Podcasts about Pediatric gastroenterology

In this episode of Bowel Sounds, hosts Dr. Jenn Lee and Dr. Peter Lu  talk with Dr. Hilary Michel, pediatric gastroenterologist at Nationwide Children's Hospital in Columbus, OH about women's health in IBD. Learning objectivesIdentify the impact of inflammatory bowel disease (IBD) on key stages of female reproductive health, including puberty, menstruation, fertility, and pregnancy.Discuss the considerations and clinical decision-making involved in contraceptive counseling and bone health in female patients with IBD.Apply patient-centered strategies for addressing psychosocial concerns, fertility, and reproductive planning in adolescent and young adult females with IBD.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

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

You can text us here with any comments, questions, or thoughts!In this episode, Kemi welcomes Dr. Allison Wu. Dr. Wu is Principal Investigator of the Wunderfull Lab. She is a clinician-researcher board certified in pediatric gastroenterology and nutrition as well as obesity medicine. Her research focuses on epidemiology and health services research in pediatric nutrition and obesity. She completed her fellowship in Pediatric Gastroenterology, Hepatology & Nutrition at Boston Children's Hospital and the Harvard-wide Pediatric Health Services Research Fellowship at Mass General Hospital for Children. She is also an alumnus of our Get That Grant® coaching program! Together, they explore Dr. Wu's unique journey that intertwines her love for science, nutrition, and working with children, shaped by her family's background in academia and the restaurant business. Join the conversation as Dr. Wu shares her experiences with coaching, her insights on how supportive environments can foster growth, confidence, and collaboration and the importance of grant writing in creating meaningful change. Conversation Highlights: Navigating maternity leave and career transitions The role of coaching in professional growth Building community and collaboration in academia The importance of intentionality in career development  Loved this convo? Please go find Dr. Wu on LinkedIn to show her some love!  

In this episode of Bowel Sounds, hosts Dr. Jenn Lee and Dr. Peter Lu  talk with Dr. Nishant Patel, pediatric gastroenterologist at Orlando Health Arnold Palmer Hospital for Children, about the diagnosis and evaluation of exocrine pancreatic insufficiency (EPI) in children. Learning objectivesRecognize the varied clinical presentations of exocrine pancreatic insufficiency (EPI)Compare the utility, advantages, and limitations of diagnostic tools for EPIApply evidence-based protocols for performing and interpreting ePFTEndoscopic Pancreatic Function Testing (ePFT) in Children: A Position Paper From the NASPGHAN Pancreas CommitteeSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jason Silverman talk to Dr. Cary Sauer about Competency-Based Medical Education (CBME) to break down this concept and all the related terminology that is part of this approach to medical training. If you're confused about CBME, EPAs, milestones and competencies, this episode is for you! Dr. Sauer is a Pediatric Gastroenterologist specializing in the care of children with IBD and Division Chief at Children's Healthcare of Atlanta and Emory University.Learning Objectives:Understand what Competency-Based Medical Education (CBME) means and how it differs from traditional time-based models of medical trainingUnderstand how milestones, competencies and EPAs relate to one another within the CBME frameworkRecognize the central role of entrustment and how that can is incorporated into workplace-based assessments of traineesLinks:Pediatric GI Milestones (v2.0)NASPGHAN EPA resourcesABP EPAs for subspecialtiesNorth American Society for Pediatric Gastroenterology,  Hepatology, and Nutrition Position Paper on Entrustable  Professional Activities: Development of Pediatric  Gastroenterology, Hepatology, and Nutrition Entrustable  Professional ActivitiesEducating pediatric gastroenterology fellows: milestones, EPAs, & their application within a new educational curriculumImplementing entrustable professional activities in pediatric fellowships: facilitating the processSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Gluten has become one of the most misunderstood aspects of modern nutrition. Let's set the record straight. In this episode, we untangle the medical, neurological, and cultural narratives surrounding gluten, from celiac disease and non-celiac gluten sensitivity to real (and rare) cases of gluten-induced brain dysfunction. We discuss: • The differences between celiac disease, gluten sensitivity, and wheat allergy • How gluten affects the gut, and what ‘leaky gut' really means • Whether gluten can trigger neurological symptoms like ataxia and brain fog • Why cutting out gluten without a diagnosis may do more harm than good • How wheat contributes to a healthy microbiome (and why fiber matters) • What role zonulin plays in gut permeability and immune activation • Why brain fog isn't yet well understood (and the theories behind it) To help us decode the science (and bust the myths) of gluten, nutrition, and the brain, we're joined by two world-renowned experts: DR. ALESSIO FASANO: pediatric gastroenterologist, research scientist, and chief of Pediatric Gastroenterology and Nutrition at Mass General for Children (MGfC), and director of the Center for Celiac Research. DR. FRANK CUSIMANO: gastroenterologist, physician-scientist, and gut-brain health communicator with a PhD in Nutritional and Metabolic Biology from Columbia University Institute of Human Nutrition. This is... Your Brain On Gluten. ‘Your Brain On' is hosted by neurologists, scientists and public health advocates Ayesha and Dean Sherzai. ‘Your Brain On... Gluten' • SEASON 5 • EPISODE 2 ——— Your Brain On... is supported by the FREE monthly Brain Box, available in our NEURO World community: http://thebraindocs.com/brainbox

Send us a textThis week we bring back our friend and friend of the show, Dr. Ashish S. Patel! Dr. Patel takes us on a global journey through the evolving landscape of pediatric inflammatory bowel disease treatment, revealing contrasts between approaches across continents and highlighting gaps in how new medications reach children.While adult IBD patients have benefited from an explosion of treatment options over the last two decades, children remain limited primarily to anti-TNF biologics as their only FDA-approved options. This forces physicians to fight insurance battles for access to newer medications or enroll patients in clinical trials that come years too late. "We have to bring evaluation of these medications to pediatrics concurrently with adult populations," Dr. Patel explains, sharing how advocacy efforts aim to shift this paradigm.The conversation takes a fascinating turn when comparing treatment philosophies worldwide. At the World Congress in Buenos Aires, nutritional therapy, probiotics, and dietary interventions dominated discussions—a striking contrast to North American conferences featuring pharmaceutical companies. This reveals how resource availability shapes medical approaches, with Latin American physicians developing expertise in nutritional interventions while North American practices focus on biologics.Dr. Patel's most hopeful insights come from current research aiming to personalize treatment based on a patient's unique profile. Studies collecting genetic information, microbiome data, and environmental exposures may eventually allow doctors to determine the optimal intervention—whether medication, diet modification, or environmental change—for each child at diagnosis. "In the near future, at least for certain types of IBD, we're talking about something that's curative rather than just therapeutic," he shares, offering hope that we're moving beyond symptom management toward addressing root causes.Join us for this eye-opening conversation that challenges conventional thinking about how we research, develop, and implement treatments for one of medicine's most complex childhood conditions.Links: ImproveCareNowNorth American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN)Let's get social!!Follow us on Instagram!Follow us on Facebook!Follow us on Twitter!

In this episode, hosts Drs. Peter Lu and Temara Hajjat talk to Dr. Thangam Venkatesan about cannabinoid hyperemesis syndrome (CHS).  Dr. Venkatesan is an adult gastroenterologist and Professor of Internal Medicine at The Ohio State University Wexner Medical Center, where she leads the Neurogastroenterology and Motility section.  She is a world-renowned expert in CHS and cyclic vomiting syndrome (CVS).  In this episode, we discuss the diagnosis of CHS, its relationship with CVS, and the management of the adolescent with CHS. Learning Objectives:Understand the diagnostic criteria for cannabinoid hyperemesis syndrome (CHS).Recognize the similarities and differences between CHS and cyclic vomiting syndrome.Review the management of the adolescent with CHS.Links:Venkatesan T, et al. Guidelines on management of cyclic vomiting syndrome in adults by the American Neurogastroenterology and Motility Society and the Cyclic Vomiting Syndrome Association. Neurogastroenterol Motil. 2019 Jun;31 Suppl 2(Suppl 2):e13604. PMID: 31241819Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Mike and Cam sit down with Dr. Ritu Verma, Chief of Pediatric Gastroenterology and Medical Director of University of Chicago's Celiac Disease Center. Dr. Verma helps the guys with some "myth busting" relating to celiac disease and a gluten free diet. They tackle both big and small topics including: Are there actually ways to reduce the chances of offspring developing celiac disease? How careful do kids really need to be while eating gluten free at home and at school? Is wheat starch safe for celiacs? And so much more!

On today's Celiac Project Podcast:Mike and Cam sit down with Dr. Ritu Verma, Chief of Pediatric Gastroenterology and Medical Director of University of Chicago's Celiac Disease Center. Dr. Verma helps the guys with some "myth busting" relating to celiac disease and a gluten free diet. They tackle both big and small topics including: Are there actually ways to reduce the chances of offspring developing celiac disease? How careful do kids really need to be while eating gluten free at home and at school? Is wheat starch safe for celiacs? And so much more!Listen Here: https://celiacprojectpodcast.libsyn.com/ Hosted on Acast. See acast.com/privacy for more information.

