Nutrition Pearls: The Pediatric GI Nutrition Podcast

In this episode of Nutrition Pearls: the Podcast, co-hosts Megan Murphy and Jen Smith speak with Megan Horsley on her involvement with an intensive tube feed weaning program.  Megan is a pediatric dietitian at Cincinnati Children's Hospital Medical Center. She has 18 years of experience in pediatrics with a focus in cardiology and currently practices as a Lead dietitian as well as a cardiac float, serving all areas of cardiology (the Critical Cardiac Intensive Care Unit, the Acute Care Cardiology Unit and Outpatient Cardiology). Her most recent work has involved establishing a tube wean program in 2020 for heart patients which focuses on optimizing oral skills and getting them safely off their feeding tube.She is a Certified Nutrition Support Clinician and in addition maintains her Certification as a Specialist in Pediatric Nutrition. She is involved in many projects, research, and quality improvement work, including the National Pediatric Cardiology Quality Improvement Collaborative (NPC-QIC), the Advanced Cardiac Therapies Improving Outcomes Network (ACTION) and the Pediatric Cardiac Intensive Care Society (PCICS). She has also served as a board member of the Congenital Heart Alliance of Cincinnati since 2017 and is a member of the Prolacta Clinical Advisory Board (PCAB) since 2019. Megan has eighteen years of professional practice in pediatric nutrition and twenty-one years of personal experience as a heart mom herself. She plans on continuing to concentrate her efforts on improving the nutritional care, experience and outcomes for all children affected by congenital heart disease.Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:Tool Kit: NPC-QIC Tube Weaning — NPC-QICKaskie, S., Horsley, M., & Marcuccio, E. (2024). Experiences in Tube Weaning Children with Congenital Heart Disease and Oral Feeding Aversion. Pediatric Cardiology. https://doi.org/10.1007/s00246-024-03515-8Wong, J., Loomba, R., Allen, K. Y., Chan, T., Coolidge, N., Del Grippo, E., Horsley, M., Slater, N., Spader-Cloud, M., Steltzer, M., & Marcuccio, E. (2024). Structured Tube Weaning Using the Hunger Provocation Method in Infants with Single Ventricle Heart Defects: A Multicenter Study. Pediatric Cardiology. https://doi.org/10.1007/s00246-024-03558-xHorsley, M., Hill, G. D., Kaskie, S., Schnautz, M., Brown, J., & Marcuccio, E. (2022). Evaluation of an Outpatient and Telehealth Initiative to Reduce Tube Dependency in Infants with Complex Congenital Heart Disease. Pediatric Cardiology, 43(7), 1429–1437. https://doi.org/10.1007/s00246-022-02864-6Weaning from a feeding tube in children with congenital heart disease: A review of the literature: www.sciencedirect.com/science/article/abs/pii/S1058981321000801?via%3DihubCardiology Feeding Tube Wean ClinicProduced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 33 - Christy Figueredo - Navigating GLP-1 Use in Pediatrics In this episode of Nutrition Pearls: the Podcast, co-hosts Bailey Koch & Megan Murphy speak with Christy Figueredo on the RD's role in patients on GLP-1 agonists. She is a member of the CPNP GLP-1 task force and shares her knowledge on managing pediatric patients on GLP-1 medications from her own clinical practice and the information gathered from the task force. Christy is a board-certified specialist in pediatric nutrition. She currently serves as the Dietitian for the department of Pediatric Gastroenterology, Hepatology and Nutrition at the University of Miami where she manages the unique nutritional needs of complex patients from infancy to adolescents in the outpatient setting.  She is an invited textbook chapter author for Infant and Pediatric Feeding and speaker on an array of childhood nutrition topics from the local to national level. She is a staunch child health advocate. Appointed to both the Miami-Dade WIC and Public-School Wellness Advisory committees collaborating with local stakeholders in childhood health and nutrition to provide a more equitable built environment for all. Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:The SCOFF Questionnaire Binge Eating Disorder QuestionnaireAlliance for Eating Disorders - a great place for families or providers to start their search if they are unfamiliar with providers and support in their area.Food insecurity questionnaire Wadden TA, Chao AM, Moore MB, et al. The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities. Current Obesity Reports. 2023;12(4). doi:https://doi.org/10.1007/s13679-023-00534-zMechanick JI, Apovian C, Brethauer S, et al. CLINICAL PRACTICE GUIDELINES FOR THE PERIOPERATIVE NUTRITION, METABOLIC, AND NONSURGICAL SUPPORT OF PATIENTS UNDERGOING BARIATRIC PROCEDURES – 2019 UPDATE: COSPONSORED BY AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS/AMERICAN COLLEGE OF ENDOCRINOLOGY, THE OBESITY SOCIETY, AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY, OBESITY MEDICINE ASSOCIATION, AND AMERICAN SOCIETY OF ANESTHESIOLOGISTS. Endocrine Practice. 2019;25(12). doi:https://doi.org/10.4158/gl-2019-0406Almandoz JP, Wadden TA, Tewksbury C, et al. Nutritional considerations with antiobesity medications. Obesity. Published online June 10, 2024. doi:https://doi.org/10.1002/oby.24067‌Wharton S, Davies M, Dicker D, et al. Managing the gastrointestinal side effects of GLP-1 receptor agonists in obesity: recommendations for clinical practice. Postgraduate Medicine. 2021;134(1):14-19. doi:https://doi.org/10.1080/00325481.2021.2002616Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 32 -Heidi Quinn - Evaluating Nutrition in Children with Autism In this episode of Nutrition Pearls: the Podcast, co-hosts Nikki Misner and Jen Smith speak with Heidi Quinn on nutrition in patients with Autism Spectrum Disorder.  