Dr Li-Zsa Tan iss an advanced trainee in paediatric gastroenterology and general paediatrics. Based in Sydney as a Fellow in Gastroenterology, she thinks Jean-Luc Picard is the best Star Trek captain EVER and wonders if someone would like to do a coffee run now, please.

Gastroesophageal Reflux Disease

A 5 month old infant is brought into the Emergency Department by her parents because they feel she has been persistently irritable and back arching after feeds for the last month. They have looked up ‘infant reflux’ on the internet, but upright positioning and changing formulas several times has not made any difference. They are…

Upper GI Bleed

A 7 year old boy is referred from a peripheral hospital for a 2 day history of passing black tarry stool. On the 3rd day he passes loose stools mixed with dark maroon blood clots. For the last week he had been having upper respiratory tract symptoms and had daily doses of ibuprofen for his…

Parenteral Nutrition

You are working in the NICU as a registrar and have just admitted a 28 week premature baby weighing 1kg. The consultant would like to start parenteral nutrition as well as small volume trophic feeds of expressed breast milk.

Short bowel syndrome

You are the gastroenterology registrar and have been referred a neonate from the NICU. He was born at 30 weeks gestation but unfortunately developed fulminant sepsis secondary to necrotising enterocolitis. He underwent a laparotomy and had 15 cm of dead gut removed. He is now being referred to you for long term management of short…