Send us a textThe quest for better outcomes in pediatric IBD has taken significant strides forward, and Dr. Jeremy Adler returns to Bowel Moments to guide us through the most promising research developments of the past year. Dr. Adler is a clinical Professor in the Division of Pediatric Gastroenterology at the University of Michigan and serves as the Interim Director of the Susan B. Meister Child Health Evaluation and Research (CHEAR) Center. We discuss how medication dosing strategies have evolved dramatically, with compelling evidence showing that body surface area measurements work better than traditional weight-based dosing for younger children. This seemingly simple adjustment yields dramatically better results, particularly as children grow and develop through puberty. Regular therapeutic drug monitoring—checking medication levels every 6-12 months or more frequently during growth spurts—has also proven critical for maintaining disease control in the pediatric population.Prevention emerges as the cornerstone of Dr. Adler's research and clinical philosophy. The fascinating GEM study has identified changes in gut permeability that occur before IBD diagnosis, potentially opening doors to early intervention before symptoms appear. Meanwhile, Dr. Adler's own groundbreaking research demonstrates that early, aggressive treatment with anti-TNF medications can prevent serious complications like perianal fistulas, fistulas, and abscesses—complications that significantly impact quality of life and body image.We navigate the complex terrain of treatment barriers, from insurance denials to psychological resistance to "stronger" medications. Dr. Adler challenges common misconceptions, noting that injectable or infusion medications often have better safety profiles than some oral options that patients perceive as "less intense." The conversation turns to normalizing surgical options like ostomies when needed, with Dr. Adler advocating for early introduction to surgical teams—not because surgery is imminent, but because establishing relationships reduces trauma if intervention becomes necessary.With new medication mechanisms emerging and genetic markers helping to personalize treatment approaches, the research landscape offers real hope for children with IBD. Join us for this candid, informative discussion about protecting children from the worst outcomes of IBD through early intervention, personalized treatment, and collaborative care models that address both physical and mental wellbeing.Links: Research article- Preventing Fistulas and Strictures Among Children with Crohn's DiseaseJournal Article referenced- National Perspectives of Barriers by Insurance and Pharmacy Benefits Managers in Pediatric Inflammatory Bowel DiseaseImproveCareNowLet's get social!!Follow us on Instagram!Follow us on Facebook!Follow us on Twitter!

In this episode, hosts Drs. Temara Hajjat and Jenn Lee talk to Drs. Glenn Furuta and Noam Zevit about the diagnosis and management of eosinophilic GI disorders (EGIDs) beyond eosinophilic esophagitis based on the new joint ESPGHAN/NASPGHAN recommendations.Learning Objectives:Discuss the diagnosis of non-EoE EGIDs.Explain the role of pathology in diagnosis of non-EoE EGIDs.Review management of non-EoE EGIDs.References:Joint ESPGHAN/NASPGHAN Guidelines on Childhood Eosinophilic GI Disorders Beyond Eosinophilic EsophagitisSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

If mealtimes feel like a battle in your home, you're not alone. Many parents struggle with picky eating, and I've experienced it firsthand with my daughter — who, like many kids, has earned the label of a "picky eater" in our family. But how do you know when picky eating is more than just a phase? I recently heard about Pediatric Feeding Disorders (PFDs) and was shocked, confused, and intrigued by the topic. When I learned how PFDs affect millions of children, yet they often go undiagnosed or misunderstood, leaving parents feeling frustrated and helpless, I knew that I had to learn more and spread the word. That's why in this episode of Chick Chat, we sit down with Jaclyn Pederson, CEO of Feeding Matters, to break it all down for us. Who is Jaclyn Pederson? With over a decade of experience in program development, Jaclyn Pederson's broad knowledge of programming in the public and social sectors includes program and strategic initiative design, fund development, special events, grant writing, and community engagement. A system thinker and positive team builder, she uses transformational leadership principles to develop energized and efficient workgroups that influence significant organizational and systemic change for all affected by pediatric feeding disorder – such as the development of the expanded PFD Alliance. Jaclyn also manages Feeding Matters' strategic partnerships with numerous professional associations including American Speech-Language-Hearing Association (ASHA), American Society of Parenteral and Enteral Nutrition, and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN). What Did We Discuss? In this episode, Jaclyn and I discussed everything about pediatric feeding disorders — from signs and symptoms to navigating and overcoming PFDs. Jaclyn also shares her expertise on when to seek help, how feeding disorders can impact a child's development, and what treatment options are available. Here are several of the questions that we covered in our conversation: What are Pediatric Feeding Disorders (PFDs)?  Can you tell us a bit about your personal experience with PFDs?  How common are PFDs?  What should families know about PFDs?  What are the signs and symptoms of PFDs that parents should be aware of?  What myths or misconceptions do you often encounter about picky eaters versus feeding disorders? How can a parent know when it's time to get their child evaluated for “picky eating”? Is there a connection between feeding disorders and developmental delays? How can parents advocate for their children when seeking help for feeding challenges? What does treatment for a PFD look like?  What advice do you have for parents feeling overwhelmed by their child's feeding challenges and looking for support? If you think your child's mealtime struggles go beyond picky eating, this episode is a must-listen. Jaclyn shares expert insights to help parents feel more confident in identifying and addressing Pediatric Feeding Disorders. Listen now, and don't forget to share this episode with a fellow parent who may need this information! Jaclyn's Resources Website: FeedingMatters.org Instagram: @feedingmatters Facebook: @feedingmatters Mentioned in the episode: Family Guide to Pediatric Feeding Disorder Thank you for listening to our podcast. Cheers to finding the best way to nourish your children! Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, hosts Drs. Peter Lu and Jason Silverman talk to Dr. Rima Fawaz about the role of GLP-1 receptor agonists in the treatment of children and adolescents with metabolic dysfunction-associated steatotic liver disease or MASLD (the artist formerly known as non-alcoholic fatty liver disease or NAFLD). We discuss what these medications do, what we know about their positive and negative effects, and how we should be using them based on the current literature. Dr. Fawaz is Medical Director of Pediatric Hepatology and Liver Transplantation at Yale New Haven Children's Hospital and Associate Professor at Yale School of Medicine.Learning Objectives:Understand the therapeutic and potential adverse effects of GLP-1 receptor agonists.Recognize that the foundation of obesity and MASLD treatment remains lifestyle changes focused on diet and exercise.Recognize the role that GLP-1 receptor agonists will play in our care for children and adolescents with obesity and MASLD.Links:Abou Jaoudeh RAR, et al. Pharmacological management of pediatric metabolic dysfunction-associated liver disaese. J Pediatr Gastroenterol Nutr. 2025.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this new episode Drs. Jason Silverman and Temara Hajjat sit down with Dr. Michael Dolinger to review intestinal ultrasound and how it will transform how we care for children with inflammatory bowel disease.Michael Dolinger, MD, is the Director of Pediatric Inflammatory Bowel Disease and an Assistant Professor of Pediatrics at NYU Grossman School of Medicine. During his fellowship training, Dr. Dolinger became the first gastroenterology fellow in the United States to be trained and certified to perform intestinal ultrasound for inflammatory bowel disease activity monitoring. He has co-founded the Intestinal Ultrasound Group of the United States and Canada (iUSCAN) and now leads global training, education, and research efforts on the use of intestinal ultrasound as a non-invasive monitoring tool in inflammatory bowel disease care.Learning objectivesReview the role for intestinal ultrasound in the diagnosis and monitoring of inflammatory bowel disease in children including its strengths and weaknesses.Discuss the training path to certification in intestinal ultrasound.Review strategies and considerations for integrating intestinal ultrasound into pediatric gastroenterology clinics.Episode linksIUS as a pre-screening tool in clinical trials IUS guide to billing and credentialing IUS to predict endoscopic healing in children with CDiUSscan.orgSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Guest: Dr. Richard Noel, MDEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=The-Medical-Domain-of-Pediatric-Feeding-DisorderIn this episode, Dr. Richard Noel joins the discussion to shed light on Pediatric Feeding Disorder (PFD) and its medical domain. Dr. Noel shares his journey to becoming a pediatric GI specialist and explores the critical components of managing PFD. Key topics include the importance of growth and nutrition, management of upper GI tract issues, and the significance of airway and lung concerns. Dr. Noel also addresses common misconceptions about reflux in infants and the use of various appetite stimulants such as ciproheptadine and mirtazapine. Viewers will gain valuable insights into constipation management, the role of scheduled toileting, and the importance of multidisciplinary care in treating PFD. The conversation underscores the need for better medical understanding and care strategies for children with PFD.Timeline:00:00 Introduction and Guest Welcome01:41 Journey to Becoming a Pediatric Gastroenterologist05:32 Understanding Pediatric Feeding Disorders06:51 Medical Domain of PFD: Key Considerations08:24 Addressing Nutritional Concerns14:17 Managing Constipation in PFD21:39 Behavioral Strategies for Feeding23:36 Family Involvement in Feeding Therapy26:04 Family Routines and Feeding Therapy26:47 Medications for Appetite Stimulation27:03 Ciproheptadine: Uses and Effects31:18 Mirtazapine: An Appetite Stimulant34:49 Megastrol: A Powerful Appetite Stimulant37:07 Managing GI Issues in Children38:03 Reflux and Vomiting in Infants43:09 Cyclical GI Disorders: Abdominal Migraines and More47:20 The Role of Multidisciplinary Teams in Pediatric Care48:56 Challenges in Pediatric Feeding Disorder Education53:46 Advocacy and Access to Multidisciplinary CareAbout the Guest: Dr. Richard Noel was born in Mexico City and grew up in San Antonio, TX. He has MD/PhD degrees from the University of Texas Southwestern Medical Center in Dallas and did a residency in Pediatrics at Wake Forest University in NC. He trained in Pediatric Gastroenterology at Cincinnati Children's Hospital Medical Center, where he developed an interest in working with children with pediatric feeding disorders. He worked for 10 years at the Children's Hospital of Wisconsin with Dr. Colin Rudolph and then transitioned to Duke University, where is currently Division Chief for Pediatric Gastroenterology, Hepatology, and Nutrition.Watch this Interview on YouTube: https://youtu.be/NVGPdIzfobs