Heidi Is a registered dietitian working in the field of pediatric/young adult nutrition with special health care needs for 35 years across various settings which includes inpatient and outpatient settings at Franciscan Children's Hospital (Brighton) , Boston Children's Hospital, Early Intervention programs, schools for children with special needs, and specialty clinics ( feeding clinics, developmental disability programs) and Joslin Diabetes Center. Heidi currently works at Boston Children's Hospital providing nutrition care  in multiple clinics including the out-patient GI clinic, the Growth and Nutrition Program, Autism/GI clinic, Cleft lip and Palate program and the Endocrine department. It is her work in the Autism/GI clinic which will be the focus of this episode.Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:How Food Chaining Therapy Works: A Solution for Picky Eaters  Autism Spectrum Disorder in Children and Adolescents: Complementary and Integrative Medicine Therapies - UpToDateThe Managing Medical Issues in Autism video series developed by Tim Buie, Co-Director of the GI and Autism Clinic, Sonia Ballal, Stacy Kahn, Howard Shane and Julia Carmody. All 5 videos are free to families, caregivers and professionals.  Link to all the videos on the Boston Children's Hospital YouTube channel: https://bit.ly/BuieVideosProduced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 31 - Bonus Episode - End of Season 2 Year in ReviewIn this episode of Nutrition Pearls: the Podcast, all the hosts join to reflect on the second year of Nutrition Pearls: the Podcast and discuss what is to come in season 3!Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 30 -Toni Solari - Nutrition in the Child who Aspirates In this episode of Nutrition Pearls: the Podcast, co-hosts Jen Smith and Nikki Misner speak with Toni Solari on nutrition in patients with aerodigestive diseases.  Toni is a registered dietitian in the Aerodigestive Center at Boston Children's hospital where she specializes in blenderized nutrition and specialized diets for various gastrointestinal disorders. She earned her degree at UMass Amherst,  and has been practicing as a pediatric dietitian for 11 years. When she is not working, Toni enjoys spending time, preferably outside, with her 3.5 year old son and 1.5 year old daughter.Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:Aerodigestive Nutrition References: https://www.iddsi.org/standards/frameworkBolgeo T, Di Matteo R, Gallione C, Gatti D, Bertolotti M, Betti M, Roveta A, Maconi A. Intragastric prepyloric enteral nutrition, bolus vs continuous in the adult patient: A systematic review and meta-analysis. Nutr Clin Pract. 2022 Aug;37(4):762-772. doi: 10.1002/ncp.10836. Epub 2022 Feb 16. PMID: 35174544.Hirsch S, Solari T, Rosen R. Effect of Added Free Water to Enteral Tube Feeds in Children Receiving Commercial Blends. J Pediatr Gastroenterol Nutr. 2022 Mar 1;74(3):419-423. doi: 10.1097/MPG.0000000000003308. PMID: 34560723; PMCID: PMC9531939.Hron B, Rosen R. Viscosity of Commercial Food-based Formulas and Home-prepared Blenderized Feeds. J Pediatr Gastroenterol Nutr. 2020 Jun;70(6):e124-e128. doi: 10.1097/MPG.0000000000002657. PMID: 32443040; PMCID: PMC8530412.Hron B, Fishman E, Lurie M, Clarke T, Chin Z, Hester L, Burch E, Rosen R. Health Outcomes and Quality of Life Indices of Children Receiving Blenderized Feeds via Enteral Tube. J Pediatr. 2019 Aug;211:139-145.e1. doi: 10.1016/j.jpeds.2019.04.023. Epub 2019 May 23. PMID: 31128885; PMCID: PMC6660979.Jensen EA, Zhang H, Feng R, Dysart K, Nilan K, Munson DA, Kirpalani H. Individualising care in severe bronchopulmonary dysplasia: a series of N-of-1 trials comparing transpyloric and gastric feeding. Arch Dis Child Fetal Neonatal Ed. 2020 Jul;105(4):399-404. doi: 10.1136/archdischild-2019-317148. Epub 2019 Nov 4. PMID: 31685527; PMCID: PMC7453998.Koo JK, Narvasa A, Bode L, Kim JH. Through Thick and Thin: The In Vitro Effects of Thickeners on Infant Feed Viscosity. J Pediatr Gastroenterol Nutr. 2019 Nov;69(5):e122-e128. doi: 10.1097/MPG.0000000000002470. PMID: 31449171.Alyssa Courtney, Anne Bernard, Scott Burgess, Katie Davies, Kelly Foster, Vishal Kapoor, David Levitt, Peter D Sly; Bolus Versus Continuous Nasogastric Feeds for Infants With Bronchiolitis: A Randomized Trial. Hosp Pediatr January 2022; 12 (1): 1–10. https://doi.org/10.1542/hpeds.2020-005702Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this episode of Nutrition Pearls: the Pediatric GI Nutrition Podcast, co-hosts Bailey Koch and Nikki Misner speak with Gina O'Toole, MPH, RD, CSPCC, CLEC. Gina O'Toole received her B.S. from Seattle Pacific University in Exercise Science and Physical Education and went on to receive her Master's in Public Health and Nutrition from Loma Linda University. Gina is a Board Certified Pediatric Critical Care dietician and Certified Lactation Educator Counselor. Gina has been working in a Level IV Neonatal Intensive Care Unit (NICU) at CHOC Children's Hospital in Orange, California for almost 15 years. She has been instrumental in the institutional development of care guidelines and human milk advocacy for preterm infants, infants with short bowel syndrome/intestinal failure and those with complex surgical diagnoses. When she is not working with the babies, she loves to spend time with her husband and 3 children Lola, Brooklyn and Ellis. You will find them outdoors gardening, at the beach, camping, hiking, climbing or biking!Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:American Society for Parenteral and Enteral Nutrition (ASPEN) - Parenteral Nutrition ResourceASPEN Pediatric Intestinal Failure Section Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Join us for a special bonus episode featuring Jaclyn Pederson, CEO of Feeding Matters, as she shares her own personal journey navigating Pediatric Feeding Disorder (PFD) with her son and the resources available for patients and professionals through the Feeding Matters organization. With a unique perspective as both a parent and a professional, she offers invaluable insights on overcoming the challenges of PFD, and provides advice for other families seeking support and guidance. Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Resources: Feeding Matters.orgFeeding Matters International Pediatric Feeding Disorder Conference:  feedingmatters.org/conferenceFeeding Matters Power of Two Parent Mentor Program: feedingmatters.org/resources-support/family-support/request-family-supportFeeding Matters Find a Provider:  feedingmatters.org/resources-support/provider-directory/?gad_source=1&gclid=Cj0KCQiAqL28BhCrARIsACYJvke0HbZFwwWU4XW17M5NeQbckAN6FzE9ABkQagdWKQEHMXjaEmHlwcIaAuU5EALw_wcB It's Not Picky Eating: itsnotpickyeating.orgN2U site: naspghan.org/meetings-events/n2u Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this episode of Nutrition Pearls: the Pediatric GI Nutrition Podcast, co-hosts Megan Murphy and Bailey Koch speak with Cuyler Romeo, MOT, OTR/L, SCFES, IBCLC. Cuyler is an Occupational Therapist and Pediatric Feeding Specialist serving as Feeding Matters' Director of Strategic Initiatives and practicing as a NICU Feeding Specialist at Banner University Medical Center-Tucson. She holds a specialty certification in Feeding, Eating and Swallowing (SCFES) and is an internationally certified lactation counselor (IBCLC). She works to advance the system of care for pediatric feeding disorder and all who struggle to eat through the identification and execution of strategic projects and consensus actions. Cuyler also works with the feeding community at large by facilitating AOTA's Mealtime Occupations: Feeding, Eating, and Swallowing Community of Practice and by serving as a member of the National Perinatal Association's Developmental Work Group for Guideline Dissemination.Resources:Feeding Matters Website Links: When to Refer (Infant & Child PFD Signs & Symptoms): www.feedingmatters.org/toolkit/when-to-refer-rack-cardICFQ 6 Question Screener for Professionals: feedingmatters.org/toolkit/icfq-6-question-screener-for-professionalsFeeding Matters Infant and Child Feeding Questionnaire (for parents/caregivers): questionnaire.feedingmatters.org It's Not Picky Eating: itsnotpickyeating.orgEstrem, H. Pederson, J., Dodrill, P., Romeo, C., Thompson, K., Thomas, J. J., Zucker, N., Noel, R., Zickgraf, H., Menzel, J., Lukens, C., Goday, P., MacLaughlin, S., & Sharp, W. G. (in-press). A US-Based Consensus on Diagnostic Overlap and Distinction for Pediatric Feeding Disorder and Avoidant/Restrictive Food Intake Disorder. International Journal of Eating Disorders. DOI: 10.1002/eat.24349Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this episode of Nutrition Pearls: the Podcast, co-hosts Bailey Koch and Nikki Misner speak with Rashelle Berry on nasogastric feeding tube placement and weaning enteral nutrition. Rashelle has been working at Children's Healthcare of Atlanta for over 16 years as a dietitian in the Marcus Autism Center's feeding program. She previously served as the nutrition manager of the intensive feeding program. Currently, Rashelle's clinical work is focused on infants and children with pediatric feeding disorders in both the outpatient clinical and rehab settings. She is especially passionate about weaning children from tube feedings. Rashelle also serves on the Georgia Board of Examiners for Licensed Dietitians and as a site reviewer for the Accreditation Council for Education in Nutrition and Dietetics.Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Resources:Academy Quality Management Committee. Academy of Nutrition and Dietetics: Revised 2017 Scope of Practice for the Registered Dietitian Nutritionist. J Acad Nutr Diet. 2018;118(1):141-165. doi:10.1016/j.jand.2017.10.002Corrigan ML, Bobo E, Rollins C, Mogensen KM. Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Revised 2021 standards of practice and standards of professional performance for registered dietitian nutritionists (competent, proficient, and expert) in nutrition support. Nutr Clin Pract. 2021;36(6):1126-1143. doi:10.1002/ncp.10774Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 25 - Bonus Episode - Debriefing the NASPGHAN/APGNN/CPNP Annual Meeting - Post Conference TakeawaysIn this bonus episode of Nutrition Pearls: the Podcast, hosts Jen Smith and Nikki Misner discuss highlights from the 2024 NASPGHAN/APGNN/CPNP annual meeting held in Hollywood, Florida.  Nikki will now be a co-host of Nutrition Pearls as we wish Melissa Talley the best of luck with her future endeavors.Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 24 - Liz King - Navigating Nutrition with Short Bowel SyndromeIn this episode of Nutrition Pearls: the Podcast, co-hosts Melissa Talley and Nikki Misner speak with Liz King about nutrition management in the short bowel syndrome pediatric patient population. Liz King is a Registered Dietitian and board-certified nutrition support clinician at UPMC Children's Hospital of Pittsburgh. Liz received her BS in Nutrition from Auburn University and went on to complete her MS in Nutrition and dietetic internship at the University of Pittsburgh. For the past 9 years, she has been the dietitian for the Intestinal Care and Rehabilitation Center (ICARE), which was the first established comprehensive,  multidisciplinary intestinal failure center caring for patients with complicated intestinal disorders. She also works with the liver and small bowel transplant department at UPMC Children's, overseeing the nutritional needs of patients undergoing transplant. Liz's nutritional interests include chronic TPN management and babies starting solids.Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Resources:Walia et al.  The North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position on the Role of the Registered Dietitian Nutritionist in the Care of the Pediatric Patient With Chronic Gastrointestinal Diseases. J Pediatr Gastroenterol Nutr. 2023;76(3):390-399.Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 23 - Bonus Episode - Nicole Martin and Tegan Medico - Pre-Conference Chat- Sneak Peak of the 2024 CPNP Annual Meeting In this bonus episode of Nutrition Pearls: the Podcast, Jen Smith and Bailey Koch host dietitians Nicole Martin and Tegan Medico.  Nicole is a pediatric registered dietitian at Children's Wisconsin and has been practicing in the GI clinic there for 10 years. Her areas of interest include celiac disease and eosinophilic disorders. She has been involved with CPNP for 8 years, and has previously served as the CPNP media chair and is currently the CPNP president elect.  Tegan has been at the University of Virginia Health for the past 11 years and has worked in a variety of roles: intensive care, gastroenterology, nephrology, transplant, and home health. She now serves the Division of Pediatric Gastroenterology, Hepatology and Nutrition and the Pediatric Liver Transplant program, and she is coordinator for an elective in pediatric nutrition for UVa's School of Medicine.   Tegan is the current Program Chair for CPNP.  During this episode Nicole and Tegan discuss the exciting presentations and other dietitian related activities planned for the upcoming NASPGHAN/APGNN/CPNP meeting.  Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.2024_Annual_Meeting_Landing_Page (naspghan.org)Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 22 - Jennie David PsycD - Body Image, Weight Stigma, and Pediatric GIIn this special Bowel Sounds and Nutrition Pearls collaboration episode, hosts Dr. Jennifer Lee and clinical dietitian Jennifer Smith talk to Dr. Jennie David about body image children with GI disorders.   This podcast delves into body image, connecting it to weight stigma and its impact on patients of all genders, especially those with pediatric GI conditions. It examines how social media influences body image and offers tips for discussing these concerns neutrally in clinical settings. The episode also provides practical advice for navigating sensitive topics like weight and eating disorders.Dr. Jennie David is an attending pediatric psychologist who specializes in Inflammatory Bowel Disease at Nationwide Children's Hospital. Her clinical work and research centers on body image, medical decision-making, and perioperative IBD care. Dr. David completed her undergraduate degree at Boston University and her PhD at Drexel University, and then completed her integrated behavioral health residency at A.I. duPont Children's Hospital/Nemours in Delaware and her clinical research GI psychology fellowship at Nationwide Children's Hospital. Dr. David is on NASPGHAN's IBD Committee and serves in various roles with the ImproveCareNow Learning Health Network including on the Board of Directors, co-leading the Social Work and Psychology group, the Research Committee, and the Health Equity Committee. Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Resources: https://www.improvecarenow.org/assessing_weight_stigma_in_pediatric_ibd_medical_providers_surveyStrings, S. (2019). Fearing the Black body: The racial origins of fat phobia. New York University PressKite, L., & Kite, L. (2020). More than a body: Your body is an instrument, not an ornament. Houghton Mifflin Harcourt.David JG et al. Assessing the prevalence of and risk factors for disordered eating attitudes and behaviors in adolescents with inflammatory bowel disease. Inflam Bowel Dis. 2022;28(1):143-145.Produced by Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this episode of Nutrition Pearls: the Podcast, co-hosts Bailey Koch and Melissa Talley speak with Alyson Lawrence, about common TPN questions, controversies, and topics that the GI dietitian would commonly see. Alyson Lawrence, RD, CNSC is a neonatal dietitian at CHOC Children's Hospital in Orange, CA. She completed her dietetic internship through Cal Poly Pomona followed by her pediatric residency at CHOC Children's. Alyson has worked in a wide variety of pediatric areas, ranging from pediatric intensive care to her current role in the neonatal intensive care unit. She has a special interest in neonatal patients with short bowel syndrome and intestinal failure. Alyson is involved in many research projects and committees within her institution focused on enhancing knowledge and improving patient care. She also is an active member of ASPEN, serving as an author for the GI section of the Neonatal Newsletter and is a content creator for the Dietitians in Nutrition Support YouTube Channel.Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Produced by: Corey Irwin NASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.orgResources: Gramlich L, Ireton-Jones C, Miles JM, Morrison M, Pontes-Arruda A. Essential Fatty Acid Requirements and Intravenous Lipid Emulsions. JPEN J Parenter Enteral Nutr. 2019;43(6):697-707. doi:10.1002/jpen.1537 Faienza MF, D'Amato E, Natale MP, et al. Metabolic Bone Disease of Prematurity: Diagnosis and Management. Front Pediatr. 