This clinical guideline from Great Ormond Street Hospital (GOSH) discusses nutritional requirements for preterm infants receiving enteral nutrition. It does not give guidance on the prescription of parenteral nutrition (PN).
This information explains about the first phase of the assessment process to diagnose gut motility problems, and what to expect when your child comes to Great Ormond Street Hospital (GOSH) for assessment.
Cystic fibrosis related diabetes (CFRD) is different to other types of diabetes. CFRD is caused by the build up of thick secretions in the pancreas. These secretions damage the cells that produce a hormone called insulin.
Steroids are hormonal chemical messengers that are produced naturally in the body by the adrenal glands (which are just above each kidney) and by the reproductive organs. Man-made versions of these hormonal substances are used to treat a wide range of illnesses and medical conditions.
Growth hormone is produced by the pituitary gland located deep inside the brain. Instructions for producing growth hormone come from other parts of the body, for instance, the hypothalamus. If there is a problem with the hypothalamus, the pituitary or the connection between the two, the release of growth hormone will be affected, leading to growth hormone deficiency.
Clinical outcomes are broadly agreed, measurable changes in health or quality of life that result from our care. Constant review of our clinical outcomes establishes standards against which to continuously improve all aspects of our practice.
Our current research and development projects include the following:
A project to identify the main problem areas and issues related to feeding difficulties in children most relevant to include in parent/carer groups
Development and evaluation of a tube weaning protocol
Collaboration in a study designed to test how good the DAWBA (Development and Well-Being Assessment) is at identifying problems in children in the community and children seen in clinics (with Prof Tamsin Ford and Prof Robert Goodman)
Design and development of a clinical assessment measure for Avoidant Restrictive Food Intake Disorder (with Kamryn Eddy and Jennifer Thomas, Boston, USA)
The purpose of this guideline is to provide guidance in the use of arterial lines at Great Ormond Street Hospital (GOSH).
NOTE: We review our guidelines regularly and this guideline is now past its review date. The content of the guideline below may not reflect the most recent evidence based practice. Please use with caution.
The clinical academic unit of paediatric gastroenterology is a partnership across Great Ormond Street Hospital and UCL Great Ormond Street Institute of Child Health and is involved in a large spectrum of research.
We have an ongoing programme of research, and you or your child may be invited to take part in a research project whilst under the care of the team. This is always entirely voluntary, and whether you choose to participate or not, your clinical care will not be affected. Any information gathered may be used anonymously for research purposes to improve our understanding and lead to better treatments for other children and families in the future.