Overview

I am interested in conditions that affect childrens' guts, particularly one which causes inflammation of the esophagus where the immune system is overreactive to certain food and environmental triggers.

Publications

Working With Surgeons Who Provide Endoscopy in Underserved Areas for the Management of Eosinophilic Esophagitis
Journal of Allergy and Clinical Immunology: In Practice
DOI: 10.1016/j.jaip.2024.02.006
2024

Antireflux Procedures in Children With Neurologic Impairment: A National Survey of Physician Perspectives
Hospital Pediatrics
DOI: 10.1542/hpeds.2023-007643
2024

Post-discharge complications and hospital readmissions are associated with nutritional risk and malnutrition status in a cohort of Canadian pediatric patients
BMC Pediatrics
DOI: 10.1186/s12887-024-04941-6
2024

How We Manage Gastrointestinal Symptoms During Oral Immunotherapy Through a Shared Decision-Making Process—A Practical Guide for the Community Practitioner
Journal of Allergy and Clinical Immunology: In Practice
DOI: 10.1016/j.jaip.2022.11.015
2023

Routine Elective Gastrojejunostomy Tube Changes Are Associated with Reduced Tube Complications and Radiation Exposure
Journal of Pediatric Gastroenterology and Nutrition
Hoang, T.T. and Maroo, S. and Lee, E.J. and Dewan, T. and Heran, M. and Avinashi, V.
DOI: 10.1097/MPG.0000000000003615
2023

Application of the Eosinophilic Esophagitis Histology Scoring System Grade Scores in Patients at British Columbia Children’s Hospital
Fetal and Pediatric Pathology
Justin Cruz and Michael A. Irvine and Vishal Avinashi and Edmond S. Chan and Bruce A. Vallance and Lianne Soller and Jonathan W. Bush
DOI: 10.1080/15513815.2022.2028950
11/2022

Oral peanut immunotherapy acutely unmasking eosinophilic esophagitis with an esophageal stricture
Annals of Allergy, Asthma & Immunology
Vishal Avinashi and Zuwaina Al Yarubi and Lianne Soller and Godfrey Lam and Edmond S. Chan
DOI: 10.1016/j.anai.2021.09.001
12/2021

Exome sequencing enables diagnosis of X-linked hypohidrotic ectodermal dysplasia in patient with eosinophilic esophagitis and severe atopy
Allergy, Asthma and Clinical Immunology
Modi, B.P. and Del Bel, K.L. and Lin, S. and Sharma, M. and Richmond, P.A. and van Karnebeek, C.D.M. and Chan, E.S. and Avinashi, V. and Rehmus, W.E. and Biggs, C.M. and Wasserman, W.W. and Turvey, S.E.
DOI: 10.1186/s13223-021-00510-z
2021

A198 EOSINOPHILIC ESOPHAGITIS WITH STRICTURE PRESENTING SHORTING AFTER INITIATION OF ORAL PEANUT IMMUNOTHERAPY
Journal of the Canadian Association of Gastroenterology
Al Yaarubi Z and Foster A and Avinashi V and Lam G and Soller L and Chan E
02/2020

Poor Correlation of Oral Swabs with Esophageal Eosinophil Counts
Dysphagia
Avinashi, V. and Chan, J.M. and Bush, J.W. and Vallance, B.A. and Yang, H. and Portales-Casamar, E. and Soller, L. and Mill, C. and Chan, E.S.
DOI: 10.1007/s00455-019-10082-1
2020

Aiming for a shorter time to diagnosis: pediatric eosinophilic esophagitis in British Columbia
Allergy, Asthma and Clinical Immunology
Jia, J. and Chan, E.S. and Avinashi, V. and Hsu, E. and Ko, H.H. and Soller, L.
DOI: 10.1186/s13223-020-00486-2
2020

Multiple shifting phenotypes with cow's milk: From eosinophilic esophagitis to immediate hypersensitivity and back again
Journal of Allergy and Clinical Immunology: In Practice
Erdle, S.C. and Soller, L. and Avinashi, V. and Roberts, H. and Hsu, E. and Chan, E.S.
DOI: 10.1016/j.jaip.2019.09.006
2020

Assessment of Malnutrition Risk in Canadian Pediatric Hospitals: A Multicenter Prospective Cohort Study
Journal of Pediatrics
Bélanger, V. and McCarthy, A. and Marcil, V. and Marchand, V. and Boctor, D.L. and Rashid, M. and Noble, A. and Avinashi, V. and Davidson, B. and Groleau, V. and Spahis, S. and Levy, E.
DOI: 10.1016/j.jpeds.2018.09.045
2019

Liberalized Versus Strict Cow's Milk Elimination for the Treatment of Children with Eosinophilic Esophagitis.
Journal of the Canadian Association of Gastroenterology
Teoh T and Mill C and Chan E and Zimmer P and Avinashi V
DOI: 10.1093/jcag/gwy030
PubMed: 31294369
07/2018