2019;7:143. Published 2019 Apr 12. doi:10.3389/fped.2019.00143)Domellöf M, Szitanyi P, Simchowitz V, Franz A, Mimouni F; ESPGHAN/ESPEN/ESPR/CSPEN working group on pediatric parenteral nutrition. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Iron and trace minerals. Clin Nutr. 2018;37(6 Pt B):2354-2359. doi:10.1016/j.clnu.2018.06.949Jochum F, Moltu SJ, Senterre T, et al. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Fluid and electrolytes. Clin Nutr. 2018;37(6 Pt B):2344-2353. doi:10.1016/j.clnu.2018.06.948Owen HJ, Gonyon TM, Green JD, et al. Calcium/Phosphate Solubility Curves for Premasol and Trophamine Pediatric Parenteral Nutrition Formulations. J Pediatr Pharmacol Ther. 2019;24(1):45-52. doi:10.5863/1551-6776-24.1.45PN Dosing 1-Sheet-Nov 2020-FINAL.pdf (nutritioncare.org) ASPEN | ASPEN Parenteral Nutrition (PN) Order Writing Course (nutritioncare.org)

Episode 20 - Kate Samela - Dietitian Care Coordinator - RD in a Unique RoleIn this episode of Nutrition Pearls: the Podcast, co-hosts Jen Smith and Bailey Koch speak with Kate Samela MS, RD, CD-N, CSP about her role as the Care Coordinator for the Intestinal Rehab program at Connecticut Children's Medical Center in the Division of Gastroenterology, Hepatology, and Nutrition. Kate also provides counseling to pediatric patients and families in outpatient GI clinic on a wide variety of GI disorders; Before moving back to her home state of CT, she has worked at large teaching hospitals including Mount Sinai, NYU , and CHOA. Kate has been a co- author on several textbook chapters, published manuscripts, and has been invited to speak nationally and internationally on topics including Picky Eating, Intestinal Rehabilitation and transplant, and telemedicine. Kate published her first book on feeding toddlers entitled Give Peas a Chance: The Fool-Proof Guide to Picky Eating in 2013.  She lives in CT with her husband, 2 kids (part-time!), and her mutt VV. Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Resources:Walia et al.  The North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position on the Role of the Registered Dietitian Nutritionist in the Care of the Pediatric Patient With Chronic Gastrointestinal Diseases. J Pediatr Gastroenterol Nutr. 2023;76(3):390-399.Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 19 - Stacey Beer - Nutrition in Liver Disease and Liver Transplant.In this episode of Nutrition Pearls: the Podcast, co-hosts Melissa Talley and Jen Smith speak with Stacey Beer on nutrition in liver disease and liver transplant.  Stacey Beer is a pediatric dietitian specializing in Gastroenterology, Hepatology, and Nutrition at Texas Children's Hospital, the largest pediatric liver transplant program for the past 15 years. Stacey has presented posters at national conferences related to pediatric transplant. Stacey serves as a member of the NATCO Nutrition Board and was instrumental in the creation of the Certified Clinical Transplant Dietitian certification. In 2022, Stacey was awarded the inaugural NASPAGHAN CPNP Dietitian of Excellence Award and in 2023 she was awarded the Jeanette Hasse Transplant Dietitian of the Year award. Most recently, Stacey has created a transplant education program in transplant nutrition which is available for dietitians all over the world to learn more about transplant nutrition. Stacey's research interests are pediatric transplant, pediatric liver disease and parenteral nutrition. Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Resources:Beer SS, Vega MW. Malnutrition, sarcopenia, and frailty assessment in pediatric transplantation. Nutr. Clin. Pract. 2023;1–18. DOI: 10.1002/ncp.11105.Boster JM et al. Malnutrition in Biliary Atresia: Assessment, Management, and Outcomes. Liver Transplantation. 2022(28)483‒492.Kamath BM et al. Fat Soluble Vitamin Assessment and Supplementation in Cholestasis. Clin Liver Dis. 2022(26)537–553.Degrassi I et al. Fat-Soluble Vitamins Deficiency in Pediatric Cholestasis: A Scoping Review. Nutrients. 2023(15)2491. https://doi.org/10.3390/nu15112491.Health Well: https://www.healthwellfoundation.org/fund/alagille-syndrome-vitamins-and-supplements/FDA Post Transplant: https://www.fsis.usda.gov/sites/default/files/media_file/2021-04/at-risk-booklet.pdfPracticum Link (applications for the fall program are due July 3, 2024): https://www.texaschildrens.org/health-professionals/education-and-training/conferences/pediatric-transplant-nutrition-practicumProduced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this episode of Nutrition Pearls: the Podcast, co-hosts Megan Murphy and Jen Smith speak with Michelle Yavelow about nutrition in CF.  Michelle Yavelow completed her bachelors of science, post-bac, combined masters of science, and dietetic internship at the University of Florida. She then went on to complete the pediatric dietitian residency program at the Children's Hospital of Orange County (CHOC).  She is now a pediatric dietitian with the University of South Florida Pediatric Gastroenterology Hepatology and Nutrition department. She is also the Pediatric Pulmonary Cystic Fibrosis dietitian. Her work in CF began back in undergrad volunteering with Streetlight at UF. She then completed the maternal child and health bureau nutrition traineeship at the pediatric pulmonary center at UF. She worked part time at the CF center at CHOC and is now in a 50/50 split position where she gets to work half time as the peds CF dietitian and half time as the Peds Gi dietitian. Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org  References: Cystic Fibrosis Foundation 

