 Hi, I am Dr. Srikanth, pediatric gastroenterology consultant at Manipal Hospital, Bangalore. So I am going to tell you about the liver disease in children. It is a myth that children do not develop liver disease. No children do develop liver disease and majority of them are something called metabolic liver disease. So they are inherited because of the defects in the genetics and they are mostly inherited but sometimes they can present as a first time in the family. So there are various metabolic liver diseases. So to count them predominantly we see something called tyrosinemia, galactosimia, mitochondriopathies and many more to count on and one of the important seen in large majority of the children and very lethal is Wilson disease. Probably most of you have heard about that. So why do they develop these problems because this is due to defect in handling various molecules in the body and liver bears the brunt of the effect of that accumulation. So how can we detect it? Yes, they usually present with either jaundice or some symptoms related to liver. So very steward and critical investigations can pick them up. So if you pick up them earlier then the treatment would be with the dietary modification or some medications which they can be normalized. If it is picked up in a later stage if it is advanced then the treatment would be either a transplantation or some other advanced surgical options. So it is better to pick them at an earlier stage. So here at Manipal we have all the facilities. So we do see lot of liver diseases in children since it is a referral center and we have all the facilities starting from diagnostic till the therapeutic option including pediatric liver transplantation for various these metabolic disorders and we also do some kind of advanced type of transplants like ABO incompatible and all those things which are not done in many of the other centers. So these are the aspects of metabolic liver disease. So today I am going to tell you about endoscopy in children. So you know that endoscopy is done routinely for evaluation of the GI problems and it is one of the routinely practiced procedure in adult medicine and adult gastroenterology practice but it is done in children even in a smallest child. So we have done as small as child of around 2 days old to remove a foreign body. So this is done for various reasons like to diagnose as well as to give some type of treatments related to intestinal defects. So going further so we have something called wireless capsule endoscopy. So that is a different aspect as compared to the conventional endoscopy. So capsule endoscopy is like a pill which we take as a medication it is of that size and it has a continuous video recorder and it moves through the small intestine. So in a smaller child where we cannot endoscope or we cannot see the small intestine we can just use the capsule endoscopy and it is absolutely a painless comfortable procedure. So this can be used to diagnose various small intestine diseases like unexplained bleed, pain abdomen and even inflammatory bowel disease of the small intestine and many other congenital malformation related to small intestine. So at Manipal we are doing it routinely and this has made a significant difference for many children who have been roaming around without any diagnosis and suffering a lot and this has given them a ray of hope and things have changed significantly after use of this and I urge you to help the patients with proper guidance and referral so that they can get a care at an appropriate time.