7:00 AM - 8:00 AM Meet the Professor Breakfasts*

5. Digesting the Puzzle: A Strategic Approach to Childhood Dyspepsia (en español)
Silvana Bonilla, MD, Boston Children's Hospital and Erick Manuel Toro Monjaraz, MD, MsC, Instituto Nacional de Pediatria
Learning objectives:

• Review the definition of functional dyspepsia (FD) and its classification within the broader category of Disorders of Gut-Brain interaction(DGB)
• Examine the clinical presentation of FD in pediatric patients, including common symptoms and patterns. Review the Rome IV criteria for diagnosing FD in children and highlight the importance of differentiating FD from organic causes of dyspepsia
• Explore evidence-based strategies for managing functional dyspepsia in children including dietary, lifestyle, pharmacological interventions, psychological support, and patient education

6. Non-Pharmacologic Approaches in Pediatric Gastroenterology
Michelle Gould, MD, The Hospital for Sick Children and Ann Ming Yeh, MD, Stanford University

7. You are What You Eat: Culinary Medicine in Practice to Improve Health Outcomes
Debora Duro, MD, MS, Broward Medical Center, Sharon Weston, MS, RD, LDN, FAND, Boston Children's Hospital and Vanessa Weisbrod, BA, CA, Celiac Disease Foundation

7:00 AM - 8:00 AM Meet the Editors
Hosted by: Editorial Teams of JPGN/JPGN Reports and Sandeep Gupta MD
At this session you will meet members of the editorial teams of JPGN and JPGN Reports. Topics in this interactive session will include how to navigate submission process, responding to reviewer comments, problems/issues the Editors may encounter with submissions, and how to get to successful publication.  The session will include the Editors of our two societal journals along with a panel of Associate Editors.

8:30 AM - 10:00 AM  - Concurrent Session III

Advances in Pediatric Gastroenterology: Research and Video Abstract Showcase
Moderators: Hilary Jericho, MD, Stanford University and Jerome Molleston, MD, PhD, Washington University School of Medicine

8:30 AM EPITHELIALIZED COIN IN THE PROXIMAL ESOPHAGUS: ENDOSCOPIC INCISIONAL
              THERAPY AFTER REMOTE INGESTION AND LEAK CLOSURE WITH A SELF-ASSEMBLING
              PEPTIDE HYDROGEL
              Taylor Kratochvil, MD, MS, Boston Children's Hospital
8:41 AM NASPGHAN Neurogratroenterology and Motility Prize - Basic
              INTESTINAL CONTRACTIONS IN CYSTIC FIBROSIS PIGS
              Brandon Brown, MD, University of Iowa Health Care
8:52 AM A RARE CASE OF BILIARY ASCARIASIS IN NEW YORK CITY
               Patricia Hughes, MD, Mount Sinai Health System
9:03 AM NASPGHAN Neurogratroenterology and Motility Prize - Clinical
               MATERNAL DEPRESSION +/- IN UTERO SSRI EXPOSURES DIFFERENTIALLY INCREASE
               THE DIAGNOSTIC RISK OF DISORDERS OF GUT-BRAIN INTERACTION (DGBI):
               SEMINAL DATA FROM THE PROSPECTIVE BIRTH COHORT STUDY “DEVELOPMENT
               OF FUNCTIONAL GASTROINTESTINAL DISORDERS (GETGAS)”
               Kara Margolis, MD, New York University
9:14 AM PREVENTING MIGRATION OF ESOPHAGEAL SILICONE COVERED SELF-EXPANDING
              METAL STENT USING DENTAL FLOSS IN A PEDIATRIC PATIENT
              Sofia Colon Guzman, MD, Children's Mercy Kansas City
9:25 AM USE OF ENDOSCOPIC FUNCTIONAL LUMINAL IMAGING PROBE DURING PEDIATRIC
              ESOPHAGEAL DILATION LEADS TO INCREASED MUCOSAL DISRUPTION AND
              IMPROVEMENT IN SYMPTOMS
              Raul Sanchez, MD, Nationwide Children's Hospital
9:36 AM SINGLE CENTER OUTCOME DATA FOR ENDOSCOPIC GASTROCUTANOUS FISTULA
              CLOSURE USING THE X-TACKTM DEVICE
              Biren Desai, DO, Seattle Children's Hospital
9:47 AM A HUMAN MILK OLIGOSACCHARIDE PROMOTES INTESTINAL FUNCTIONAL
              MATURATION THROUGH EPIDERMAL GROWTH FACTOR RECEPTOR SIGNALING
              Nikita Lalchandani Day, MBBS, Vanderbilt University Medical Center

