In our first international episode, Dr. Peter Lu and Dr. Temara Hajjat cross the Atlantic (virtually) to talk to the illustrious Dr. Marc Benninga from Emma Children's Hospital/Academic Medical Centre in Amsterdam, the Netherlands. Dr. Benninga is not only our first guest from our sister society ESPGHAN, but also the first Olympian and perhaps the first with a Wikipedia page.

We bring in the European authority on pediatric constipation to talk about how he evaluates and treats children with constipation that has persisted despite our usual treatment with oral medications.  We compare and contrast the practices in the United States and the Netherlands.

Learning Objectives
1) To understand different approaches to the evaluation of a child with constipation refractory to oral laxatives.
2) To understand the role of rectal irrigation in the treatment of a child with constipation refractory to oral laxatives.
3) To review the evidence on pelvic floor biofeedback therapy in children with suspected pelvic floor dyssynergia
4) To recognize the differences in practice among pediatric gastroenterologists in the evaluation and management of children with intractable constipation

CME for NASPGHAN members is available here!

References:
Mosiello G, et al. Consensus Review of Best Practice of Transanal Irrigation in Children. J Pediatr Gastroenterol Nutr. 2017.

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.

Produced by: Peter Lu

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.

Drs. Temara Hajjat and Peter Lu talk to Dr. Marla Dubinsky, a professor of pediatrics and a pediatric gastroenterologist at Mount Sinai Hospital. We discuss the approach to fertility and pregnancy in IBD.

Learning Objectives
1) To identify IBD medications that are safe during pregnancy and lactation
2) To learn the impact of IBD disease activity in pregnancy
3) To learn the impact of IBD surgery on fertility
 4) To learn indications and contraindications of breastfeeding for mothers with IBD on medications
5) To learn vaccination recommendations for infants born to mothers with IBD

Click here to get CME credits:  https://learnonline.naspghan.org/products/bowel-sounds-marla-dubinsky-md-pregnancy-and-fertility-in-ibd-cme-available

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.

Produced by: Temara Hajjat, MD

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.

 Drs. Jennifer Lee and Jason Silverman talk to Dr. Maria Mascarenhas, a pediatric gastroenterologist and the director of the integrative health program at Children's Hospital of Philadelphia.  We discuss how extra training in integrative medicine has helped Dr. Mascarenhas take her clinical practice to the next level. We ask how training in culinary medicine can help pediatric gastroenterologists in their day-to-day lives and practice.

Learning Objectives
1) To describe how additional training in integrative medicine can take clinical practice to a different level
2) To examine practical aspects of culinary medicine for personal and professional lives
3) To  explain how culinary medicine is different than nutrition

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.

Produced by: Jennifer Lee

https://learnonline.naspghan.org/products/bowel-sounds-maria-mascarenhas-md-culinary-medicine-cme-available

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 collaborative episode with JPGN, Drs. Peter Lu and Jason Silverman talk to Dr. Jim Squires, the first author of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Diagnosis and Management of Pediatric Acute Liver Failure published recently in JPGN. Although this is a complex syndrome and topic, the discussion highlights important principles to consider and an initial approach to patients with this condition. Dr. Squires is Associate Director of Hepatology and Fellowship Director for Pediatric Transplant Hepatology at the University of Pittsburgh.

Want to learn more about Pediatric Acute Liver Failure (PALF)? Join us on April 14 at 7 pm EST for the FIRST #PedsGIChat! Follow the hashtag and @PedsGIChat for a great discussion with Dr. Mohit Kehar on this topic, and keep following for news about future chats as well! Our thanks to the NASPGHAN Technology Committee for setting this up!

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 initial assessment and triage of a patient with suspected PALF.
2. Understand the diagnostic evaluation of infants and children with PALF.
3. Review the ongoing monitoring of patients with PALF to assess for complications.

Links:

1. NASPGHAN Position Paper on the Diagnosis and Management of Pediatric Acute Liver Failure
2. Follow the conversation on Twitter!
3. JPGN Fellow Reviewer Program

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 Drs. Jennifer Lee and Peter Lu talk to Dr. Hayat Mousa about the most severe of gastrointestinal motility disorders -- pediatric intestinal pseudo-obstruction or PIPO.   Although PIPO is a rare disorder, it is one that is important for all pediatric gastroenterologists to recognize.  Dr. Mousa is Director of the GI Motility Center and a pediatric gastroenterologist at Children's Hospital of Philadelphia.

This is also our FIRST episode eligible for CME credit!  Once you have listened to the episode, click this link to claim 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) Recognize the presentation of pediatric intestinal pseudo-obstruction.
2) Understand the diagnostic evaluation of children with symptoms suggestive of this disorder.
3) Review the medical and surgical management of children with this disorder, including several promising, novel treatment modalities.

Links:
Thapar N, et al. Paediatric Intestinal Pseudo-Obstruction: Evidence and Consensus-Based Recommendations From an ESPGHAN-Led Expert Group. J Pediatr Gastroenterol Nutr. 2018 Jun; 66(6): 991-1019.

