:

The department runs outpatient services on various weekdays as follows:

Tuesday and Thursday : Pediatric Gastroenterology clinics
Saturday : Pediatric Gastroenterology nutrition clinic

• Inpatient Services
General bed                  : 23
Intensive care unit         : 04
High dependency unit   : 03

Inpatient area has recreational facilities for children in the form of playroom and television.

• Emergency: 24 hours a day, 7 days a week.


Research

We have been actively involved in research from the very begning.Our main research areas have been Portal Hypertension, Neonatal cholestasis, Malabsorption syndrome especially Celiac Disease and Milk protein allergy and Pancreatic disorders. High level research of international standing. Numerous publications in high impact (International) Journals. We have a wide-ranging group of researchers with interests that span clinical and laboratory  research in this field.


The Team

The Department of Pediatric Gastroenterology consists of a wide variety of medical, nursing and allied health staff, all of whom are involved in providing pediatric care.

1. Faculty

Name of Faculty
Designation
Qualification & fellowship
Dr.S.K.Yachha
Email:skyachha@sgpgi.ac.in


Professor & Head MD (Pediatrics), DM (Gastroenterology)
Commonwealth Medical Fellowship in
Pediatric Hepatology, King’s College
Hospital London
Dr. Ujjal Poddar
Email: ujjal@sgpgi.ac.in

Associate Professor

MD (Pediatrics), DM (Gastroenterology)
Honorary Liver and transplant fellow at
Royal Children Hospital, Melbourne
Dr. Anshu Srivastava
Email: anshusri@sgpgi.ac.in

Assistant Professor

MD (Pediatrics), DM (Gastroenterology)
Fellowship in Pediatric Gastroenterology:
Alberta Children Hospital, Canada
Royal Free Hospital, London
Royal Children Hospital, Melbourne
Dr. Laxmi Kant Bharti
Email: lkbharti@sgpgi.ac.in

Assistant Professor
(Applied Human Nutrition)
MD (Pediatrics)



2. Staff : Endoscopy, laboratory, dietetics

Training

Training program in Pediatric Gastroenterology: 10 posts

• Hospital service senior residency (HSSR) of 3 years duration (January/July session every year); eligibility MD (Pediatrics) or an equivalent. See website www.sgpgi.ac.in for advertisement. (Month of May and November every year).
• Post-doctoral certificate course (PDCC) of one year: 04/seat year (July  session); eligibility MD (Pediatrics) or an equivalent. See website www.sgpgi.ac.in for advertisement (Month of May every year).
• Short-term observership including DM (Gastroenterology) trainees from other centers
• Short-term observership of 1-6 months duration (National/ International applicants). Contact HOD Pediatric Gastroenterology, SGPGIMS,           email: skyachha@sgpgi.ac.in
• Exclusive DM Program in Pediatric Gastro: Starting soon



