In this episode of Bowel Sounds, host Dr. Temara Hajjat talks to Dr. Katja Karrento, an Associate Professor at the University of Wisconsin and pediatric gastroenterologist at Wisconsin Children's and an expert on DGBI. Dr. Karrento talks about the 2025 NASPGHAN guidelines for managing children with cyclic vomiting syndrome (CVS). 

Learning objectives

• Understand the new recommendations on managing CVS
• Reviewing the guidelines on managing CVS and what has been added to the guidelines.
• Recognizing the limitations of the guidelines and side effects of the recommended medications

Links:

2025 NAPSGHAN CVS management guidelines: https://pubmed.ncbi.nlm.nih.gov/40223700/

Support the show

This 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.

We are kicking off Season 7 with a HUGE announcement -- we have TWO new podcast cohosts!

Hosts Drs. Temara Hajjat, Jennifer Lee, Peter Lu, and Jason Silverman take a look back at Season 6 and introduce our new podcast hosts, Drs. Amber Hildreth and Jordan Whatley! We get to know them a little better and also talk about ways we focus on wellness despite the craziness of our work (and non-work) lives.

And sorry for the subpar audio quality -- Peter was recording from a hotel bathroom...

See you all at the NASPGHAN Annual Meeting in Chicago later this week! #NASPGHAN25

Support the show

This 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 of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jenn Lee talk to Dr. Kevin Watson, pediatric gastroenterologist and Assistant Director of Clinical Informatics at Akron Children's Hospital and Associate Professor at Northeastern Ohio Medical University. We talk about the use of AI-powered ambient listening technology for clinical documentation and his experience introducing AI scribes to his hospital.

Learning objectives

• Understand the advantages and limitations of the current state of ambient listening technology for clinical documentation.
• Review practical guidance on usage of this technology in pediatric gastroenterology.
• Recognize key strategies for successful implementation and adoption of this technology.

Support the show

This 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. Temara Hajjat and Jenn Lee talk to Dr. Jordan Whatley, Assitant Professor of Pediatrics at the Medical University of South Carolina and pediatric gastroenterologist at Shawn Jenkins Children's Hospital in Charleston, South Carolina. We discuss how multi-specialty clinics focusing on children with tracheostomy and ventilator dependence can improve clinical care.

Learning Objectives:

• Describe the reasons children may require a tracheostomy and home mechanical ventilation.
• Explain multidisciplinary structure and purpose of an aerodigestive clinic in managing complex pediatric patients. 
• Describe the gastroenterologist’s role in evaluating and managing GERD, feeding intolerance, and nutritional needs in children with trach/vent dependence. 

Support the show

This 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 of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jason Silverman talk to Dr. Amber Hildreth, pediatric gastroenterologist and transplant hepatologist at Rady Children's Hospital and Assistant Professor at the University of California San Diego. She is also a clinician scientist at the Rady Children's Institute for Genomic Medicine. We discuss how genetic testing is transforming the way we care for children with rare GI and liver diseases.

Learning objectives

• Recognize key differences between various types of genetic testing.
• Discuss several applications of genetic testing in care for children with GI disorders.
• Understand the role of the genetic counselor in integrating genetic testing into GI practice.

Support the show

This 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. Justine Turner about a non-biopsy approach to diagnosis for celiac disease in children. Dr. Turner is a Professor of Pediatrics and Divisional Director for the Division of Gastroenterology and Nutrition at the University of Alberta and also the medical lead for the Multidisciplinary Pediatric Celiac Disease Clinic at Stollery Children’s Hospital in Edmonton. 

Learning Objectives:

1. Review current clinical guidelines for the diagnosis of celiac disease in children
2. Understand the potential pros and cons of a non-biopsy approach to diagnosis for celiac disease
3. Recognize the potential impacts of serologic diagnosis for celiac disease on patients, their families and healthcare systems

Links (to be added!!):

1. Guideline for the diagnosis and treatment of celiac disease in children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition
2. NASPGHAN Clinical Report on the Diagnosis and Treatment of Gluten-related Disorders
3. European Society Paediatric Gastroenterology, Hepatology and Nutrition Guidelines for Diagnosing Coeliac Disease 2020
4. Positive Predictive Value of Tissue Transglutaminase IgA for Celiac Disease

Support the show

This 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 of Bowel Sounds, hosts Dr. Jenn Lee and Dr. Peter Lu talk to Dr. Richard Wood, Chief of the Department of Pediatric Colorectal & Pelvic Reconstructive Surgery at Nationwide Children's Hospital and Professor of Surgery at The Ohio State University College of Medicine. We discuss identifying and caring for the child with an anorectal malformation.