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Dr. Margaret Collins, a professor of pathology at the University of Cincinnati and a staff pathologist at Cincinnati Children's Hospital Medical Center. Dr. Collins was a member of the task force that produced the Guidelines on Childhood EGIDs Beyond EoE. In this interview, Dr. Collins discusses the guidelines and how they were created and shares some of the results, including an algorithm for diagnosing non-EoE EGIDs. She shares why she specialized in EGIDs and what her hopes are for the future development of the guidelines. Disclaimer: The information provided in this podcast is designed to support, not replace the relationship that exists between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:49] Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron, and co-host, Holly Knotowicz.   [1:13] Holly introduces today's topic, guidelines for childhood eosinophilic gastrointestinal disorders (EGIDs) beyond eosinophilic esophagitis (EoE).   [1:27] Holly introduces today's guest, Dr. Margaret Collins, a professor of pathology at the University of Cincinnati and a staff pathologist at Cincinnati Children's Hospital Medical Center.   [1:38] Dr. Collins specializes in the pathology of pediatric gastrointestinal disease, especially EGIDs, and is a central pathology reviewer for the Consortium of Eosinophilic Gastrointestinal Researchers (CEGIR), as well as a member of APFED's Health Sciences Advisory Council.   [2:11] As a pathologist, Dr. Collins examines biopsies microscopically. For EGIDs, she determines the peak count of eosinophils per high-power field, or reports the numbers of eosinophils in multiple high-power fields, and analyzes the tissue for additional abnormalities.   [2:33] Dr. Collins then issues a report that becomes part of the patient's medical record and is provided to the patient's doctor.   [2:41] The biopsies Dr. Collins examines may be the first biopsies for a diagnosis, or follow-up biopsies to determine response to therapy, or as part of ongoing monitoring to determine if inflammation has returned even if the patient has no symptoms.   [3:07] Dr. Collins was inspired to specialize in EGIDs after speaking with patients with EGIDs. She used to give tours of the pathology lab at Cincinnati Children's Hospital. She met affected children and their caregivers. Their courage and gratitude moved her.   [3:43] Ryan mentions the wonderful patients and their families in the APFED community. Holly says that as a patient, it's fascinating to meet a pathologist. Pathologists are generally behind the scenes.   [4:42] Dr. Collins specializes in GI pathology, including eosinophilic-related conditions in the GI tract. EoE, eosinophilic gastritis, eosinophilic enteritis, and eosinophilic colitis.   [5:16] In January 2024, “Guidelines on Childhood EGIDs Beyond EoE” were published in the Journal of Pediatric Gastroenterology and Nutrition. Dr. Collins served on the task force that prepared the guidelines.   [5:35] Non-EoE EGIDs affect all sites of the GI tract except the esophagus. All sites of the GI tract except the esophagus normally have eosinophils in the mucosa, which complicates the diagnosis.   [6:03] Like EoE, the diagnosis of non-EoE EGIDs is made after known causes of tissue eosinophilia are excluded.   [6:28] Consensus guidelines help bring attention to best practices and encourage uniformity of practices.    [6:50] This is especially important for rare diseases and for centers that see fewer patients with rare diseases than the more specialized centers. Guidelines based on the best information available help these centers.   [8:03] The best distribution of guidelines is to publish them in the medical literature and sometimes in multiple journals to target audiences of allergists, gastroenterologists, and pathologists. Guidelines may be presented at national meetings to increase awareness.   [8:36] Several specialties are involved in the care of patients who have EGIDs. If patients or caregivers learn of published guidelines, they can also inform their providers.   [9:23] Insurance is a big issue for so many patients. Getting coverage for both diagnostic and treatment options can be complex.    [9:50] The guidelines may be helpful to insurance companies to accept that a certain drug is needed by a patient with a certain condition. However, if the sequence suggested in the guidelines is not followed, there may be difficulty getting coverage in the U.S.   [11:11] Patients can advocate for themselves with insurance companies by explaining that the order of testing is not important but getting the recommended tests done is important.    [11:55] The greatest challenge the task force faced was the lack of large clinical studies and quality research reports. We're making progress in this field but we're at the beginning. Dr. Collins is hopeful that progress will be made in the next two to three years.   [12:24] When there were knowledge gaps, the task force filled them in with their published research and their own experiences. It's always reassuring to have a well-conducted clinical study that verifies that your thinking is correct.   [13:29] How long did it take the task force to create these guidelines? Longer than they wanted it to take! The years they put into composing these guidelines were greater due to the interruption caused by the [COVID] pandemic. They all felt good when they finished.   [14:18] The guidelines were written by 26 authors from five continents. These are international guidelines.   [14:44] Dr. Collins highlights the pathology. The guidelines state that non-EoE EGIDs should be considered clinicopathologic diagnoses, as EoE is, meaning that biopsies from the affected site in the bowel must show excess eosinophils.   [15:10] The guidelines, for the first time, recommend threshold eosinophil values for a diagnosis in the parts of the GI tract other than the esophagus. For a diagnosis of EoE, a threshold value of greater than or equal to 15 eosinophils per high-power field.    [15:36] The guidelines now recommend that for a diagnosis of eosinophilic gastritis, a threshold value of greater than or equal to 30 eosinophils per high-power field is present.   [15:48] For a diagnosis of eosinophilic duodenitis, a threshold value of greater than or equal to 50 eosinophils per high-power field. For a diagnosis of eosinophilic ileitis, a threshold value of greater than or equal to 60 eosinophils per high-power field.   [16:03] For a diagnosis of eosinophilic colitis in the right colon, a threshold value of greater than or equal to 100 eosinophils per high-power field. For a diagnosis of eosinophilic colitis in the transverse and descending colon, a threshold value of greater than or equal to 80 eosinophils per high-power field. [16:12] For a diagnosis in the rectosigmoid, a threshold of greater than or equal to 60 eosinophils per high-power field.   [16:18] These numbers may change over time. One or more thresholds will likely change as we gain more experience with these diseases. The pattern won't change.   [16:29] Several studies have shown that the normal pattern of eosinophil presence in the mucosa in the GI tract is that the number increases from the stomach to the right colon and then decreases throughout the colon to the rectosigmoid.   [17:40] When giving tours of the hospital, Dr. Collins found that people understood better when they knew the numbers and could see the slides of their biopsies.   [18:48] Dr. Collins found literature reviews that suggested that the GI mucosa was often normal in non-EoE EGIDs. She believes that in the next few years, as we publish more and gain more experience, we will realize that is not the case.   [19:14] There is already a method for scoring the mucosa in the stomach in eosinophilic gastritis (EoG) and there are abnormalities found in a majority of patients. We have to work on the rest of the GI tract.   [19:35] Dr. Collins was surprised that there's not very good information about the use of proton pump inhibitors (PPIs) in eosinophilic gastritis and eosinophilic duodenitis. There haven't been studies about that. We need to work on that, too.   [20:47] Dr. Collins isn't sure we can recognize misconceptions about non-EoE EGIDs at this point. It might be premature to label any belief as a misconception. We thought that eosinophils were responsible for all symptoms in EoE, but we know now that is not true.   [21:10] Dr. Collins thinks we need to wait a bit before we decide that we know for sure all about non-EoE EGIDs. Ryan is excited to learn what the research will show us next.   [21:44] Holly loved learning about the algorithm in the guidelines.   [22:01] Dr. Collins says this is the first effort to create uniformity in the way in which non-EoE EGIDs are diagnosed. This algorithm can change over time. It provides signposts for the diagnosis, based on the information we have currently.   [22:20] The diagnosis of non-EoE EGIDs should rest on symptoms and the detection of dense eosinophilic inflammation in the mucosa by biopsy and the absence of evidence of other diseases, such as parasitic and other diseases, that might cause dense eosinophilic inflammation in the GI tract.   [22:46] The algorithm suggests that the particular anatomic site or sites in the GI tract responsible for the symptoms should be determined, for example, eosinophilic gastritis or eosinophilic colitis.   [23:03] The algorithm also suggests that the involved part of the wall in the involved anatomic site should be identified.   [23:13] For example, if the symptoms are suggestive of mucosal disease, without deeper mural or wall involvement, the clinical investigation can proceed directly to endoscopy.   [23:26] However, if symptoms suggest partial or complete bowel obstruction, which is typical of deep muscular involvement, then imaging studies should be considered before proceeding to endoscopy, to confirm or refute that there is a bowel obstruction.   [23:47] If the obstruction is identified, a full-thickness biopsy of the bowel wall may be indicated, possibly requiring a non-endoscopic surgical procedure. If obstruction is not identified, then the investigation can proceed to endoscopy.   [24:05] If there is abdominal distension, suggestive of fluid accumulation, consideration should be given to sampling the fluid, using a needle to pull some fluid out to determine if there are numerous eosinophils in the fluid that would indicate eosinophilic ascites, with the eosinophilic inflammation involving the outer lining of the bowel wall.   [24:41] The signposts are a little involved. They are a reasonable way to approach working up a diagnosis of non-EoE EGIDs.   [25:34] How is EoE ruled out before using this algorithm? It's sometimes difficult to distinguish symptoms that are relevant only to the esophagus and symptoms that are relevant only to the stomach.   [26:26] Someone with upper tract symptoms only will have an upper tract endoscopy, especially if that person has mucosal symptoms that seem to be relevant to the mucosa only. The best thing is to take biopsies of the esophagus, stomach, and duodenum to be sure where the eosinophil infiltrate is.   [27:06] If the person has lower tract involvement only, such as diarrhea and lower abdominal pain, and no upper tract symptoms, a transnasal endoscopy could be used to determine if there is EoE in addition to the non-EoE EGIDs. Each case is different.   [29:12] As a pathologist, Dr. Collins has seen the guidelines for treating eosinophilic conditions evolve. They've become more specific as our knowledge of the data concerning the disease has increased. PPIs are now considered a treatment for EoE.   [30:12] Dr. Collins says we need clinical trials testing therapies in children and adults with non-EoE EGIDs. We need to determine which patients have single-site disease and will only have single-site disease, and which patients may develop multi-site EGIDs.   [30:42] Those aspects will be addressed in the next version of CEGIR, if it's funded.   [30:49] Ryan tells Dr. Collins it's been fantastic having her on the show. This has been a good overview of non-EoE EGIDs and the new methods clinicians are looking into to help people get a better diagnosis and treatment.   [31:11] Dr. Collins says we don't have validated instruments yet to measure symptoms, evaluate the mucosa, and evaluate the biopsies under the microscopes. We need to create those validated tools to help us determine the significance of our findings.   [31:31] Some data strongly suggest that eosinophilic colitis is different from the rest of the EGIDs; certainly from the upper tract EGIDs. We need to move more deeply into what eosinophilic colitis actually is.   [32:05] For our listeners, feel free to check out the article we've been mentioning in the show notes. We'll include a link to it.   [32:11] For those of you who would like to learn more about eosinophilic disorders, please visit APFED.org and check out the links in the show notes.   [32:18] If you're looking to find a specialist who treats eosinophilic disorders, we encourage you to use APFED's Specialist Finder at APFED.org/specialist.   [32:27] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at APFED.org/connections.   [32:36] Ryan thanks Dr. Collins for joining us today for this great conversation. Holly also thanks APFED's Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron for supporting this episode.   Mentioned in This Episode: Margaret H. Collins, M.D., A.G.A.F., Director, Gastrointestinal Pathology Division of Pathology ML 1035 Cincinnati Children's Hospital Medical Center “Guidelines on Childhood EGIDs Beyond EoE,” Journal of Pediatric Gastroenterology and Nutrition.   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of Bristol Myers Squibb, GSK, Sanofi, and Regeneron.   Tweetables:   “The best distribution of guidelines is accomplished by publishing them in the medical literature; sometimes in multiple journals to target audiences of allergists, gastroenterologists, and pathologists.” — Dr. Margaret H. Collins    “Guidelines may be helpful to insurance companies to accept that a certain drug is needed by a patient with a certain condition.” — Dr. Margaret H. Collins    “It's always reassuring to have a well-conducted clinical study that verifies that your thinking is correct.” — Dr. Margaret H. Collins    “This is the first effort to create uniformity in the way in which non-EoE EGIDs are diagnosed. This algorithm can change over time. It provides signposts for the diagnosis, based on the information we have currently.” — Dr. Margaret H. Collins   “We don't have validated instruments yet to measure symptoms [for non-EoE EGIDs], evaluate the mucosa, and evaluate the biopsies under the microscopes. We need to create those validated tools to help us determine the significance of our findings.” — Dr. Margaret H. Collins  