Major Publications

1. Rastogi A, Krishnan N, Yachha SK, Khanna V, Poddar U, Lal Richa. Histopathologic features and accuracy for diagnosing biliary atresia  by pre-laparotomy liver biopsy in  developing countries. J Gastroenterol Hepatol. 2009 Jan; 24:97-102.
2. Poddar U, Shukla P, Yachha SK, Aggarwal R, Krishnani N. Role of IgG anti-betalactoglobulin  antibody in the diagnosis of cow's milk protein intolerance in India. Indian J Gastroenterol. 2008; 27(5):190-4.
3. Yachha SK, Poddar U. Celiac disease in India. Indian J Gastroenterol. 2007; 26(5):230-7.
4. Yachha SK, Srivastava A, Mohindra S, Krishnani N, Aggarwal R, Saxena A. Effect of  Gluten-Free Diet on Growth and Small Bowel Histology in children with Celiac Disease in India. J Gastroenterol Hepatol. 2007;22(8):1300-5
5. Poddar U, Yachha SK. Helicobacter pylori in children: an Indian perspective. Indian Pediatr. 2007;44(10):761-70.
6. Singh M, Prasad KN, Yachha SK, Saxena A, Krishnani N. Helicobacter pylori infection  in children: prevalence, diagnosis and treatment outcome. Trans R Soc. 2006; 100: 227-233.
7. Srivenu Itha and Yachha SK. Endoscopic outcome beyond esophageal variceal obliteration in children with extrahepatic portal venous obstruction. J Pediatr Gastroenterol Nutr. 2006; 42(2):196-200
8. Singh M, Prasad KN, , Saxena A, Yachha SK. Helicobacter pylori induces apoptosis of T-and B cell lines and translocates mitochondrial  apoptosis– inducing factor to  nucleus. Current Microbiology 2006; 52(4):254-60.
9. Singh M, Prasad KN, Krishnani N, Saxena A, Yachha SK. Helicobacter pylori  infection, histopathological gastritis and gastric epithelial cell apoptosis in children. Acta Paediatrica 2006;95:732-737 
10.Yachha SK, Aggarwal R , Srinivas S, Srivastava A, Somani SK, Srivenu Itha. Antibody Testing in Indian children with celiac Disease.Indian J Gastroenterol. 2006;25: 132-135
11.Yachha SK. Celiac disease-India on the Global Map (Editorial). J Gastroenterol  Hepatol. 2006;21:1511-3
12.Kumar A, Yachha SK, Poddar U, Singh U, Aggarwal R. Does co-infection with multiple viruses adversely influence the course and outcome of sporadic acute viral hepatitis in children? J Gastroenterol Hepatol. 2006; 21:1533-7.
13.Yachha SK and Khanna V. Ascites in childhood liver disorders. Indian J Pediatrics.2006; 73:819-824.
14.Vijayaraghavan P, Lal R, Sikora SS, Poddar U, Yachha SK. Experience with choledochal cysts in infants. Pediatr Surg Int. 2006; 22(10):803-7.
15.Sharma S, Kumar SI, Poddar U, Yachha SK, Aggarwal R. Factor V leiden and prothrombin gene G20210 A mutations are uncommon in portal vein thrombosis in India. Indian J Gastroenterol. 2006; 25: 236-239.
16.Singh M, Prasad KN, Yachha SK, Krishnani N. Genotypes of Helicobacter pylori in children with upper abdominal pain. J Gastroenterol Hepatol. 2003;18 (9):1018-23
17.Yachha SK (Editorial) Cholestatic jaundice during infancy. Indian J Gastroenterol.
2005; 24(2):47-8. 
18.Peter L, Dadhich SK, Yachha SK. Clinical and laboratory differentiation of cirrhosis and extrahepatic portal venous obstruction in children. J Gastroenterol Hepatol 2003; 18(2): 185-189
19.Yachha SK, Chetri K, Saraswat VA, Baijal SS, Sikora SS, Lal R, Srivastava A. Management of childhood pancreatic disorders: a multidisciplinary approach. J Pediatr Gastroenterol Nutr. 2003; 36(2): 206-12.
20.Yachha SK. Portal hypertension in children: An Indian perspective. J Gastroenterol  and Hepatol 2002; 17 Suppl. 3:S228-S231
21.Yachha SK, Srivastava A, Chetri K, Saraswat VA, Krishnani N. Autoimmune liver  disease in children. J Gastroenterol and Hepatol 2001; 16: 674-677.
22.Mohindra S, Yachha SK, Srivastava A, Krishnani N, Agarwal R, Ghoshal UC, Prasad  KK, Naik SR. Celiac disease in Indian children: Assessment of clinical, nutritional and  pathologic characteristics. Journal of Health, Population and Nutrition 2001; 19: 204208
23.Consensus Report on Neonatal Cholestasis Syndrome (NCS). Pediatric Gastroenterology subspecialty chapter of Indian Academy of Pediatrics document. (SK Yachha, as coordinator). Indian Pediatrics 2000; 37:845-851
24.Yachha SK, Aggarwal R, Sharma BC, Misra RN, Aggarwal A, Naik SR. Functional  protein C and anti-cardiolipin antibody in children with portal vein thrombosis. Indian J Gastroenterol 2001; 20: 47-49.
25.Aggarwal S, Gupta A, Yachha SK, Myhsok, MB Mehrotra P, Aggarwal SS. Association of HLA-DR and DQ antigens in coeliac disease: a family study. J Gastroenterol and  Hepatology 2000; 15: 771-774.
26.Mehrotra RN, Bhatia V, Dabadghao P, Yachha SK. Extrahepatic portal vein  obstruction in children: Anthropometry, Growth hormone and Insulin-like growth factor. J Pediatr Gastroenterol and Nutrition 1997; 25: 520-523
27.Yachha SK, Dhiman RK, Gupta R, Ghoshal UC. Endosonographic evaluation of  ectum in children with extrahepatic portal venous obstruction. J Pediatr Gastroenterol  and Nutrition 1996; 23: 438-441.
28.Yachha SK, Sharma BC, Kumar M, Khanduri A. Endoscopic sclerotherapy for  esophageal varices in children with extrahepatic portal venous obstruction: a follow up study. J Pediatr Gastroenterol and Nutrition 1997; 24: 49-52
29.Yachha SK, Khanduri A, Sharma BC, Kumar M. Gastrointestinal bleeding in children. J Gastroenterol and Hepatology 1996, 11: 903-907.
30.Yachha SK, Ghoshal UC, Gupta R, Sharma BC, Ayyagari A. Portal hypertensive gastropathy in children with extrahepatic portal venous  obstruction: role of variceal  obliteration by endoscopic sclerotherapy and Helicobacter pylori infection. J Pediatr  Gastroenterol and Nutrition 1996; 23: 20-23.
31.Yachha SK, Khanduri A, Kumar M, Saxena R, Sikora SS, Gupta RK. Neonatal  cholestasis syndrome-an appriasal at a tertiary centre.Indian Pediatrics 1996; 33: 729-734.