Join us for a special bonus episode featuring Celiac dietitian Sadie Nagle and psychologist Dr. Monique Germone as they delve into their collaborative approach to addressing behavioral health in celiac disease and gluten-related disorders. From their unique perspectives, Sadie and Dr. Germone share insights from their work at the Colorado Center for Celiac Disease, offering valuable strategies and support for those navigating the intersection of diet and mental health in managing these conditions.Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Produced by: Corey Irwin NASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org Provider Resources: Celiac Disease Behavioral Science Consortium: https://www.cdbsc.org (free for RDs to join)

In this episode of Nutrition Pearls: the Podcast, co-hosts Bailey Koch and Megan Murphy speak with Sadie Nagle, MS, RD, LD about the ins and outs of Celiac Disease. Sadie is a registered dietitian at Children's Hospital Colorado and the Colorado Center for Celiac Disease and specializes in pediatric celiac disease and the gluten-free diet. She is passionate about the partnership of psychologists in the clinical management of celiac disease and dietary adherence as well as in all other aspects of gastroenterology and hepatology diseases and disorders. Additionally, one of Sadie's main research interests is in the development of dietary adherence assessment tools for dietitians to utilize.Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Produced by: Corey Irwin NASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org RD/Provider/Patient Resources:Beyond Celiac's Gluten-Free Diet Resources: https://www.beyondceliac.org/gluten-free-diet/Celiac Foundation Find a Healthcare Practitioner: https://celiac.org/about-celiac-disease/find-a-healthcare-practitioner/GiG's Resources for dietitians: https://gluten.org/dietitian-resource-page/Food Insecurity Resource: https://www.gigcares.orgAmerican Gastroenterological Association's Celiac Disease handouts/resources: https://patient.gastro.org/celiac-disease/

Episode 15 - Bonus Episode - End of Season 1 - First Year Wrap-UpIn this episode of Nutrition Pearls: the Podcast, all the hosts join to reflect on the first year of Nutrition Pearls: The Podcast and discuss what is to come in season 2!Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this episode of Nutrition Pearls: the Podcast, Melissa Talley and Megan Murphy host dietitian Paula Gallagher.  Paula is an Ohio-based Registered and Licensed Dietitian. She is an instructor and the director of the dietetics program at a community college. Paula also owns a private practice where the focus is digestive diseases including Irritable Bowel Syndrome, Celiac Disease, and Inflammatory Bowel Disease. Paula educates in a holistic manner in order to help patients decrease symptoms while improving their quality of life. In this episode, she discusses management of Congenital Sucrase Isomaltase Deficiency (CSID).Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson NutritionRD/provider/patient resources:https://www.csidcares.org/treatment/food-composition-database/https://www.csidcares.org/treatment/diet/Produced by: Melissa TalleyNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this episode of Nutrition Pearls: the Podcast, co-hosts Jen Smith and Melissa Talley speak with Brock Williams PhD, RD, CNSC about dietitians in research.  Dr. Brock Williams is a Registered Dietitian and a Post-Doctoral Research Fellow in the Division of Allergy at the University of British Columbia in Vancouver, Canada. Brock completed his PhD in Human Nutrition in 2023. Over the past 9 years, he has worked as both a research and clinical dietitian at the Hospital for Sick Children (SickKids) in Toronto, and at BC Children's Hospital in Vancouver in areas such as Translational Medicine, GI/Hepatology/Nutrition, and Allergy. His primary research and clinical interests lie in micronutrients, human milk feeding, and food allergy prevention and treatment. Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Resources: Crafting academic abstracts/papers: https://writing.wisc.edu/handbook/assignments/. Gray et al. Innovative poster designs: A shift toward visual representation of data. Am J Health-Syst Pharm. 2022; 79(8):625-628Produced by: Melissa TalleyNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 12 - Rotem Sigall Boneh - Nutrition and IBD: Nuts and Bolts of Crohn's Disease Exclusion Diet In this episode of Nutrition Pearls: the podcast, co-hosts Jen Smith and Bailey Koch speak with Rotem Sigall Boneh RD, about the ins and outs of the Crohn's Disease Exclusion Diet (CDED).  