I always get excited to speak with a guest who can fill in some of the blanks in my knowledge about food insecurity for Celiacs in Canada. I work with Celiac Canada to help educate foodbanks to be able to serve our community better. Dr. Diana Mager and her team at the University of Alberta have, in the past, taken a great interest in the nutritional needs of celiac children in Canada (Podcast Episode 292 - https://bit.ly/Ep292CeliacKidsFoodGuide). More recently Dr. Mager and her team have completed a cross-Canada survey of families to determine the food insecurity issues in families with celiac children. Her article was recently published in the Journal of Pediatric Gastroenterology and Nutrition and even made the front cover! You can read the abstract here - https://pubmed.ncbi.nlm.nih.gov/39467010/ Given the causes we know for food insecurity, Dr. Mager was able to identify other issues that were making it difficult for families to maintain a healthy gluten free diet for their celiac children. You can follow Dr. Mager and her team on Instagram @conquer_celiac. Sue's Websites and Social Media – Podcast https://acanadianceliacpodcast.libsyn.com Podcast Blog – https://www.acanadianceliacblog.com Email – acdnceliacpodcast@gmail.com Celiac Kid Stuff – https://www.celiackidstuff.com Baking Website – https://www.suesglutenfreebaking.com Instagram - @suesgfbaking YouTube - https://www.youtube.com/playlist?list=PLUVGfpD4eJwwSc_YjkGagza06yYe3ApzL Email – sue@suesglutenfreebaking.com

I always get excited to speak with a guest who can fill in some of the blanks in my knowledge about food insecurity for Celiacs in Canada. I work with Celiac Canada to help educate foodbanks to be able to serve our community better. Dr. Diana Mager and her team at the University of Alberta have, in the past, taken a great interest in the nutritional needs of celiac children in Canada (Podcast Episode 292 - https://bit.ly/Ep292CeliacKidsFoodGuide). More recently Dr. Mager and her team have completed a cross-Canada survey of families to determine the food insecurity issues in families with celiac children. Her article was recently published in the Journal of Pediatric Gastroenterology and Nutrition and even made the front cover! You can read the abstract here - https://pubmed.ncbi.nlm.nih.gov/39467010/ Given the causes we know for food insecurity, Dr. Mager was able to identify other issues that were making it difficult for families to maintain a healthy gluten free diet for their celiac children. You can follow Dr. Mager and her team on Instagram @conquer_celiac. Sue's Websites and Social Media – Podcast https://acanadianceliacpodcast.libsyn.com Podcast Blog – https://www.acanadianceliacblog.com Email – acdnceliacpodcast@gmail.com Celiac Kid Stuff – https://www.celiackidstuff.com Baking Website – https://www.suesglutenfreebaking.com Instagram - @suesgfbaking YouTube - https://www.youtube.com/playlist?list=PLUVGfpD4eJwwSc_YjkGagza06yYe3ApzL Email – sue@suesglutenfreebaking.com