Awards

1. 3rd prize as the best Original Article published in the Journal for the year 2008. Poddar U, Shukla P, Yachha SK, Aggarwal R, Krishnani  N .Role of IgG anti-betalactoglobulin antibody in the diagnosis of cow’s milk protein intolerance in India”,  published in the September-October 2008. ; 27(5):190-4.
2. Best research paper award (International) by European Society of Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) at 16th United European Gastroenterology Week, Austria 2008. Acute viral hepatitis with coagulopathy: predictors of outcome. A Srivastava, S.K. Yachha, U. Poddar 2008
3. Best research paper award (oral): Y. Radha Krishna, Deepa Negi, Surender K Yachha, Ujjal Poddar, Shrish Bhatnagar. Quality of life assessment in children with extrahepatic portal venous obstruction. Indian Society of Gastroenterology at XIX  Annual conference UPISGCON, Kanpur March, 2008.
4. Best Paper Award in Pediatric Hepatology: Revised Pediatric Acute Liver  Failure Definition: Does it hold true for acute viral hepatitis induced acute liver failure. A Srivastava, J Agarwal, S.K. Yachha, U. Poddar. 18th National Conference of IAP Pediatric Gastroenterology, Liver & Nutrition Oct-Nov 2008, Mumbai.
5. Best research paper award (International) by European Society of Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) at 16th United European Gastroenterology Week, Austria 2008. Acute viral hepatitis with coagulopathy: predictors of outcome. A Srivastava, S.K. Yachha, U. Poddar.
6.. Best research paper award (International) by European Society of Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) at  15th United European  Gastroenterology Week, Paris 2007. Yachha SK, Goel A, Poddar U, Singh U. Ascitic form of sporadic acute viral hepatitis in children: a distinct entity for  recognition.
7. Best research paper award (International) by European Society of Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) at 15th United European Gastroenterology Week, Paris 2007.Yachha SK, Sharma A, Poddar U, Singh U. Differentiating acute viral hepatitis from chronic liver disease with superimposed viral hepatitis among jaundiced children.
8. Best paper (Oral) Paliwal Maneesh, Srivastava Anshu, Poddar Ujjal, Yachha SK, Khanna Rajeev. Idiopathic neonatal cholestasis: Natural history and outcome in the current era. XVII Annual Conference Pediatric Gastroenterology Subspecialty of IAP. September 2007, Chennai.
9. Best Paper (Oral) Krishna Y R , Negi D, Yachha SK, Poddar U, Arora V. Assessment of Quality of life in children with Extrahepatic portal vein obstruction (EHPVO). XVII Annual Conference Pediatric Gastroenterology Subspecialty of  IAP. September 2007, Chennai. 10.Best paper award of the journal: Sharma S, Kumar SI, Poddar U, Yachha SK, Aggarwal R. Factor V leiden and prothrombin gene G20210 A mutations are uncommon in portal vein thrombosis in India. Indian J Gastroenterol. 2006; 25: 236-239.
11. Best paper award: Cow’s milk protein intolerance (CMPI): an entity for recognition in India. Poddar U, Yachha SK, Khanna V,Krishnani N, Shukla P and Aggarwal R.  Annual conference of Indian Society of Gastroenterology, November 2006, Mumbai.
12.Best poster paper award: Jaundice in children-acute viral hepatitis or acute on chronic liver disease? Abhinav Sharma, U Poddar, Uttam Singh, SK Yachha. 15th Annual conference of Pediatric Gastroenterology, October 2005, Hyderabad.
13. Best paper award: Positive impact of awareness campaign on referral of neonatal cholestasis syndrome in India. Abhinav Sharma, U Poddar and SK Yachha. 14th Biennial Conference of Asian Pacific Association for the Study of the Liver, December 2004, New-Delhi. J Gastroenterol. Hepatol. 2004;19 (Suppl.):A800
14. Best paper award: Multi-layered occurrence of hepatitis B in children at tertiary center in north India. Srivenu Itha, Abhinav Sharma, Srinivas S, U Poddar, SK Yachha. 14th Annual conference of Pediatric Gastroenterology, October 2004, Coimbatore.
15. Best paper award: Does co-infection with multiple viruses adversely influence the course and outcome of sporadic acute viral hepatitis in children? Yachha SK, kumar A, Poddar U, Bharadia L, Aggarwal R. XIIIth Annual conference of Pediatric Gastroenterology, September, 2003 (Pune).
16. Best paper award Cluster to click antibody testing in childhood celiac disease in India. Yachha SK, Aggarwal R, Srivenue I, Somani S. XIIIth Annual conference of  Pediatric Gastroenterology, September, 2003 ( Pune).

