Message from the Program Director

Dr. Lesley Small-Harary

We welcome you to our Division of Pediatric Gastroenterology, Hepatology and Nutrition at Stony Brook Children’s Hospital. Our program has been ACGME accredited since 2008. It is a three-year program open to graduates who have successfully completed an ACGME accredited pediatric residency program. The program aims to train physicians in the art and science of pediatric gastroenterology, hepatology and nutrition.

Our division specializes in diagnosis and long-term care for children with gastrointestinal, liver, pancreatic and nutritional disorders. We are the only children’s hospital in Suffolk County, Long Island and therefore serve a very diverse patient population.  Our catchment area includes all of Suffolk County and much of Eastern Nassau County. We have outpatient offices in various locations throughout Suffolk County and see over 7000 patients each year. 

We have the first and only comprehensive Pediatric Celiac Disease and Gluten Sensitivity Center on Long Island which provides care to children and adolescents with celiac disease and gluten related disorders. We are also home to a multidisciplinary Pediatric IBD center providing care to children with Inflammatory Bowel Disease. We care for more than 150 patients with IBD and have more than 100 patients requiring biologic infusion therapies. 

We have a brand-new state of the art endoscopy unit. We perform over 700 procedures each year ranging from diagnostic endoscopies to therapeutic procedures including PEG placements, esophageal, small bowel and colonic dilatations, polypectomies and advanced interventional procedures including variceal banding, GI bleed interventions with clipping, injection and thermal coagulation. We are in the minority as we are one of the remaining pediatric GI programs that performs liver biopsies on our own patients, and we train all of our fellows in this skill. We also support a state-of-the-art motility unit where we perform breath tests, impedance studies, Bravo pH reflux studies, ano-rectal and esophageal manometries. We provide biofeedback to our patients with pelvic dyssynergia. Our program supports a motility rotation for our fellows within our institution during which fellows spend time with both the adult and pediatric motility specialists.

Nutrition training is an integral part of our fellowship. Our service is in-charge of pediatric nutrition support services to the Pediatric department with a dedicated team of dieticians. Our team is responsible for all parenteral nutrition services and the fellows follow these patients closely both on the inpatient and outpatient setting. Our fellows also participate in a two-week inpatient/outpatient nutrition rotation during their second year of fellowship to further solidify their knowledge in the field of pediatric nutrition.

During second year of fellowship our fellows participate in a one month transplant hepatology rotation at Morgan Stanley Children's Hospital. Funding is available for the fellow to obtain local housing for the month long rotation to allow for immersion in the experience.

We are very proud of our fellowship program and all of our graduating fellows have made us very proud with their accomplishments and fulfilling careers in the field of pediatric gastroenterology. We look forward to meeting you on your interview day and will be happy to answer any questions you have. 

Lesley Small-Harary, MD
Assistant Professor of Pediatrics
Assistant Director for Celiac Disease Center
Program Director, Pediatric Gastroenterology Fellowship Program