In this episode, hosts Drs. Temara Hajjat and Jenn Lee talk to Dr. David Vitale about EUS and ERCP indications in patients with acute pancreatitis and pancreatitis complications. Dr. Vitale is a pediatric gastroenterologist, the director of the interventional endoscopy center at Cincinnati Children's Hospital and Medical Center, and an Assistant Professor at the University of Cincinnati School of Medicine.  Learning Objectives:Understanding the indications of ERCP and EUS in acute pancreatitis Understand the indications of ERCP and EUS in pancreatitis complications Recognize the possible risks of EUS and ECRP in childrenSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: www.speechtherapypd.com/course?name=Feeding-Matters-Leading-the-Way-for-ARFID-and-PFDIn the first episode of 2025, Michelle is joined by Jaclyn Pederson, MHI, CEO of Feeding Matters, and William Sharp, PhD, Director of Children's Multidisciplinary Feeding Program (Atlanta, GA) and Professor at Emory University School of Medicine, to lay the foundation for a year of combining passion, advocacy, and learning. These guests share their expertise and highlights from a recent journal publication on how the diagnoses of “Pediatric Feeding Disorder” and “Avoidant Restrictive Feeding Intake Disorder” are individualistic while simultaneously overlapping to capture the unique needs of the little ones on our caseloads. Additionally, they share practical insight into the roles and responsibilities of various team members, such as the SLP and the psychologist, in evaluating and treating these little ones as part of an interprofessional practice team.About the Guests: Jaclyn Peterson, MHI: With more than a decade of experience in program development, Jaclyn Pederson's broad knowledge of programming in the public and social sectors includes program and strategic initiative design, fund development, special events, grant writing, and community engagement. A system thinker and positive team builder, she uses transformational leadership principles to develop energized and efficient workgroups that influence significant organizational and systemic change for all affected by pediatric feeding disorder –such as the development of the expanded PFD Alliance. Jaclyn also manages Feeding Matters' strategic partnerships with numerous professional associations, including the American Speech-Language-Hearing Association (ASHA), the American Society of Parenteral and Enteral Nutrition, and the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN).William Sharp, PhD is a clinical psychologist and professor in the department of pediatrics at Emory University School of Medicine. He is also the Director of Children's Healthcare of Atlanta's Multidisciplinary Feeding Program. In this role, Dr. Sharp leads a team of professionals that includes psychologists, physicians, speech-language pathologists, and dietitians who evaluate and treat children with pediatric feeding disorder and avoidant restrictive food intake disorder (ARFID). His research interest focuses on identifying the cause, consequences, and treatment of chronic food refusal in pediatric populations. His most recent work involves developing and evaluating a training curriculum for therapists to deliver a manual-based intervention for food selectivity - or extremely narrow dietary in children with ARFID.Hosted by: Michelle Dawson MS, CCC-SLP, CLC, BCS-SWatch the full video interview on YouTube: https://www.youtube.com/@speechtherapypd

On this week's Faculty Factory Podcast, we're featuring clips and snippets from some of the best leadership conversations we've had over the six-year lifespan of this show.    This is part two of a three-part best of the Faculty Factory series on leadership discussions. You can catch up on the first part here: https://facultyfactory.org/conversations-on-leadership/ As a friendly programming reminder, we will be back on January 3, 2025, with a brand-new episode of the Faculty Factory Podcast!  This week's “Best of” show includes highlights, snippets and clips from the following episodes (appearing in order): A Leadership Roadmap for Faculty with Jennifer Lee, MD Key Factors to Consider When Shifting to a New Leadership Role with Maria Oliva-Hemker, MD Identifying (and Fixing) Where Faculty Struggle with Leadership with Kathy Forbush MBA and MS About Our Guests Jennifer Lee, MD Dr. Lee serves as Professor of Anesthesiology and Critical Care Medicine (ACCM) and Pediatrics. She is also Associate Vice-Chair for Faculty Affairs and Development in ACCM with Johns Hopkins Medicine. Maria Oliva-Hemker, MD Dr. Oliva-Hemker currently serves as the Vice Dean for Faculty at the Johns Hopkins University School of Medicine. She is the Stermer Family Professor of Pediatric Inflammatory Bowel Disease (IBD) and Director of the Division of Pediatric Gastroenterology, Hepatology and Nutrition at the Johns Hopkins Children's Center. Simply put, without Dr. Oliva-Hemker's support this podcast wouldn't be possible. We sincerely thank her for that continued support of our podcast, this companion website, and all its resources. Kathy Forbush MBA and MS Kathy is the Executive Director for HR-Talent Management at Johns Hopkins University, and in this role is responsible for leading the talent acquisition, learning and organization development functions for the entire university. Kathy has spent over 20 years working in HR, Learning, and Organization Development roles with clients of various functional disciplines in diverse organizations and industries.

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Ann Ming Yeh about non-pharmacological treatment for children and adolescents with chronic abdominal pain and nausea, including lifestyle modification, herbal supplements, and acupuncture. Dr. Yeh is a pediatric gastroenterologist at Lucile Packard Children's Hospital and Clinical Professor at Stanford University.Learning Objectives:Understand the definition of integrative health.Recognize herbal supplements that can help children with chronic abdominal pain and nausea.Recognize the role of acupuncture for children with chronic abdominal pain and nausea.Links:Natural Medicine Database: https://naturalmedicines.therapeuticresearch.com/CHOP Integrative Health Resources: https://www.chop.edu/centers-programs/integrative-health/resources National Pediatric Hypnosis Training Institute (NPHTI): https://www.nphti.org/Helms Medical Institute: https://hmieducation.com/Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In our first ever Spanish episode, guest hosts Dr. Jose Garza and Dr. Rosalyn Diaz talk to Dr. Marina Orsi about cow's milk protein intolerance -- and the upcoming World Congress of Pediatric Gastroenterology, Hepatology, and Nutrition in Buenos Aires, Argentina!Bienvenidos al primer episodio de Bowel Sounds en español. En este episodio, los anfitriones, Dr. José Garza y Dra. Rosalyn Díaz, conversan con la Dra. Marina Orsi sobre intolerancia a las proteínas de la leche de vaca en los lactantes. Discutiremos la presentación más común de esta condición, estrategias de evaluación y tratamiento, además de qué hacer si la intervención inicial falla. Aprovecharemos para entusiasmarlos a todos e invitarlos al World Congress en Argentina este próximo mes de diciembre.La Dra. Marina Orsi, es jefa del Servicio de Gastroenterología-Hepatología y Trasplante Hepato-intestinal Pediátrico del Hospital Italiano de Buenos Aire, y actual presidenta de FISPGHAN, Federación Internacional de Sociedades de Hepatología, Gastroenterología y Nutrición Pediátrica. Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

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

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Lusine Ambartsumyan about caring for children with refractory functional constipation. We discuss the evaluation and treatment of both children and infants with constipation that continues despite usual treatment with education, behavioral strategies, and stool softeners/laxatives.Dr. Ambartsumyan is a pediatric gastroenterologist and Director of Gastrointestinal Motility at Seattle Children's as well as Associate Professor at the University of Washington School of Medicine.  She is an internationally-recognized expert on pediatric constipation.Learning Objectives:Understand the importance of and proper technique for the physical examination of a child or infant with refractory constipation.Understand the indications for anorectal and colonic manometry testing in children with refractory constipation.Recognize the treatment options available for refractory constipation in children.Support the showThis episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

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

Welcome to The Peds NP Acute Care Faculty series! This series was created and peer-edited by national leaders in acute care PNP education collaborating with one another to meet the needs of our future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.    *This is the second episode in a 2 part series on enteral feeding. Listen to Episode 75: Malnutrition and Feeding Tube Selection first.   This episode walks through the decision-making for which enteral formula to select based on the patient's age, protein needs, and GI function. A list of commercially available examples is listed for each age group and protein type. Fluid and caloric goals are discussed to determine if concentrated formulas are appropriate. Lastly, the process of starting continuous feeds and advancing to bolus feeds while assessing for tolerance is reviewed. Build functional skills by following along with a case study that is continued from the prior episode. It's proof that there's more than just formula that goes into tube feedings.   Authors: Becky Carson, DNP, APRN, CPNP-PC/AC, Jessica D. Murphy, DNP, CPNP-AC, CPHON, CNE, & Marian Malone, DNP, APRN, CPNP-AC/PC   References: Bechtold, M. L., Brown, P. M., Escuro, A., Grenda, B., Johnston, T., Kozeniecki, M., Limketkai, B. N., Nelson, K. K., Powers, J., Ronan, A., Schober, N., Strang, B. J., Swartz, C., Turner, J., Tweel, L., Walker, R., Epp, L., & Malone, A. (2022). When is enteral nutrition indicated? Journal of Parenteral and Enteral Nutrition, 46(7), 1470–1496. https://doi.org/10.1002/jpen.2364 Becker, P., Carney, L. N., Corkins, M. R., Monczka, J., Smith, E., Smith, S. E., Spear, B. A., & White, J. V. (2014). Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition. Nutrition in Clinical Practice, 30(1), 147–161. https://doi.org/10.1177/0884533614557642 Green Corkins, K. (2015). Nutrition‐focused physical examination in pediatric patients. Nutrition in Clinical Practice, 30(2), 203–209. https://doi.org/10.1177/0884533615572654 Hess, L., & Crossen, J. (2008). Pediatric Nutrition Handbook (3rd ed.). Cincinnati Children's. Mehta, N. M., Skillman, H. E., Irving, S. Y., Coss-Bu, J. A., Vermilyea, S., Farrington, E. A., McKeever, L., Hall, A. M., Goday, P. S., & Braunschweig, C. (2017). Guidelines for the provision and assessment of Nutrition Support Therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. Pediatric Critical Care Medicine, 18(7), 675–715. https://doi.org/10.1097/pcc.0000000000001134 Panchal, A. K., Manzi, J., Connolly, S., Christensen, M., Wakeham, M., Goday, P. S., & Mikhailov, T. A. (2014). Safety of enteral feedings in critically ill children receiving vasoactive agents. Journal of Parenteral and Enteral Nutrition, 40(2), 236–241. https://doi.org/10.1177/0148607114546533 Yi, Dae Young. (2018). Enteral nutrition in pediatric patients. Pediatric Gastroenterology, Hepatology & Nutrition, 21(1), 12-19. http://doi.org/10.5223/pghn.2018.21.1.12