Book chapters

1. Yachha SK and Srivastava A. The Gastrointestinal System. Achar’s Textbook of Pediatrics. Swarna Rekha Bhat (Ed.) 4th Edn. Hyderabad, Universities Press 2009: pp 368:385
2. Yachha SK and Srivastava A. Hepatic Disorders. The Gastrointestinal System. 4th  Achar’s Textbook of Pediatrics. Swarna Rekha Bhat  (Ed.) Edn. Hyderabad, Universities Press, 2009: pp 386-405
3.Carlo Catassi and Surender Kumar Yachha. The Global village of celiac disease In: Pediatric Adolescent Medicine. Fasano A, Troncone R, Branski D (Ed). Basel,  Karger. 2008; Volume 12, pp 23-31 (International)
4. Yachha SK. Neonatal cholestasis. Pediatric Gastroenterology. IAP speciality series on  Pediatric Gastroenterology. Jaypee Brothers Medical Publishers, New Delhi; 2008
5. Mattoo AK, The Henry A. Wallace Beltsville Agricultural Research Center, USA; Yachha S K, Sanjay Gandhi Postgraduate Institute of Medical Sciences, India and Fatima T, The Henry A.Wallace Beltsville Agricultural Research Center, USA and University of Maryland, USA. Genetic manipulation of vegetable crops to alleviate diet-related diseases. Wood Head Publishing Limited. 2008; pp 326-345 (International)
6.Yachha SK, Srivastava A. Management of Acute Gastrointestinal Bleeding In: Medical 4th Emergencies in Children. Meharban Singh (Ed) Edn. New Delhi, Sagar Publications 2007;510-521
7. Yachha SK and Poddar U. Celiac disease in Asia In: The global village of Coeliac disease. Catassi C, Fasano A and Corazza GR (Ed). Italian Coeliac Society. AIC press. Italy 2005; 101-108 (International)

Contact us:
Department of Pediatric Gastroenterology
Sanjay Gandhi Postgraduate Institute of Medical Sciences
Raebareli Road
Lucknow-226014
Uttar Pradesh (India)
Office:0522-2668700,2668800,2668900 (Extension :2432)
Fax: 0522-2668017
Email: pedgastro_sgpgi@yahoo.co.in



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