John Pohl - Cystic Fibrosis for Pediatric Gastroenterologists

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:

1. Understand the role of neuromodulator medications in the management of children with pain-predominant DGBIs.
2. Understand the rationale behind using these types of medications and how to explain this rationale to families.
3. 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 Heaven

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.

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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:

1. Define picky eating and pediatric feeding disorders
2. Recognize clinical scenarios that should warrant additional workup such as labs, imaging, or endoscopy
3. Learn practical tips to share with patients/families for children with picky eating

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.

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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:

1. Learning how to diagnose functional abdominal pain  in patients with existing GI conditions 
2. Learning how to manage functional abdominal pain in patients with existing GI conditions
3. Learning when to utilize IB-Stim in patients with FAP.  

Editor: Temara Hajjat

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 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 Medicine Children's Health Center for IBD and Celiac Disease.  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:

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 the first episode of 2024, hosts Drs. Temara Hajjat and Jason Silverman talk to Dr. William Balistreri about some of the new developments in the hepatology field over the past year. 

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:

1. Acute hepatitis of unknown etiology in children 
2. Gilbert's Syndrome
3. Emerging therapy for A-1-AT deficiency - Fazirsiran (1, 2 and 3)
4. Matrix metalloproteinase-7 (MMP-7) and biliary atresia
5. Methotrexate and the risk of liver disease (1, 2, 3, 4, and 5)
6. Warning from the FDA about the use of selective androgen receptor modulators (SARMS) among teens and young adults (also here and here)

Learning Object

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 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:

1. NASPGHAN Telehealth Position Paper
2. Center for Connected Health Policy

Learning Objectives:

1. Understand the operational considerations for telemedicine including components of virtual visits and patient selection. 
2. Review logistical factors impacting telehealth including licensure, liability and reimbursement.
3. Understand the positive impacts and potential limitations and inequities of telemedicine.

Produced by: Jason Silverman

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. Muhammad Khan about the cutting edge of pediatric endoscopy. We discuss his career path, use of peroral endoscopic myotomy (POEM) for children with achalasia and gastroparesis, advances in bariatric endoscopy that may be coming our way, and finally what he sees in the future of pediatric endoscopy.

Dr. Khan is Associate Professor of Pediatrics at The Ohio State University College of Medicine and Director of Interventional and Diagnostic Endoscopy in the Division of Gastroenterology, Hepatology, and Nutrition at Nationwide Children's Hospital in Columbus, Ohio.

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!

Learning Objectives:

1. Understand the indications and safety of esophageal peroral endoscopy myotomy (POEM) for children with esophageal achalasia.
2. Recognize the potential role of gastric POEM for children with gastroparesis-like symptoms.
3. Recognize the endoscopic bariatric procedures that are starting to be used to treat childhood obesity.

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. Jennifer Lee and Jason Silverman talk to Dr. Norberto Rodriguez-Baez about Hepatitis B. We discuss diagnosis, treatment options, and the importance of vaccinations to prevent transmission of this virus.

Dr. Rodriguez-Baez is a professor of pediatrics at University of Texas Southwestern Medical Center and hepatologist at Children's Health in Dallas, Texas. He is program director of the pediatric GI fellowship at UT Southwestern and associate Dean for Student Affairs. He is the NAPSGHAN 2022 awardee for the Master Educator Award.

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!

Learning Objectives:

1. Outline hepatitis B serologic markers, diagnosis, phases, and treatment
2. Review importance of primary vaccination series in hepatitis B
3. Understand when to test for immunity and consider re-vaccination against hepatitis B

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. Jennifer Lee and Jason Silverman debrief with  Dr. Sandeep Gupta on his NASPGHAN Research Year in Review.  Dr. Gupta is Professor of Pediatrics at the University of Alabama He is also the North American Editor and Chief for both JPGN and JPGN Reports.  

Learning Objectives:

1. Review impactful clinical research papers in eosinophilic gastrointestinal disorders, celiac disease, and inflammatory bowel disease from 2023
2. Review impactful clinical research papers in hepatology from 2023 
3. Review impactful clinical research papers in nutrition and obesity medicine from 2023

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!

• Executive Summary: Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity - PubMed (nih.gov)
• Once-Weekly Semaglutide in Adolescents with Obesity - PMC (nih.gov) 
• Analysis of INSPPIRE-2 Cohort: Risk Factors and Disease Burden in Children With Acute Recurrent or Chronic Pancreatitis - PubMed (nih.gov)
• Pancreatitis-Associated Medication Use in Hospitalized Pediatric and Young Adult Patients With Acute Pancreatitis - PubMed (nih.gov)
• International Consensus Recommendations for Eosinophilic Gastrointestinal Disease Nomenclature - PubMed (nih.gov)
• A Clinical Severity Index for Eosinophilic Esophagitis: Development, Consensus, and Future Directions - PubMed (nih.gov)
• Clinical guidance for the use of dupilumab in eosinophilic esophagitis: A yardstick - PubMed (nih.gov)
• A multisociety Delphi consensus statement on new fatty liver disease nomenclature - PubMed (nih.gov)

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. Jennifer Lee and Jason Silverman talk to Dr. Christophe Faure about tracheoesophageal fistula and esophageal atresia. This important congenital abnormality carries a host of potential future health implications that are important to understand and manage.

Dr. Faure is a Professor of Pediatrics at Universite de Montreal and a pediatric gastroenterologist at CHU Ste-Justine.  He is also the director of the Esophageal Atresia Clinic at Ste-Justine and runs a basic research lab focused on discovering the mechanisms behind EA and studying new treatments based on tissue engineering.

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!

Important links:

• International Network of Esophageal Atresia (a non-profit organization 
  of professionals working in the field of Esophageal atresia)
• Publications mentioned on this episode (and more!)

Learning Objectives:

1. Understand the complications commonly experienced by children with esophageal atresia.
2. Outline the recommended management of gastroesophageal reflux in children with esophageal atresia.
3. Understand the role of the multidisciplinary team in the long-term surveillance and health maintenance of children with esophageal atresia.

Produced by: Jason Silverman

Support the show

Merch website

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.

Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes!

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.