The Scope and the Scan in Chronic Liver Disease
Moderators: Saeed Mohammad, MD, Vanderbilt University and Aymin Delgado-Borrego, MD, MPH, Joe DiMaggio Children's Hospital

8:30 AM Scanning Beneath the Surface: Using Noninvasive Evaluation of Liver Health and Fibrosis
               Christine Lee, MD, Boston Children's Hospital
               Learning objectives:

• Understand how different non-invasive imaging modalities assess extent of chronic liver disease
• Describe how new biomarkers may help evaluate liver disease and liver fibrosis
• Acknowledge the advantages/ disadvantages of various non-invasive techniques

8:55 AM Gerard Odell Prize for Excellence in Liver Research
              PROTECTIVE EFFECT OF FXR AGONIST IS MEDIATED THROUGH STAT3 ACTIVATION
              IN A CHRONIC MOUSE MODEL OF INFLAMMATORY CHOLANGIOPATHY ASSOCIATED
              WITH ELEVATED ARACHIDONIC ACID LEVELS
              Ronald Sokol, MD, University of Colorado Anschutz Medical Campus, Children's Hospital Colorado
9:07 AM What to do in Portal HTN: When to Act
                Krupa Mysore, MD, Baylor College of Medicine
                Learning objectives:

• Determining the cause of portal hypertension – does the diagnosis matter?
• Approaches to secondary prophylaxis in variceal bleeding
• When to list for transplant – is it too late?

9:32 AM NASPGHAN FOUNDATION/GEORGE FERRY YOUNG INVESTIGATOR DEVELOPMENT AWARD 
               DEFINING AGE-DEPENDENT DIFFERENCES IN XBP1S FUNCTION AND APOPTOSIS IN
               MURINE MODELS OF CHOLESTASIS
               Alyssa Kriegermeier, MD, Lurie Children's Hospital of Chicago

Neuroimmune Crosstalk in the Gut: ENS, Immune and Microbial Axes
Moderator: Naomi Tjaden, MD, PhD, Children's Hospital of Philadelphia and Anthony Guerrerio, MD, PhD, Johns Hopkins Hospital

8:30 AM Effects of Intrinsic and Extrinsic Primary Afferent Neurons on Gut Inflammation
               Melissa Musser, MD, PhD, Boston Children's Hospital
               Learning objectives:

• Define afferent neuron populations innervating the gut
• Delineate the contributions of extrinsic versus intrinsic afferent neurons to gut inflammation
• Recognize potential neural targets for treating gut inflammation

8:55 AM Flash Abstracts

• 8:55 AM INTESTINAL MICROBIOTA TRANSPLANTATION DELIVERED POST-PYLORIC MODULATES GUT BARRIER TO MITIGATE TPN DRIVEN SYSTEMIC INJURY - Ajay Jain, MD, Saint Louis University
• 8:58 AM UROLITHIN A-MEDIATED ARYL HYDROCARBON RECEPTOR SIGNALING ATTENUATES NECROTIZING ENTEROCOLITIS - Ahmad Salah Sami, MD, The University of North Carolina at Chapel Hill
• 9:01 AM THE EFFECT OF DYSBIOTIC GUT MICROBIOTA IN FAMILIES WITH PEDIATRIC IBD ON INTESTINAL INFLAMMATION AND FIBROSIS IN HUMANIZED GNOTOBIOTIC TL1A TRANSGENIC MICE - Carolina Koletic, MD, University of California Los Angeles David Geffen School of Medicine