Welcome back to The Peds NP Acute Care Faculty series! This series was created and peer-reviewed by national leaders in acute care PNP education collaborating with one another to meet the needs of our current and future colleagues. In the push for competency-based education where faculty verify the skills of what a student can do, rather than their knowledge, our series focuses on the application of didactic content with a practical approach so that you can learn nuances of clinical skills before you reach the bedside.    This episode begins with a brief review of malnutrition and pediatric nutritional assessment in acute care settings. Next we begin a choose-your-own-nutrition adventure by asking a series of questions that aid in medical decision-making for which nutrition route is appropriate, and, if enteral feeding is best, then determines the type of tube indicated. A case-based discussion with examples helps you to apply the concepts to a complex scenario. Our next episode will focus on formula selection, the initiation of feeds, and assessment of tolerance.   Authors: Becky Carson, DNP, APRN, CPNP-PC/AC, Jessica D. Murphy, DNP, CPNP-AC, CPHON, CNE, & Marian Malone, DNP, APRN, CPNP-AC/PC   References: Bechtold, M. L., Brown, P. M., Escuro, A., Grenda, B., Johnston, T., Kozeniecki, M., Limketkai, B. N., Nelson, K. K., Powers, J., Ronan, A., Schober, N., Strang, B. J., Swartz, C., Turner, J., Tweel, L., Walker, R., Epp, L., & Malone, A. (2022). When is enteral nutrition indicated? Journal of Parenteral and Enteral Nutrition, 46(7), 1470–1496. https://doi.org/10.1002/jpen.2364 Becker, P., Carney, L. N., Corkins, M. R., Monczka, J., Smith, E., Smith, S. E., Spear, B. A., & White, J. V. (2014). Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition. Nutrition in Clinical Practice, 30(1), 147–161. https://doi.org/10.1177/0884533614557642 Green Corkins, K. (2015). Nutrition‐focused physical examination in pediatric patients. Nutrition in Clinical Practice, 30(2), 203–209. https://doi.org/10.1177/0884533615572654 Hess, L., & Crossen, J. (2008). Pediatric Nutrition Handbook (3rd ed.). Cincinnati Children's.  Mehta, N. M., Skillman, H. E., Irving, S. Y., Coss-Bu, J. A., Vermilyea, S., Farrington, E. A., McKeever, L., Hall, A. M., Goday, P. S., & Braunschweig, C. (2017). Guidelines for the provision and assessment of Nutrition Support Therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. Pediatric Critical Care Medicine, 18(7), 675–715. https://doi.org/10.1097/pcc.0000000000001134 Panchal, A. K., Manzi, J., Connolly, S., Christensen, M., Wakeham, M., Goday, P. S., & Mikhailov, T. A. (2014). Safety of enteral feedings in critically ill children receiving vasoactive agents. Journal of Parenteral and Enteral Nutrition, 40(2), 236–241. https://doi.org/10.1177/0148607114546533 Yi, Dae Young. (2018). Enteral nutrition in pediatric patients. Pediatric Gastroenterology, Hepatology & Nutrition, 21(1), 12-19. http://doi.org/10.5223/pghn.2018.21.1.12

In a special bonus episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jason Silverman talk to the two candidates for the current election for NASPGHAN president, Dr. Jeannie Huang and Dr. Maria Oliva-Hemker.  Instead of our usual format of reviewing a medical topic, we ask them to talk a little about themselves, the role NASPGHAN has played in their careers, and their vision for the future of NASPGHAN.If you are a part of NASPGHAN, don't forget to vote!Support the Show.This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Are you emotionally intelligent? In this new episode Drs. Temara Hajjat and Jason Silverman sit down with Dr. Brian McFerron to review what emotional intelligence is, and how it applies to medical training, healthcare practitioners and everyone as individuals. We also discuss ways to improve and resources to consider.Dr. McFerron is the Director of the Fellowship Training Program for the Division of Pediatric Gastroenterology, Hepatology and Nutrition at Indiana University School of Medicine/Riley Hospital for Children. Dr. McFerron has clinical interest in pancreatic diseases and has been involved in clinical research involving acute recurrent and chronic pancreatitis, collaborating with colleagues nationally within the INSPPIRE consortium. He was awarded the NASPGHAN Terri Li Young Educator Award in 2022. Learning objectivesReview the components of emotional intelligence and how gaps in these components may presentDiscuss the importance of emotional intelligence in a variety of professional and personal domainsReview strategies for improving dimensions of emotional intelligence Episode linksLearning the Lasso WayHow to Use Emotional Intelligence as a Career CatalystAssessment of Medical Students' Emotional Intelligence Emotional Intelligence and Academic Performance in First and Final Year Medical StudentsThe Best Leaders Aren't Afraid to be Vulnerable (HBR)The Power of Vulnerability (TED Talk by Brené Brown)Support the Show.This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Dr. Daniel Weiner is the Medical Director at the Pulmonary Function Laboratory, Co-Director at The Antonio J. and Janet Palumbo Cystic Fibrosis Center and Professor of Pediatrics at The University of Pittsburgh School of Medicine. Dr. Andrew Feranchak is the Chief of the Division of Pediatric Gastroenterology, Hepatology, and Nutrition at UPMC Children's Hospital of Pittsburgh. Learn about their research on Cystic Fibrosis

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

In this episode, hosts Drs. Peter Lu and Temara Hajjat talk to Dr. Tanaz Danialifar about diagnosing and treating disaccharidase deficiencies in children, including lactase deficiency and congenital sucrase-isomaltase deficiency (CSID). Dr. Danialifar is a pediatric gastroenterologist at Children's Hospital Los Angeles, where she is Associate Director of their Gastroenterology Fellowship Program, and an Assistant Professor at the Keck School of Medicine of USC.Learning Objectives:Recognize aspects of a child's clinical presentation that would raise concern for a disaccharidase deficiency.Understand the roles of the various diagnostic tests available for disaccharidase deficiencies.Understand the treatment and prognosis of disaccharidase deficiencies in children.Support the Show.This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Many with celiac disease often report feeling isolated, awkward, and disheartened as they navigate the world on a gluten-free diet. But the future is bright, and there are tools you can use to maneuver the social landscape and cope with the burden of a chronic illness. In this Town Hall celebrating both Celiac Awareness Month and Mental Health Awareness Month, Dr. Anava Wren discusses her work on the social and psychological impacts of celiac disease, and shares her top tips for combatting that isolation. Dr. Wren is a pediatric celiac psychologist and Clinical Associate Professor in the Division of Pediatric Gastroenterology at Stanford University Medical Center. She is also the Director of the GI Psychosocial Services & IBD/Celiac Psychological Health Programs. She has been a leader in Stanford Medicine Children's Health Center for IBD and Celiac Disease since it was founded in 2020. This Town Hall is possible thanks to our sponsor, Crunchmaster. Crunchmaster crackers are made from simple, wholesome ingredients, and are certified gluten-free. Thank you Crunchmaster! To hear more episodes of Celiac Straight Talk, head to https://www.beyondceliac.org/news-events/podcast-series/.