Learning objectives

• Recognize the various types of anorectal malformations and the VACTERL association.
• Discuss the diagnosis of anorectal malformations, including the importance of early identification by the pediatrician or pediatric GI.
• Understand the role of the pediatrician or pediatric GI in the ongoing care of children with anorectal malformations even after surgery.

References

• Anorectal Malformations Family Guidebook

Support the show

This 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 last episode of the Bowel Sounds Summer School series (at least for this year), hosts Dr. Jason Silverman and Dr. Jennifer Lee have gathered highlights from past episodes on endoscopy to create an episode filled with clinical and teaching pearls.  Former expert guests Dr. Jenifer Lightdale, Dr. Catharine Walsh, and Dr. Looi Ee explain the elements of quality endoscopy, how to teach endoscopy, perform difficult colonoscopies, and even how to keep endoscopists healthy throughout their career.

Be sure to also check out the great hands-on, colonoscopy skills and train the trainer workshops held during the NASPGHAN Annual Meeting each year!

Our Bowel Sounds Summer School series includes four episodes on big topics in our field, artisanally crafted for the ears of learners of all stages from the young student to the seasoned attending.

Learning Objectives:

1. Review the technical and non-technical components of quality endoscopic procedures.
2. Understand communication strategies that help preceptors effectively teach endoscopy skills to trainees.
3. Review the relevant elements of ergonomics and systemic factors that can help prevent endoscopy-related injuries. 

Featured Episodes:

1. Jenifer Lightdale - PEnQuINs and Making Pediatric Endoscopy Safer (November 2020)
2. Catharine Walsh - Education in Endoscopy (November 2022)
3. Looi Ee - The Challenging Colonoscopy: Down Under Edition (August 2023)

Links:

• NASPGHAN/ESPGHAN Society Papers on Endoscopy (2022)

Other Summer School Episodes:

1. Bowel Sounds Summer School - Constipation in Children
2. Bowel Sounds Summer School - Eosinophilic Esophagitis
3. Bowel Sounds

Support the show

This 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 of Bowel Sounds Summer School, hosts Drs. Temara Hajjat and Jason Silverman have taken highlights from past episodes on inflammatory bowel disease (IBD) and put them into a special episode jam-packed with clinical pearls. Former expert guests explain how to manage patients with IBD. 

Our Bowel Sounds Summer School series will include 4 episodes each summer on big topics in our field, artisanally crafted for the ears of listeners of all stages, from the young student to the seasoned attending.

Learning Objectives

1. Review the epidemiology of IBD.
2. Review the management of Crohn's and ulcerative colitis,  either medication, dietary, or surgery. 
3. Reviewing treatment goals, such as therapeutic drug monitoring (TDM) and treat-to-target. 
4. Review VEOIBD, US in IBD, Puberty and Pregnancy in IBD. 

Support the show

This 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 of Bowel Sounds Summer School, hosts Drs. Jennifer Lee and Peter Lu have taken highlights from past episodes on eosinophilic esophagitis (EoE) and put them into a special episode jam-packed with clinical pearls. Former expert guests Dr. Glenn Furuta, Dr. Amanda Muir, Dr. Rachel Chevalier, and Dr. Mike Wilsey explain how to diagnose, treat, and monitor patients with EoE.

Our Bowel Sounds Summer School series will include 4 episodes each summer on big topics in our field, artisanally crafted for the ears of listeners of all stages from the young student to the seasoned attending.

Learning Objectives

1. Review clinical presentation and diagnostic criteria for eosinophilic esophagitis (EoE)
2. Review dietary and medication treatment options for EoE 
3. Review methods of monitoring treatment response in EoE

Featured Episodes

Glenn Furuta - Eosinophilic Esophagitis

Amanda Muir - Navigating the Challenges of Eosinophilic Esophagitis Management

Rachel Chevalier - Update on Topical Steroids for EoE

Mike Wilsey - Esophageal Strictures in Children

Support the show

This 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.