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SERVICE OF PEDIATRIC GASTROHEPATOLOGY

How to really implement a control quality ? Virtut Velmishi « Mother Teresa Hospital » Tirana-Albania. SERVICE OF PEDIATRIC GASTROHEPATOLOGY. What are people think ıng ?. Brain tumor or leukemia are «  true  » disease. What kind of disease is CD whose treatement is only diet.

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SERVICE OF PEDIATRIC GASTROHEPATOLOGY

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  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!

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