1 / 10

Enhancing Pediatric Gastrohepatology Services in Albania: Collaborative Approach for Celiac Disease Diagnosis

Learn about the implementation of quality control in pediatric gastrohepatology services at Mother Teresa Hospital in Tirana, Albania. Discover the diagnostic costs for celiac disease and the collaboration with specialized centers abroad for accurate diagnosis and treatment.

uma
Download Presentation

Enhancing Pediatric Gastrohepatology Services in Albania: Collaborative Approach for Celiac Disease Diagnosis

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. How to really implement a control quality ?Virtut Velmishi« Mother Teresa Hospital »Tirana-Albania SERVICE OF PEDIATRIC GASTROHEPATOLOGY

  2. What are people thinkıng ? Braintumor or leukemia are « true » disease Whatkind of diseaseis CD whosetreatementisonlydiet

  3. Money or idea ???

  4. Different countries, different economies GDP ( per capita) (nominal) • France 42793 $ • Italy 36267 $ • Spain 32360 $ • Turkey 10522 $ • Montenegro 7316 $ • Tunisia 4351 $ • Albania 3992 $

  5. How much cost the diagnostic of CD in Albania? Public health care Private (clinics and hospitals) • Ig A t TG - Free 20 euros • IgA totale - Free 13 euros • IgA anti EMA- not performed 40euros • HLA DQ2/DQ8-not performed 50 euros • Intestinal biopsy- free ( children > 3 y) 90 euros • Biopsy interpretation –free 30 euros 243 euros

  6. What can we do? 1. Collaboration with specialised centers abroad • Sending blood samples or saliva for HLA • Sending images of intestinal biopsy • Training for biopsy by capsule (for children< 3 y)

  7. First collaboration with Naples This is a biopsy of a child who is suspected for coeliac disease.Biopsy is performed in Albania and the images are interpreted in Naples The biopsy is within the normal limit. The ratio villi/criptae is difficult to measure, because of orientation problem of the sample, but in the observed villi it appears normal, The number of Intra-Epithelial Lymphocytes if around 20% : quite normal. The mitosis in the crypts are rare (slow proliferation).

  8. Collaboration is necessary for small centers Naples Tirana

  9. Great news from Albania! • In March 2012 we have created the first Albanian Coeliac Association (ACA)

  10. Thank you! THANK YOU!

More Related