9:07 AM Transitional Research in DGBI: The Gut/Brain/Microbiome Axis
               Jaime Belkind-Gerson, MD, MSc, Children's Hospital Colorado
               Learning objectives:

• To learn some of the most important current concepts and understanding about the Gut/Brain/Microbiome Axis
• To review how DGBI is manifested clinically
• To get acquainted with the best treatments to date as well as possible future therapies for DGBI

9:32 AM NASPGHAN FOUNDATION/RECKITT MEAD JOHNSON NUTRITION RESEARCH YOUNG
              INVESTIGATOR DEVELOPMENT AWARD
              THE ROLE OF THE MICROBIOME IN THE GUT-BRAIN SATIETY AXIS
              Jason (Yanjia) Zhang, MD, PhD, Boston Children's Hospital

Living the Good Life: Tech Tools to Get Your There (Results May Vary)
Moderators: Ada Lee, DO, Stony Brook Children’s Hospital and Gary Galante, MD  BSc, Med, FRCPC, Alberta Children's Hospital

8:30 AM Using the EHR Tools to Transition Your Patient
                Jeannie Huang, MD, MPH, UCSD/Rady Children's Hospital
                Learning objectives: Upon completion of this session, the learner will be able to:

• Identify EHR tools to deliver transition readiness preparation services
• Recognize EHR data collection and visualization tools to analyze/report the state of transition service delivery

8:50 AM Digital Tools for Increasing Access to Behavioral Health
                Cindy Kim, PhD, Children's Hospital of Orange County
                Learning objectives:

• Review of digital tools for increasing access to behavioral health
• Discuss benefits and limitations of digital tools
• Lessons learned and future directions for tele-behavioral health

9:10 AM   Second Brain: AI Strategies for Clinicians, Educators, and Academics
                Jason Silverman, MD, MPH, FRCPC, University of Alberta
                Learning objectives:

• Explore ways to leverage AI tools to support patient care activities
• Outline ways to use generative AI tools in medical education
• Discuss the appropriate use of AI tools in research and other forms of scholarship

9:30 AM Smart EHRs: Leveraging AI for Operational and Clinical Excellence
               Jennifer Lee, MD, Nationwide Children’s Hospital
               Learning objectives:

• Understand AI integration within the EHR
• Enhance workflow efficiency through AI in EHRs (ambient listening, generative AI for administrative tasks)
• Identify key ethical considerations in the use of AI within EHR systems

10:00 AM - 10:30 AM Break in Exhibit Hall
                                     This Refreshment Break is supported in part by Children's Health/UTSouthwestern.

10:00 AM - 2:00 PM Exhibit Hall Open

10:30 AM - 12:00 PM  - Concurrent Session IV

Thriving Beyond Limits: How to Optimize Care for Intestinal Failure
Moderators: Charles Vanderpool, MD, Riley Hospital for Children and Jeffrey Rudolph, MD, Children's Hospital of Pittsburgh

10:30 AM Home is Where the Hard is: Rules and Tools for Discharging a New IF Patient
                 Lindsey Gumer, MD, Children's Hospital of Colorado and
                 Kimberly Ackerman, MSN, CRNP, UPMC Children's Hospital of Pittsburgh
                 Learning objectives:

• Upon completion of this session the learner will be able to identify the homecare needs of a new home TPN patient
• Upon completion of this session the learner will be able to assess/address barriers of a safe discharge for home TPN patients

10:55 AM LONG-TERM USE OF TEDUGLUTIDE IN CHILDREN WITH SHORT BOWEL SYNDROME:
                A MULTI-CENTER POST-MARKETING COHORT STUDY
                Lissette Jimenez, MD, Boston Children's Hospital
11:07 AM Optimal Timing for Transplant in Short Bowel Syndrome: Balancing Risk and Benefits
                  Clarivet Torres, MD, Children's National Hospital
                  Learning objectives:

• To review the most common complications of SBS
• Review the current indications for intestinal transplantation
• Outcomes of the complicated short bowel syndrome (IFALD and extreme SBS)
• Outcomes of Intestinal transplant
• Review the current indications and controversies for intestinal transplantation

11:32 AM NASPGHAN FOUNDATION/ALCRESTA RESEARCH AWARD FOR THE STUDY OF
                PANCREATIC DISEASE IN CHILDREN 
                 HEALTH UTILITY MEASUREMENT IN PEDIATRIC INTESTINAL FAILURE
                 Vikram Raghu, MD, MS, UPMC Children's Hospital of Pittsburgh

Next Generation Endoscopy: Designing Your Dream Facility
Moderator: Travis Piester, MD, Seattle Children's

10:30 AM Navigating the Fast Lane: Optimizing Endoscopy Throughput and Efficiency Essentials
                  Muhammad Khan, MD, MPH, FASGE, NASPGHAN-F, Nationwide Children's Hospital
                  Learning objectives:

• Investigate logistics impacting endoscopy throughput
• Determine strategies to minimize workflow waste
• Compose approaches towards optimizing efficiency

10:55 AM MAGNETIC ENDOSCOPIC IMAGING AS AN ADJUNCTIVE TOOL IN PEDIATRIC
                COLONOSCOPY: A POSITIVE IMPACT ON PROCEDURE TIME AND COMPLETION
                RATE AMONG PEDIATRIC GASTROENTEROLOGY ATTENDINGS AND FELLOWS
                Andrew Liman, MD, Lucile Salter Packard Children's Hospital at Stanford
11:07 AM Mastering Comfort and Precision: Endoscopy Ergonomics from Personal Strategies to Suite Design
                 Catharine Walsh, MD, Ed, PhD, FAAP, FRCPC, Hospital for Sick Children
                 Learning objectives:

• Understand the scope of endoscopy-related musculoskeletal injuries in pediatric practice
• Recognize risk factors associated with repetitive strain injury as applied to pediatric endoscopy
• Describe and prioritize potential ergonomic interventions that can be applied in pediatric endoscopy to minimize injury

11:32 AM IMPACT OF TRAINEE PARTICIPATION ON PEDIATRIC ENDOSCOPY QUALITY INDICATORS
                AND FACULTY COMPENSATION
                Lillian Choi, MD, University of California San Diego School of Medicine,
                Rady Children's Hospital San Diego

'Oids and 'Omics: Application of Novel Technologies to Pediatric GI Research
Moderators: Hengqi (Betty) Zheng, MD, Seattle Children's and Subra Kugathasan, MD, Emory University

10:30 AM Enteroid Models and Precision Medicine Approaches for GI Disease
                  Jay Thiagarajah, MD, Boston Children's Hospital
                 Learning objectives:

• Describe uses for patient-derived enteroids
• Describe the use of enteroids in patient-specific management
• Describe the use of enteroids for GI disease therapies

10:55 AM 2'-FUCOSYLLACTOSE DIRECTLY MODULATES MACROPHAGES IN AN INDUCED
                PLURIPOTENT STEM CELL MODEL OF CROHN’S DISEASE
                Tal Marshanski, MD, Cincinnati Children's Hospital Medical Center
11:07 AM 'Omics Approaches: Using Spatial Transcriptomics to Unravel the Pathophysiology of Biliary Atresia
                  Sarah Taylor, MD, Children's Hospital of Colorado
                  Learning objectives:

• Develop an understanding of spatial transcriptomics methodology
• Translate findings from spatial transcriptomics to our patients with biliary atresia

11:32 AM NASPGHAN FOUNDATION/CROHN’S & COLITIS FOUNDATION/NASPGHAN
                IBD YOUNG INVESTIGATOR AWARD 
                Control of inflammatory bowel disease (IBD) by endogenous oxidized phospholipids
                Marco Di Gioia, PhD, Boston Children's Hospital