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.

Produced by: Peter Lu

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 Drs. Temara Hajjat and Peter Lu talk to Dr. Judith Kelsen about the presentation, evaluation, and management of children with very early onset inflammatory bowel disease (VEO-IBD).

Learning Objectives
1) To define and describe the clinical presentation of very early onset IBD
2) To examine diagnostic strategies for patients with very early onset IBD
3) To manage patients with very early onset IBD
4) When to send genetic testing for patients who present with very early onset IBD

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.

Produced by: Temara Hajjat

Support the show (https://www.naspghan.org/content/87/en/foundation/donate)

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. Jennifer Lee and Peter Lu talk to Dr. Carol Durno and Melyssa Aronson about Lynch Syndrome and Constitutional Mismatch Repair Deficiency (CMMRD).  This is a rare disorder that all gastroenterologists should consider when a polyp is found. Early diagnosis, early screening is critical to the survival of these children.

Learning Objectives
1) To define and describe the clinical presentation of Constitutional Mismatch Repair Deficiency (CMMRD) and how it differs from Lynch Syndrome
2) To examine diagnostic strategies for patients with CMMRD and their families
3) To  explain key components of detailed family history and provide strategies to ask sensitive questions such as consanguinity 
4) To outline  the screening recommendations for GI and non-GI cancers in CMMRD 

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.

Produced by: Jennifer Lee

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 Drs. Temara Hajjat and Jason Silverman talk to Dr. Diana Lerner about the management of foreign body ingestions, with a particular focus on button battery ingestions including their rising incidence as well as risk mitigation strategies and public education approaches to reducing harm.

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.

Produced by: Jason Silverman

Links:

1. Follow Dr. Lerner on Twitter for more on foreign bodies and endoscopy
2. AAP site on button battery safety for parents
3. US Poison Control Centre site on button battery management
4. GIRC - app for reporting ingestions
5. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee (2015)
6. Diagnosis, Management, and Prevention of Button Battery Ingestion in Childhood: A European Society for Paediatric Gastroenterology Hepatology and Nutrition Position Paper (2021) 

Special requests:

Thank you to everyone for listening to our podcast. If you enjoyed this content and thought it was useful, we ask you to consider doing any or all of the following three things:

1. Tell one person who you think would like this type of content about the podcast.  We want to reach more GI doctors and trainees and general pediatricians, pediatric residents, and medical students.
2. Leave a review on Apple Podcasts -- this helps more people discover our podcast.
3. You can also

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 Drs. Peter Lu and Jennifer Lee talk to former NASPGHAN President Dr. John Barnard about the past, current, and future of pediatric GI research.  We ask him to reflect upon his career as a leader in the field of pediatric GI and specifically in advancing pediatric GI research for the past several decades.  We ask him how research interest and funding is changing over time, how researchers can best position themselves in today's research landscape, and what he feels are the most important factors for success as a medical researcher.  We also discuss how our community can better support women and underrepresented minorities in academic medicine.  Finally, he talks to us about the advice that has guided him throughout his career.

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.

Produced by: Peter Lu

Special requests:

Thank you to everyone for listening to our podcast. If you enjoyed this content and thought it was useful, we ask you to consider doing any or all of the following three things:

1. Tell one person who you think would like this type of content about the podcast.  We want to reach more GI doctors and trainees and general pediatricians, pediatric residents, and medical students.
2. Leave a review on Apple Podcasts -- this helps more people discover our podcast.
3. You can also support the show by making a donation to the NASPGHAN Foundation

Support the show (https://www.naspghan.org/content/87/en/foundation/donate

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 Drs. Temara Hajjat and Dr. Jason Silverman talk to Dr. Sohail Husain about chronic pancreatitis in children. He explains the evaluation, diagnosis, and management of chronic pancreatitis.

Learning objectives:
1. Learning the definition of chronic pancreatitis 
2. Learning the common etiologies of chronic pancreatitis 
3. Learning how to manage a patient with chronic pancreatitis
4. Learning how to work up a patient with chronic pancreatitis 

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.
Produced by: Temara Hajjat

Links to papers mentioned in the podcast:

1.  NASPGHAN Chronic Pancreatitis Paper: Medical Management of Chronic Pancreatitis in Children: A Position Paper by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Pancreas Committee
2. Chronic Pancreatitis Definition - JPGN Paper: Definitions of pediatric pancreatitis and survey of present clinical practices.
3. Endoscopic Pancreatic Function Testing (ePFT) in Children: A Position Paper From the NASPGHAN Pancreas Committee
4. Noble prize winner laureates in economics - roundtable discussion

Special requests:

Thank you to everyone for listening to our podcast. If you enjoyed this content and thought it was useful, we ask you to consider doing any or all of the following three things:

1. Tell one person who you think would like this type of content about the podcast.  We want to reach more GI doctors and trainees and general pediatricians, pediatric residents, and medical students.
2. Leave a review on Apple Podcasts -- this helps more people discover our podcast.
3. You can also

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.