A280 SPECIALIZED FORMULA USE FOR THE TREATMENT OF COW MILK PROTEIN ALLERGY.
Journal of the Canadian Association of Gastroenterology
Avinashi V and Sadiq K and Nicol S
02/2018

Specialized Formula for the Treatment of Cow Milk Protein Allergy
Journal of the Canadian Association of Gastroenterology
DOI: 10.1093/jcag/gwy008.281
02/2018

A228 FIRST REPORT OF ADRENAL CRISIS IN TWO PATIENTS WITH EOSINOPHILIC ESOPHAGITIS.
Journal of the Canadian Association of Gastroenterology
Avinashi V and Amed S and Hursh B and Chan E
DOI: 10.1093/jcag/gwy008.229
02/2018

Pediatric eosinophilic esophagitis is associated with increased lamina propria immunoglobulin g4-positive plasma cells
Journal of Pediatric Gastroenterology and Nutrition
Mohammad, N. and Avinashi, V. and Chan, E. and Vallance, B.A. and Portales-Casamar, E. and Bush, J.W.
DOI: 10.1097/MPG.0000000000001949
2018

Development of anaphylactic cow's milk allergy following cow's milk elimination for eosinophilic esophagitis in a teenager
Journal of Allergy and Clinical Immunology: In Practice
Soller, L. and Mill, C. and Avinashi, V. and Teoh, T. and Chan, E.S.
DOI: 10.1016/j.jaip.2017.02.021
2017

Fecal microbiota transplantation for recurrent Clostridium difficile infection in children
Journal of Infection
Chen, B. and Avinashi, V. and Dobson, S.
DOI: 10.1016/S0163-4453(17)30202-5
2017

Allergic Background and Time to Diagnosis in Children with Eosinophilic Esophagitis in British Columbia
Journal of Allergy and Clinical Immunology
Christopher Mill and Vishal Avinashi and Timothy Teoh and Christopher Koo and Edmond S. Chan
DOI: 10.1016/j.jaci.2015.12.887
02/2016

Adrenal insufficiency exists for both swallowed budesonide and fluticasone propionate in the treatment of eosinophilic esophagitis
Journal of Pediatrics
Harel, S. and Hursh, B.E. and Chan, E.S. and Avinashi, V. and Panagiotopoulos, C.
DOI: 10.1016/j.jpeds.2016.02.056
2016

Diagnosis and management of eosinophilic esophagitis in children.
Canadian family physician Medecin de famille canadien
Teoh T and Chan ES and Avinashi V and Ko HH and Goldman RD
PubMed: 26505065
08/2015

Diagnosis and management of eosinophilic esophagitis in children
Canadian Family Physician
Teoh, T. and Chan, E.S. and Avinashi, V. and Ko, H.H. and Goldman, R.D.
2015

Adrenal suppression in children treated with oral viscous budesonide for eosinophilic esophagitis
Journal of Pediatric Gastroenterology and Nutrition
Harel, S. and Hursh, B.E. and Chan, E.S. and Avinashi, V. and Panagiotopoulos, C.
DOI: 10.1097/MPG.0000000000000848
2015

Characterization of ethnicity among children with eosinophilic esophagitis in British Columbia, Canada
Journal of Allergy and Clinical Immunology: In Practice
Teoh, T. and Koo, C. and Avinashi, V. and Chan, E.S.
DOI: 10.1016/j.jaip.2015.04.016
2015

A CARD9 polymorphism is associated with decreased likelihood of persistent conjugated hyperbilirubinemia in intestinal failure
PLoS ONE
Burghardt, K.M. and Avinashi, V. and Kosar, C. and Xu, W. and Wales, P.W. and Avitzur, Y. and Muise, A.
DOI: 10.1371/journal.pone.0085915
2014

Basiliximab with delayed introduction of calcineurin inhibitors as a renal-sparing protocol following liver transplantation in children with renal impairment
Pediatric Transplantation
Mouzaki, M. and Yap, J. and Avinashi, V. and Babu, A. and Fu, A. and Deangelis, M. and Van Roestel, K. and Ghanekar, A. and Kamath, B. and Avitzur, Y. and Fecteau, A. and Jones, N. and Ling, S. and Grant, D. and Ng, V.
DOI: 10.1111/petr.12158
2013

Increasing interest in family medicine
CMAJ
Avinashi, V. and Shouldice, E.
DOI: 10.1503/cmaj.050752
2006

Research

Current Projects
Evaluation of GERD in Cystic Fibrosis - impedance vs. oropharyngeal probe

Current Projects
Review of necessity of non-esophageal biopsies in patients with known Eosinophilic Esophagitis

Current Projects
Review of patients diagnosed with Cow Milk Protein Allergy

Current Projects
Registry of patients with Eosinophilic Esophagitis

Grants

2010 - Canadian Association of Gastroenterology Warner Chilcott resident research training award

2010 - Nasivvik Scholarship for Graduate Students in Inuit Environment and Health Research

Honours & Awards

2015 - "Youth Friendly Award" - Youth Advisory Committee

Research Group Members

Maria Cheema, Research Assitant
Nikola Deretic