In this episode, hosts Drs. Temara Hajjat and Peter Lu talk to Dr. Arun Singh about some of the challenges we face when caring for children with celiac disease. Dr. Singh is Co-Director and Research Program Director of the Center for Celiac Disease at the Children's Hospital of Philadelphia and an Assistant Professor in the Perelman School of Medicine at the University of Pennsylvania.Learning Objectives:Understand the latest gluten challenge recommendations to help facilitate celiac disease diagnosis.Recognize the differences between various celiac serologies.Recognize resources available to children diagnosed with celiac disease and their families.References:Gluten Challenge: Singh A, et al. A Clinician's Guide to Gluten Challenge. J Pediatr Gastroenterol Nutr. 2023 Dec 1;77(6):698-702. SAGE Guidelines: https://celiac.org/schoolmanagementplan/College Toolkit: https://www.beyondceliac.org/living-with-celiac-disease/school/info-for-college-students/https://www.beyondceliac.org/wp-content/uploads/2020/08/College-Toolkit.pdfSupport the Show.This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode,  hosts Drs. Temara Hajjat and Peter Lu talk to Dr. Maria Oliva-Hemker about diagnosing and managing Clostridioides difficile (C. diff) in children who have inflammatory bowel disease (IBD). Dr. Oliva-Hemker is the Director of the Division of Pediatric Gastroenterology, Hepatology, and Nutrition and the Stermer Family Professor for Pediatric IBD at the Johns Hopkins University School of Medicine. She is also the Vice Dean for Faculty and the Mary Wallace Stanton Professor for Faculty Affairs. Learning Objectives:Learn how to diagnose Clostridioides difficile, particularly when there is concern about a new IBD diagnosis.Learn how to manage C. diff infection in a patient with known IBD.Learn how to manage recurrent and refractory C. diff infection in a patient with IBD.Link: Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)AGA Clinical Practice Guideline on Fecal Microbiota–Based Therapies for Select Gastrointestinal DiseasesACG Clinical Guidelines: Prevention, Diagnosis, and Treatment of Clostridioides difficile InfectionsSupport the Show.This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

James E. Squires MD, MS, is a pediatric hepatologist and is certified in pediatric gastroenterology and advanced/transplant hepatology by the American Board of Pediatrics. He is an Associate Professor in Pediatrics and is the Associate Director of Hepatology and the Program Director for the Advanced/Transplant Hepatology Fellowship at the University of Pittsburgh School of Medicine. He received his medical degree from University of Texas in Galveston and completed his residency followed by his fellowships in Pediatric Gastroenterology and Advanced/Transplant Hepatology at Cincinnati Children's Hospital Medical Center.Dr. Maria Pliakas is a critical care fellow at the University of Michigan, she is interested in the way we can best sedate patients with acute liver failure as we bridge them to transplant. We are SO grateful that she reached out to us, and that she was able to recruit Dr. Squires for this episode. References:Hobby recommendation: https://www.platformtennis.org/Squires JE, Alonso EM, Ibrahim SH, Kasper V, Kehar M, Martinez M, Squires RH. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Diagnosis and Management of Pediatric Acute Liver Failure. J Pediatr Gastroenterol Nutr. 2022 Jan 1;74(1):138-158. doi: 10.1097/MPG.0000000000003268. PMID: 34347674.Squires JE, Rudnick DA, Hardison RM, Horslen S, Ng VL, Alonso EM, Belle SH, Squires RH. Liver Transplant Listing in Pediatric Acute Liver Failure: Practices and Participant Characteristics. Hepatology. 2018 Dec;68(6):2338-2347. doi: 10.1002/hep.30116. Epub 2018 Nov 1. PMID: 30070372; PMCID: PMC6275095.https://www.pedsalf.com/ Support the Show.How to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

Dr. Alessio Fasano, who is considered the world's leading expert in celiac disease and gluten-related disorders, returns for his second appearance on STEM-Talk. Although just 2 million Americans have celiac disease, an estimated 20 million Americans suffer from gluten sensitivity. Alessio is a professor and director of the Mucosal Immunology and Biology Research Center at Massachusetts General Hospital. In addition to celiac disease and gluten-related disorders, Alessio's research is also focused on the microbiome, intestinal permeability and autoimmune disorders, which he discussed in his first interview on STEM-Talk, episode 20. Since Alessio's first appearance on STEM-Talk in 2016, he has published two books, “Gluten Freedom” and “Gut Feelings: The Microbiome and Our Health,” which we discuss in today's interview. We also talk to Alessio about an exciting new project that's bringing together an international consortium of researchers and scientists for a long-term study that will follow infants who are genetically at risk of developing celiac. Alessio is a researcher and physician who wears many hats. He is the director of the Center for Celiac Research and Treatment and chief of the Division of Pediatric Gastroenterology and Nutrition at Mass General Hospital. He also is a professor of pediatrics at Harvard Medical School and a professor of nutrition at Harvard's T.H. Chan School of Public Health. Show notes: [00:03:58] Marcas opens the interview welcoming Alessio back to STEM-Talk, mentioning that since his last appearance he has written two books: Gluten Freedom and Gut Feelings: The Microbiome and Our Health. Marcas asks Alessio how he became interested in pediatrics and gastroenterology. [00:05:42] Ken mentions that Alessio moved to the U.S. in the 1990s and spent 20 years in Maryland at the Center for Vaccine Development in Baltimore. Ken goes on to mention that while Alessio was there, he founded The Center for Celiac Research in 1996, and in 2003, Alessio accepted an offer to join Massachusetts General Hospital. Ken asks how that move came about. [00:08:53] Marcas asks about Alessio's early career working on cholera, where he discovered the zonula occuldens toxin, the bacteria that causes cholera. Marcas asks Alessio to talk about this finding and the insights he gleaned from it. [00:16:03] Ken asks about Alessio's discovery of zonulin, which is the molecule that modulates gut permeability in humans. Ken asks Alessio to share how this discovery led him to investigate celiac disease, which is triggered by gluten. [00:20:25] Ken asks Alessio what his thoughts are on why the medical community, historically, has not taken celiac disease seriously. [00:24:08] Marcas mentions that as we age, there is evidence that the gut becomes leakier, which is highly related to chronic inflammation. Marcas asks Alessio whether this happens to the gut over time due to diet and lifestyle rather than the typical aging process. [00:28:45] Ken mentions that there has been an increase in the diagnosis of celiac disease. Ken asks Alessio if that is due to an actual increase in the prevalence of the disease, or is it tied to a growing appreciation that clinicians have now for the disease? [00:29:32] Marcas mentions that Alessio's book, Gluten Freedom, which he co-authored with his colleague Susie Flaherty, was referred to by the Celiac Disease Foundation as “a must have,” and “an excellent reference for those with gluten related disorders.” Marcas asks Alessio about this reception to his book. [00:31:24] Marcas mentions that the only viable treatment for individuals with celiac disease has been a gluten-free diet, with pharmaceutical companies having had little interest until recently in investigating the disease. Now there are more than 20 drug therapies in development for celiac. Marcas asks Alessio about the progress being made to develop pharmacological interventions for celiac.

James E. Squires MD, MS, is a pediatric hepatologist and is certified in pediatric gastroenterology and advanced/transplant hepatology by the American Board of Pediatrics. He is an Associate Professor in Pediatrics and is the Associate Director of Hepatology and the Program Director for the Advanced/Transplant Hepatology Fellowship at the University of Pittsburgh School of Medicine. He received his medical degree from University of Texas in Galveston and completed his residency followed by his fellowships in Pediatric Gastroenterology and Advanced/Transplant Hepatology at Cincinnati Children's Hospital Medical Center.Dr. Maria Pliakas is a critical care fellow at the University of Michigan, she is interested in the way we can best sedate patients with acute liver failure as we bridge them to transplant. We are SO grateful that she reached out to us, and that she was able to recruit Dr. Squires for this episode. References:Hobby recommendation: https://www.platformtennis.org/Squires JE, Alonso EM, Ibrahim SH, Kasper V, Kehar M, Martinez M, Squires RH. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Diagnosis and Management of Pediatric Acute Liver Failure. J Pediatr Gastroenterol Nutr. 2022 Jan 1;74(1):138-158. doi: 10.1097/MPG.0000000000003268. PMID: 34347674.Squires JE, Rudnick DA, Hardison RM, Horslen S, Ng VL, Alonso EM, Belle SH, Squires RH. Liver Transplant Listing in Pediatric Acute Liver Failure: Practices and Participant Characteristics. Hepatology. 2018 Dec;68(6):2338-2347. doi: 10.1002/hep.30116. Epub 2018 Nov 1. PMID: 30070372; PMCID: PMC6275095.https://www.pedsalf.com/ Support the Show.How to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

