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Published on November 28, 2016

Pediatric Gastroenterology expands services, adds new outreach location

Victor Uko, MD, FAAP

Victor Uko, MD, FAAP

Gundersen Health System's Pediatric Gastroenterology (GI) team cares for children with a wide variety of gastrointestinal conditions and is pleased to be expanding their services.

The team, led by Victor Uko, MD, FAAP, sees children with gastrointestinal conditions such as recurrent abdominal pain of childhood, chronic constipation and encopresis (fecal incontinence), gastroesophageal reflux disease (GERD), allergic gastroenteritis including cow's milk protein allergy, failure to thrive as well as feeding and swallowing disorders. They also diagnose and treat complex chronic gastrointestinal diseases such as inflammatory bowel disease (Crohn's disease and ulcerative colitis), celiac disease, eosinophilic esophagitis (EoE), chronic viral hepatitis, nonalcoholic fatty liver disease (NAFLD) and chronic recurrent pancreatitis.

Patients are able to receive the full complement of diagnostic and therapeutic services in La Crosse without lengthy travel to larger cities. Some of these services include: esophagogastroduodenoscopy (EGD), colonoscopy, small bowel capsule endoscopy (SBCE), 24-hour pH impedance probe (to evaluate for acid reflux), anorectal manometry (for patients with chronic constipation, encopresis and voiding disorders) and breath hydrogen tests (for dietary lactose and fructose intolerance).

The team also works very closely with Gundersen's diagnostic and interventional radiologists who perform a wide range of diagnostic and interventional procedures such as liver biopsies and placement of intestinal feeding tubes in some patients.

To further serve patients and their families, the Pediatric GI team now offers:

Amanda Byom, PA-C

Amanda Byom, PA-C

  • A feeding team which provides coordinated multidisciplinary services to patients with feeding and swallowing disorders. The team includes our pediatric speech and occupational therapists, dietitian and care coordinators.
  • A bowel rehabilitation program for patients with chronic constipation, encopresis and other voiding disorders. This program integrates the services of some Gundersen physical therapists who offer biofeedback therapy to treat these often debilitating conditions.
  • A new provider, Amanda Byom, PA-C, who has helped improve access for current and referred patients.
  • A Pediatric Gastroenterology outreach clinic at the Mile Bluff Medical Center in Mauston, Wis. Patients can be seen in their own communities and have improved access to specialist services.

To refer a patient to Pediatric GI, contact Pediatric Specialties via MedLink at (800) 336-5465. In La Crosse, call (608) 775-5465. The Pediatric GI providers can offer advice to primary care and emergency room providers who have questions regarding pediatric patients with gastrointestinal complaints at any time.

Love + Medicine

Every day, Gundersen Health System staff deliver great medicine plus a little something extra—we call it Love + Medicine.

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