Rotem is a clinical and research dietitian based at Wolfson Medical Center in Holon, Israel. She holds the distinction of being the founder of D-ECCO, the dietitian committee within the European Crohn and Colitis organization. Additionally, she is a co-founder of the Crohn's Disease Exclusion Diet (CDED) and has played a pivotal role in leading clinical trials in this field. Currently, she is working on her Ph.D. at Amsterdam University, focusing on the role of CDED in the management of Crohn's Disease. Rotem is also a member of the Porto group, an expert panel specializing in pediatric Inflammatory Bowel Disease (IBD) within the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN). Resources: Sigall Boneh et al. The Crohn's disease exclusion diet: a comprehensive review of evidence, implementation strategies, practical guidance, and future directions. Inflamm Bowel Dis. 2023. https://doi.org/10.1093/ibd/izad255Innovative Dietary Management Solution For Crohn's Disease | ModuLife (mymodulife.com)Gut Friendly Recipes (crohnscolitisfoundation.org)Recipes Information | NT for IBD (nutritionaltherapyforibd.org)Nutrition University (N2U) application site: ScholarOne Abstracts - Login (abstractcentral.com)Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.Produced by: Bailey KochNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this episode of Nutrition Pearls: The Pediatric GI Nutrition Podcast, Megan Murphy & Melissa Talley host dietitian Venus Kalami. Venus is a board-certified pediatric dietitian nutritionist and advocate-at-heart for culturally, socioeconomically, and weight-inclusive nutrition. She is the founder of Niche Noosh - a mission-driven nutrition consultancy for health organizations, start-ups, and companies. As a pediatric dietitian, she sub-specializes in empowering children of all ages with digestive and allergic conditions. Through her passion for food, psychology, and cultural humility, her unique and individualized perspective on nutrition has been featured on media outlets such as VeryWell Health, Health Talks, Insider,and Health Professional Radio, as well as professional conferences and journals. During this episode, she will discuss cultural humility & diversity in pediatric nutrition, specifically in infant feeding. Find more of her work at VenusKalamiRD.com. Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson NutritionRD/provider/patient resources:Tervalon M, Murray-Garcia J. Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and Underserved. 1998;9(2):117–125. http://dx.doi.org/10.1353/hpu.2010.0233. [PubMed] [Google Scholar]Diversify Dietetics Antiracist Dietitian Molly Kellogg Dr. Kate Gardner Burt's publications.Produced by: Megan MurphyNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 10 - The Past, Present, and Future of Blenderized Tube FeedsIn this episode of Nutrition Pearls: the Podcast, Melissa Talley and Bailey Koch host dietitian Sharon Weston.  Sharon is a Registered Dietitian and Board Certified Specialist in pediatric nutrition. She works with a variety of specialities within GI and takes a special interest in blenderized formulas at Boston Children's Hospital.  As a recognized authority on the dietary and nutritional management of blended foods, Sharon is a frequently invited speaker at GI conferences. She has contributed her expertise to articles related to blenderized formula including:  Stir, Shake or Blend: A Comparison of Methods Used to Reduce Viscosity of Blenderized Tube Feedings, JPGN July 1, 2022, and Determining Viscosity of Blenderized Formula:  A Novel Approach Using the International Dysphagia Diet Standardisation Initiative Framework, JPEN 2020. During this episode she will discuss blenderized feeds and nutrition considerations and management. Resources:1. Cassandra Walia, Megan Van Hoorn, Angela Edlbeck, Mary Beth Feuling, The RegisteredDietitian Nutritionist's Guide to Homemade Tube Feeding, Journal of the Academy of Nutritionand Dietetics, Volume 117, Issue 1, 2017, Pages 11-16.2. Bobo. (2016). Reemergence of Blenderized Tube Feedings. Nutrition in Clinical Practice, 31(6),730–735.3. Bennett, Hjelmgren, B., & Piazza, J. (2020). Blenderized Tube Feeding: Health Outcomes andReview of Homemade and Commercially Prepared Products. Nutrition in Clinical Practice, 35(3),417–431.4. Epp, Blackmer, A., Church, A., Ford, I., Grenda, B., Larimer, C., Lewis‐Ayalloore, J., Malone, A.,Pataki, L., Rempel, G., & Washington, V. (2023). Blenderized tube feedings: Practicerecommendations from the American Society for Parenteral and Enteral Nutrition. Nutrition inClinical Practice. https://doi.org/10.1002/ncp.11055Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson NutritionProduced by: Megan Murphy NASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 9 - Bonus Episode - Nikki Misner - Post Conference Recap: Favorite Conference Take-Aways In this bonus episode of Nutrition Pearls: the Podcast, host Jen Smith speaks with Nikki Misner, MS, RDN, about all the exciting highlights from the recent NASPGHAN/APGNN/CPNP annual meeting held in San Diego, California.  Nikki is a pediatric registered dietitian at the University of South Florida in the division of Pediatric Gastroenterology, Hepatology and Nutrition. Nikki works with children with a wide variety of GI conditions. She has taken a special interest in diet therapy for eosinophilic esophagitis, IBD, addressing food insecurity, and managing enteral nutrition. Nikki is the current media chair for CPNP. Produced by: Jen Smith and Melissa TalleyNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In our FIRST collaboration with the NASPGHAN Bowel Sounds podcast, hosts  Dr. Peter Lu and dietitian Jen Smith talk to our guests Dr. Bruno Chumpitazi and dietitian Kirsten Jones about dietary treatment of children with irritable bowel syndrome (IBS) -- specifically about using the low-FODMAP diet in children.Dr. Chumpitazi is a pediatric neurogastroenterologist who recently completed being the inaugural director of the Neurogastroenterology and Motility Program at Texas Children's Hospital and who is now Professor and Division Chief of Pediatric Gastroenterology, Hepatology, and Nutrition at Duke University. Kirsten Jones, RD, CSP, LD, is a registered dietitian who specializes in caring for children with disorders of gut-brain interaction and use of the low-FODMAP diet at Nationwide Children's Hospital. 