In this episode, hosts Drs. Peter Lu and Temara Hajjat talk to Dr. Jason Silverman about how social media can be used in pediatric gastroenterology for patient care, research, medical education, and professional development. Dr. Silverman is an Associate Professor in the Division of Pediatric Gastroenterology and Nutrition at Stollery Children's Hospital, where he is also the Program Director for the Pediatric Gastroenterology training program and co-lead for the CHildren's Intestinal Rehabilitation Program (CHIRP).He is also (of course) one of our podcast co-founders and hosts!Learning Objectives:Understand the need for pediatric gastroenterology providers to be active participants on social media and incorporate this participation in their patient education and advocacy efforts.Understand how individual researchers and academic journals can use social media to increase the impact of their peer-reviewed work on broader audiences and recognize that social media can be an important source of feedback, engagement, and cross-disciplinary interaction.Recognize that a strong societal social media presence will amplify the resources and messaging from our society for its members, our patients, and the public.Links:Silverman JA, Chugh A, Hollier JM, Martin N, Raghu VK, Rosas-Blum E, van Tilburg MAL, Venkataraman-Rao P, Venkatesh RD, Lu PL. Using social media for patient care, research, and professional development: A North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition position paper. J Pediatr Gastroenterol Nutr. 2024 Feb;78(2):414-427. doi: 10.1002/jpn3.12051.Support the Show.This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Michael Wilsey about the evaluation and management of esophageal strictures in children, including congenital strictures and those arising from eosinophilic esophagitis and caustic ingestions. Dr. Wilsey is an advanced endoscopist at Johns Hopkins All Children's Hospital in St. Petersburg, FL and is a Professor at the University of South Florida.Learning Objectives:Review the presentation, evaluation, and management of congenital esophageal strictures.Understand the diagnostic tools used in the evaluation of an esophageal stricture, including the utility of functional luminal imaging probe (FLIP) testing.Understand the treatment options used for esophageal strictures, including the different types of dilation and the role of steroid injections and stenting.Links:Laughrey M, Kidder M, Rivera D, Wilsey M, Karjoo S. Development of an esophageal stricture following paradichlorobenzene mothball ingestion. SAGE Open Med Case Rep. 2020 Nov 13;8:2050313X20974210. PMID: 33240502 Support the showThis episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

This episode of the Raising Celiac Podcast looks at best practices in biopsies for celiac disease. Historically, confirmatory biopsies were obtained from the distal duodenum only, rather than the duodenal bulb. However, researchers have observed that some patients with celiac disease have histopathologic mucosal changes limited to the duodenal bulb only. This subtype, called isolated bulb celiac disease, has been estimated to occur in up to 12% of individuals diagnosed with celiac. Thus, to improve the sensitivity of biopsies in diagnosis, updated pediatric and adult guidelines now recommend obtaining both duodenal bulb and distal duodenum biopsies. But how can delayed diagnosis be prevented in the future? Do endoscopists need to separate the biopsies into separate containers for pathology review? Does isolated blub celiac disease relate at all to the levels of ttg antibodies in the blood? We'll discuss this and more on this episode of Raising Celiac. Thank you to the Global Autoimmune Institute and the Celiac Disease Foundation for their support to make this podcast possible. References: Behl S, et al. The characteristics of isolated bulb celiac disease in children. Journal of Pediatric Gastroenterology and Nutrition. 2023;77:79.

Those with Down Syndrome are more likely to have Celiac Disease.A study in the Journal of Pediatric Gastroenterology and Nutrition 71(2):p 252-256, August 2020. | DOI: 10.1097/MPG.0000000000002742 identified a high (9.8%) prevalence of celiac disease in children with Down syndrome when routine screening practices were implemented in the Down syndrome clinic starting in 2011. Overall, 82% of these children with celiac disease were diagnosed by screening in the referral clinic. Without the practice of routine screening in the specialty clinic, the vast majority of cases would not have been detected in routine visits from primary care. In honor of World Down Syndrome Day on March 21st, please share this article with anyone you know who loves or cares for someone with Downs. Hosted on Acast. See acast.com/privacy for more information.

In this episode, hosts Drs. Peter Lu and Jason Silverman talk to Dr. Samuel Nurko about using neuromodulator medications like tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs) for children with functional abdominal pain disorders, now known as pain-predominant disorders of gut-brain interaction (DGBIs).  We discuss the rationale behind using these types of medications and how we can explain this rationale to families.  We also discuss how to choose the right medication for each patient and differences between medications.Dr. Nurko is Director of the Center for Motility and Functional Gastrointestinal Disorders at Boston Children's Hospital and Professor of Pediatrics at Harvard Medical School.Learning Objectives:Understand the role of neuromodulator medications in the management of children with pain-predominant DGBIs.Understand the rationale behind using these types of medications and how to explain this rationale to families.Recognize differences between neuromodulator medications and how to choose the right medication based on the clinical scenario.Links:Boston.com article on Dr. Nurko and the film Miracles from HeavenSupport the showThis episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Praveen Goday about evaluating and treating the child who is a picky eater or who has developed a pediatric feeding disorder.Dr. Goday is Professor of Pediatrics at The Ohio State University College of Medicine and Director of the Nutrition and Feeding Programs at Nationwide Children's Hospital.Learning Objectives:Define picky eating and pediatric feeding disordersRecognize clinical scenarios that should warrant additional workup such as labs, imaging, or endoscopyLearn practical tips to share with patients/families for children with picky eatingSupport the showThis episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In the this episode,  hosts Drs. Temara Hajjat and Peter Lu talk to Dr. Neha Santucci, an Associate Professor of Pediatrics and the Director of the Disorders of Gut-Brain Interaction Program at Cincinnati Children's. They discuss how to identify and manage functional abdominal pain in children with pre-existing organic GI disorders.  Learning Objectives:Learning how to diagnose functional abdominal pain  in patients with existing GI conditions Learning how to manage functional abdominal pain in patients with existing GI conditionsLearning when to utilize IB-Stim in patients with FAP.  Editor: Temara HajjatSupport the showThis episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Prebiotics! Probiotics! Symbiotics! Postbiotics! WHAT DOES IT ALL MEAN? Where are all of these "biotics" all living?? Well, the short answer is- they're living inside YOU! Talk about the human gut microbiome is everywhere. We thought it would be helpful to have our expert in gut health, Alessio Fasano, MD to give us insights on the microbiome, and how important it is to our health. You may remember Dr. Fasano from Episode 40- "Is Gluten Bad For Me?"! Dr. Alessio Fasano is a pediatric gastroenterologist, research scientist, and entrepreneur. He is the Chief of Pediatric Gastroenterology and Nutrition at Mass General Hospital for Children. Learn more about Dr. Fasano and his research about celiac disease, gluten sensitivity, and the microbiome here. Link to information on Dr. Fasano's book (with co-author Susie Flaherty) "Gut Feelings: The Microbiome and Our Health". Topics covered in this episode include: What is the gut microbiome? Why is it important? How does the gut microbiome work? What factors influence the composition of the gut microbiome? How can I improve my gut microbiome? What is the connection between the gut microbiome and digestion? Can the gut microbiome affect my mental health? Are there links between the gut microbiome and certain diseases? How can I measure or analyze my gut microbiome? Can I restore my gut microbiome after taking antibiotics? Is the gut microbiome different in individuals of different ages? Can I customize my diet for a healthier gut microbiome? What is the difference between prebiotics/probiotics/symbiotics and postbiotics? Thanks for tuning in, folks! and please sign up for our "PULSE CHECK" monthly newsletter! Signup is easy, right on our website page, and we PROMISE we will not spam you! We just want to send you cool articles, videos and thoughts :) For more episodes, limited edition merch, or to become a Friend of Your Doctor Friends (and more), follow this link! This includes the famous "Advice from the last generation of doctors that inhaled lead" shirt :) Also, CHECK OUT AMAZING HEALTH PODCASTS on The Health Podcast Network   Find us at: Website: yourdoctorfriendspodcast.com  Email: yourdoctorfriendspodcast@gmail.com  Connect with us: @your_doctor_friends (IG) Send/DM us a voice memo/question and we might play it on the show! @yourdoctorfriendspodcast1013 (YouTube) @JeremyAllandMD (IG, FB, Twitter) @JuliaBrueneMD (IG) @HealthPodNet (IG)

In the this episode,  hosts Drs. Temara Hajjat and Jenn Lee talk to Dr. Lisa McMahon,  Chair of Surgery at Phoenix Children's, and Dr. Michael Rosen, Director of the Stanford Center for Pediatric IBD and Celiac Disease at Stanford University.  They discuss managing and counseling a pediatric patient with ulcerative colitis and their family who may need colectomy and a J-pouch creation.Learning Objectives:Learning surgical management of pediatric patients with ulcerative colitis.Reviewing surgical options for patients with ulcerative colitis and how to council the patient and family prior to the operation.Learning the possible surgical complications of colectomy and pouch creation.  Editor: Temara HajjatThis episodeSupport the showAs always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In another special JPGN episode, hosts Drs. Jennifer Lee and Jason Silverman talk to Dr. Elizabeth Berg about a topic that has become a huge part of medical practice over the past few years – telemedicine. This is covered in the recent NASPGHAN position paper: North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Statement for Telehealth. This episode is eligible for CME credit!  Once you have listened to the episode, click this link to claim your credit.  Credit is available to NASPGHAN members (if you are not a member, you should probably sign up).  And thank you to the NASPGHAN Professional Education Committee for their review!Links for this episode:NASPGHAN Telehealth Position PaperCenter for Connected Health PolicyLearning Objectives:Understand the operational considerations for telemedicine including components of virtual visits and patient selection. Review logistical factors impacting telehealth including licensure, liability and reimbursement.Understand the positive impacts and potential limitations and inequities of telemedicine.Produced by: Jason SilvermanSupport the showAs always, 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 advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.