Inflammatory Bowel Disease Program

Inflammatory Bowel Disease ProgramDr. Tuvia Marciano

Winthrop-University Hospital’s Inflammatory Bowel Disease Program for Children and Adolescents provides effective diagnosis and treatments for the relief of inflamma­tory bowel disease (IBD) symptoms.

Our program’s goal is to improve our patients’ qual­ity of life. This chronic disease is complex and the severity can vary, but partnering with Winthrop can alleviate symptoms and induce remission so the disease will not interfere with our patients living normal lives. We want to see that our patients at­tend school every day, hang out with their friends, participate in after-school activities and sports, and above all experience a lifestyle unencumbered by their disease. This starts with clear communication between the patient, their family, and the provider regarding disease state, medications and treatment options. Patients and their families are encouraged to engage actively in developing a treatment plan designed exclusively for them and around their lifestyle.

Comprehensive and timely care can treat disease flare-ups quickly so the patient can get back to daily activities. This includes coordinating treat­ments with other specialized services.

What is Inflammatory Bowel Disease?

Inflammatory bowel disease (IBD) is a chronic autoimmune disorder, which primarily attacks the digestive system. IBD affects approximately 3 out of every 1,000 people. Although IBD can occur at any age, it typically occurs in pediatric patients around the time of puberty.

Symptoms
Common IBD symptoms include:

  • Diarrhea with or without bloody stool
  • Nighttime bowel movements
  • Weight loss
  • Abdominal pain
  • Fecal incontinence
  • Loss of appetite
  • Stunted growth
  • Delayed puberty

Diagnosis
In addition to performing a thorough patient his­tory and physical examination, there are specialized tests available to diagnose IBD. State-of-the-art testing includes:

  • Blood and stool markers for inflammation
  • Endoscopy/Colonoscopy
  • Wireless video capsule endoscopy
  • Radiological testing

Services
We aim to be a true pediatric IBD home. Complete pediatric-friendly diagnostic and treatment services are offered:

  • Physician availability 24/7
  • State-of-the-art endoscopic center
  • Seamless transition from outpatient to inpatient care
  • A brand new Infusion Center with its own pharmacy and laboratory services
  • Referral network for specialty services
    –  Pathology
    –  Radiology
    –  Colorectal surgery
    –  Rheumatology
    –  Neurology
    –  Psychiatry
    –  Nutritional Support
  • Child Life Program
    –  S.T.A.R. Program for patients with special needs
  • Community education seminars
  • Clinical trials

Treatment
Reducing flare-ups and side effects associated with treatment aligns with our goal of ensuring patients live a normal, active life. Actively treating early inflammation can prevent the advancement of the disease and diminish interference with daily activities.

We work closely with children and adolescents from newborns to 21 years of age to develop a patient specific plan with the goal of achieving disease remission and reducing treatment side effects, leading to a better quality of life. We are available with late and early hours, same-day call-backs and urgent appointments.

If surgery is necessary, our extensively trained and experienced team of pediatric IBD surgeons will be here for you and your child. Plus, through a unique partnership, surgeons from The Children’s Hospital at Montefiore are also available to Winthrop pediatric patients as needed. Minimally-invasive laparoscopic surgery will be performed whenever possible so that patients experience less pain and recover more quickly.

Prior to the surgery, each case is discussed as part of a comprehensive team evaluation between the surgeon, the gastrointestinal doctor and the nursing staff. Our pediatric IBD surgery staff performs an extensive range of procedures, from complex reconstruction to corrective surgery.

For more information, or to schedule an appointment, please call 516-663-4600