achalasia

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.

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In this episode, hosts Drs. Peter Lu and Temara Hajjat talk to Dr. Ajay Kaul about the evaluation and management of children with esophageal achalasia and esophageal motility disorders.  We review the diagnostic tools available to evaluate esophageal motility including functional luminal impedance planimetry (FLIP), compare the treatment options available to children with esophageal achalasia, and discuss the importance of multicenter pediatric research.  Dr. Kaul is the Director of the Neurogastroenterology and Motility Disorders Center at Cincinnati Children's and Professor in the University of Cincinnati Department of Pediatrics.

Register and submit abstracts for the 2nd World Congress on Pediatric Neurogastroenterology and Motility (PNM2023) here at the congress website!

Article with video showing peroral endoscopic myotomy (POEM) from VideoGIE.

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 role of endoscopy, contrast imaging, high resolution esophageal manometry, and functional luminal impedance planimetry (FLIP) in the evaluation of a child with esophageal dysphagia.
2. Recognize the specific abnormalities in esophageal motility present in the various subtypes of esophageal achalasia.
3. Understand the treatments available for children with esophageal achalasia, including pneumatic balloon dilation, laparoscopic Heller myotomy, and peroral endoscopy myotomy (POEM).

Produced by: Peter Lu

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.

This week’s guest, Jeff Harris, is made different.

 Full transparency…when I first heard about this week’s guest and how he had gone over a year without solid food, I was skeptical. I mean, who can go an entire year only consuming liquids, all while running a successful business, competing in triathlons, running insane distances, and a regular at the local CrossFit gym. That is until I met Jeff Harris and realized quickly that his operating system doesn’t have a “feel sorry for yourself” mode.

 On Christmas Day 2018, Jeff Harris was rushed to the emergency room because, as he describes it, “I felt like I was drowning”. By this point, Jeff had gone years experiencing severe pain while swallowing food and had developed a persistent cough that kept him up most nights. After extensive testing, the doctors diagnosed Jeff with esophageal achalasia, a rare condition that causes a person’s esophagus to becomes paralyzed. Achalasia is a progressive disease and somebody suffering with it will eventually lose the ability to swallow solid food of any kind. Jeff’s diagnosis kicked off a yearlong battle that tested him, both physically and mentally, in a way that few could ever imagine.

 Jeff’s story is one of grit and resilience. He embodies the power of positive habit and how our mindset can carry us through monumental challenges. Checkout the below links to learn more about Jeff and his story.

 LinkedIn: Jeff Harris

Instagram: @montisman 

Facebook: Jeff Harris 

I sat down with a friend Maggie who was ready to share her story after hearing the episode on body shaming. Maggie describes herself as “Just a mom in her mid thirties living with a rare disease. “ Maggie lives with a rare disease called Achalasia. Maggie shares the years of not knowing what was happening to her body and the responses she received from others once she was diagnosed with a rare disease, Achalasia. 

 In this episode we cover not only her health scare of thinking she was dying, but how others, men and women responded to her face and behind her back. 

Maggie drops key points in this episode of how we as women talk behind closed doors and each other’s backs, and not confront our friends when we have concerns about them. Maggie discusses being her lowest weight and at her highest weight which opens the door of body shaming, asking for help, and reaching out to someone you love and asking if they are okay. I also add my own reservations of asking her if she was okay when I was face to face with her years ago. I made her weight loss about me and experienced fear of asking if she was okay.  You don't want to miss this episode.

 Grab the book "Girl Wash Your Face"  discussed in this episode here
Grab your own copy of the Bible here

Using the Bookshop.org links in this description means that I would get an affiliate fee if you purchase from the online bookshop (you will also be supporting local bookstores). This is at no additional cost to you.

To follow Maggie on Instagram https://www.instagram.com/achalasiawarrior/

To catch up with Maggie and her  Mom Life (Campbell Chaos)  on Instagram  https://www.instagram.com/campbellchaos/

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Drs. Mikael Petrosyan and Timothy Kane from Children's National discuss what every parent needs to know about Achalasia.  They go in details about incidence, symptoms, and current treatments. 
for more information email us at info@surgucation.com
and visit us at  https://childrensnational.org/departments/general-and-thoracic-surgery