In this episode of Nutrition Pearls: the Podcast, Megan Murphy and Jen Smith host dietitian Raquel Durban.   Raquel is a registered dietitian specializing in the dietary management of families with food allergies at Carolina Asthma & Allergy Center in Charlotte, NC.  As a recognized authority on the dietary and nutritional management of food allergies, Raquel is a frequently invited speaker at allergy and immunology conferences and has the pleasure of precepting dietetic interns. She has contributed her expertise to peer reviewed publications and continuing education programs. During this episode she will discuss FPIES and nutrition considerations and management. Questions regarding FPIES email, raquel.durban@gmail.comResources:  Nowak-Wegrzyn A, et al.  International consensus guidelines for the diagnosis and management of food protein–induced enterocolitis syndrome: Executive summary—Workgroup Report of the Adverse Reactions to Foods Committee, American Academy of Allergy, Asthma & Immunology.  J Allergy Clin Immunol. 2017;139:1111-26. https://www.fpies.org/wp-content/uploads/2018/08/IFPIES-ER-Letter-2018.pdf https://www.fpies.org/Produced by: Megan MurphyNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 6 - Bonus Episode - Nicole Martin and Tegan Medico - Pre-Conference Hype: A Spotlight on the 2023 CPNP Annual Meeting In this bonus episode of Nutrition Pearls: the Pediatric GI Nutrition Podcast, Jen Smith and Bailey Koch host dietitians Nicole Martin and Tegan Medico.  Nicole is a pediatric registered dietitian at Children's Wisconsin and has been practicing in the GI clinic there for 9 years. Her areas of interest include celiac disease and eosinophilic disorders. She has been involved with CPNP for 7 years, and has previously served as the CPNP media chair and is currently the CPNP president elect.  Tegan has been at the University of Virginia Health for the past 10 years and has worked in a variety of roles: intensive care, gastroenterology, nephrology, transplant, and home health. She now serves the Division of Pediatric Gastroenterology, Hepatology and Nutrition and the Pediatric Liver Transplant program, and she is coordinator for an elective in pediatric nutrition for UVa's School of Medicine.   Tegan is the current Program Chair for CPNP.  During this episode Nicole and Tegan discuss the exciting presentations and other dietitian related activities planned for the upcoming NASPGHAN/APGNN/CPNP meeting. Display event - 2023 Conference (naspghan.org)Early Bird rates until August 31stProduced by: Melissa TalleyNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this bonus episode of Nutrition Pearls: the Podcast, Jen Smith and Bailey Koch host dietitian Natalie Hill.  Natalie is a pediatric dietitian at GI Care For Kids and Children's Health Care of Atlanta. Natalie was diagnosed with Crohn's Disease as a teenager and she has used the Specific Carbohydrate Diet (SCD) to treat inflammatory bowel disease (IBD) for more than 10 years.  Natalie shares her experience with SCD and offers insights and tips for dietitians and providers working with patients who are using diet therapies in the treatment of IBD.  Produced by: Melissa TalleyNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this episode of Nutrition Pearls: the pediatric GI nutrition podcast, Jen Smith and Bailey Koch host dietitian Kim Braly.  Kim is a private practice, research dietitian who specializes in pediatric inflammatory bowel diseases (IBD). She is the co-founder of EATS for IBD™ - an innovative,  evidence-based nutrition tool that supports those with IBD and their families through nourishing recipes, culinary resources, and community support. Kim empowers people with IBD to dump food fears, eat for their bodies and live their best life. She is the “How to IBD dietitian” who loves mentoring colleagues and consulting organizations to build transformative IBD nutrition programs which expand their offerings and better support their patients. During this episode Jen and Bailey discuss with Kim the role of nutrition in the treatment of IBD with an emphasis on SCD.RD/provider/patient resources:ntforibd.orgkimbralyrd.com/bloginterest.eatsforibd.comcrohncolitisfoundation.orgProduced by: Megan MurphyNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 3 - Nutrition Management of Eosinophilic Esophagitis: Tailoring Your ApproachIn this episode of Nutrition Pearls: the Podcast, hosts Melissa Talley and Bailey Koch speak with Sally Schwartz on the nutrition management of eosinophilic esophagitis (EoE). We discuss how the nutrition management of this disease has evolved over time. We discuss tailoring your approach and discuss future research needed in the field. Sally Schwartz is a registered dietitian at Ann and Robert H. Lurie Children's Hospital in Chicago and is a leading researcher in the field of pediatric EoE. The discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advancements in the field. Produced by: Bailey KochNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

In this episode of Nutrition Pearls: the Podcast, Melissa Talley is the sole host.  She will be interviewing Jen Smith, Megan Murphy, and Bailey Koch on their current roles on the CPNP Executive Committee (EC).  Why, well each of the other co-hosts will be ending their term on the EC this year, which means, there will be positions open for CPNP members to fill.  Call for nominations will be coming soon so listen in, you may know just the right member to nominate based on what you hear during this episode. Produced by: Bailey KochNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Episode 1 - Abigail Lundin - CPNP PresidentIn this very first episode of Nutrition Pearls: the Podcast, hosts Jen Smith and Megan Murphy speak with Abigail Lundin about her history with CPNP and projects she has been involved in, and her goals during her presidency.  We also introduce CPNP and how the podcast came about along with the plans for future episodes.  Produced by: Bailey KochNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

The new CPNP podcast is coming soon!We are so excited to share our very first episode of Nutrition Pearls, the Pediatric GI Nutrition Podcast. This podcast is brought to you by the Council for Pediatric Nutrition Professionals or CPNP, part of the North American Society of Pediatric Gastroenterology Hepatology, and Nutrition or NASPGHAN.  Hosts Jen Smith and Megan Murphy will talk with CPNP president, Abigail Lundin, about her involvement with CPNP over the years and what her hopes are during her presidency.  You will meet the other 2 co-hosts Bailey Koch and Melissa Talley in future episodes.  This episode will be available on Wednesday April 19th  2023, so follow now!NASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org