Archives for the month of: March, 2013

Dr. Gustavo Stringel, the Surgeon-in-Chief at Maria Fareri Children’s Hospital in Valhalla, New York, specializes in minimally invasive surgeries. Dr. Stringel has performed many pediatric endoscopies to diagnose and treat diseases of the digestive tract. Like many in his field, Dr. Gustavo Stringel must frequently explain to parents how he decides when an endoscopy is justified and when it is not.

The North American Society for Pediatric Gastroenterology and Nutrition (NASPGN) has issued a set of guidelines for pediatric endoscopies. These procedures require anesthesia and can be very expensive. Like all procedures, they carry risk. Therefore, the NASPGN recommends that doctors perform pediatric endoscopies only when they will provide diagnostic or therapeutic value to the patient.

For instance, these procedures, which involve inserting a small flexible tube with a light and a camera into a patient’s digestive tract, can locate the source of gastrointestinal bleeds and determine the source of poor weight gain and stooling issues. On the other hand, they should not be used in patients whose gastrointestinal issues are well controlled. For example, a patient with simple reflux who responds well to medication does not need an endoscopy. If a child has issues with constipation but laxatives resolve them, there is no need for this procedure. The NASPGN recommends that endoscopy be used only in cases in which it will increase quality of life and the potential benefits outweigh potential risks.



For nearly 130 years, the Hospital for Sick Children in Toronto has aided children in need of medical care. Affiliated with the University of Toronto, the Hospital for Sick Children is recognized across the globe as one of world’s best pediatric hospitals, due to its staff’s dedication, state-of-the-art equipment and laboratories, and innovative research programs.

While the Hospital for Sick Children treats a variety of illnesses, it specializes in several key areas such as attention-deficit/hyperactivity disorder, asthma, and juvenile diabetes. Additionally, it connects patients and their families with psychologists and social workers. Parents can remain in contact with their children, as each room contains a telephone, and computers are available free of charge.

People interested in learning more about this facility can log onto The site also contains links for individuals who want to donate money, toys, games, and other equipment to the institution.

About the Author:

A pediatric and laparoscopic surgeon, Dr. Gustavo Stringel trained at the Hospital for Sick Children. He also obtained experience in general surgery at the University of Toronto’s prestigious Gallie Program.