Clinical Conundrums in Pancreatitis
Moderators: Karen Queliza, MD, MS, Memorial Sloan Kettering Cancer Center and Chinenye Dike, MBBS, University of Alabama At Birmingham

10:30 AM Pancreatitis in Autoimmune Diseases: Is it the Drug or the Disease?
                  Ke-You (Yoyo) Zhang, MD, Stanford University
                  Learning objectives:

• Recognize the problem of acute pancreatitis in autoimmune disease
• Compare the characteristics and course of drug-induced acute pancreatitis (DIAP) in children with autoimmune disease
• Discuss insight into novel mechanisms underlying acute pancreatitis in autoimmune disease

10:55 AM ASSOCIATIONS BETWEEN MRI FINDINGS AND ENDOSCOPIC ULTRASOUND
                FINDINGS IN CHILDREN WITH RECURRENT AND CHRONIC PANCREATITIS
                Pradipta Debnath, MD, Cincinnati Children's Hospital Medical Center
11:07 AM Don't go Chasing Waterfalls! How to Approach IV Fluid in Pediatric Pancreatitis
                  Peter Farrell, MD, MS, Cincinnati Children's Hospital
                  Learning objectives:

• Describe the adult data regarding fluid choice in pancreatitis
• Analyze the relevant pediatric data on fluid choice, volume, rate and duration of fluid administration
• Apply the relevant data to fluid management decisions with an emphasis on indicators of disease progression or resolution in pediatric pancreatitis

11:32 AM Flash Abstracts

• 11:32 CHARACTERISTICS AND CLINICAL OUTCOMES OF CHILDREN WITH AUTOIMMUNE PANCREATITIS: A SINGLE TERTIARY CARE CENTER EXPERIENCE - Liza Roychowdhury, BA, Children's Hospital of Philadelphia
• 11:35 AM CLINICAL UTILITY OF ENDOSCOPIC PANCREATIC FUNCTION TESTING IN THE PEDIATRIC POPULATION - Anisha Lobo, MD, University Hospitals Rainbow Babies Children's Hospital
• 11:38 AM PREVALENCE OF EXOCRINE PANCREATIC INSUFFICIENCY (USING ENDOSCOPIC PANCREATIC FUNCTION TESTING) IN CHILDREN WITH CELIAC DISEASE - Sharef Al-Mulaabed, MD, Orlando Health Arnold Palmer Hospital for Children

12:00 PM – 2:00 PM Poster Session III

12:00 PM - 2:00 PM  Hands on Endoscopy*
Course Director: Marsha Kay, MD, FAAP, FASGE, Cleveland Clinic
Learning objectives:

• Learn how to position and deploy endoscopic hemoclips to manage GI bleeding Understand the correct techniques to remove polyps utilizing electrocautery
• Understand the principle of coaptive coagulation and its use in the setting of GI bleeding
• Understand the potential applications of argon plasma coagulation and the equipment required to perform this procedure
• Understand the use of topical hemostatic agents in the setting of GI bleeding
• Understand the correct technique to perform endoscopic balloon dilation

The Hands on Endoscopy Course is supported in part through a grant from Olympus.

2:00 PM - 3:30 PM  - Concurrent Session V

Motility Skills Workshop: Gut Neurostimulation: Auricular Percutaneous Electrical Nerve Field Stimulation: Hands on Practical Techniques, and Clinical Insights
Moderators: Desale Yacob, MD, Nationwide Children's Hospital and Shaija Kutty, MBBS, Johns Hopkins Hospital

Faculty:
PENFS
Neha Santucci, MD, Cincinnati Children's
Learning objectives:

• Understand the principles of percutaneous electrical nerve field stimulation (PENFS), including its mechanism of action, clinical indications and patient selection
• Recognize the procedural steps involved in performing PENFS, including patient selection and lead placement
• Understand the expectations, potential side effects, and long-term management strategies

Gastric Pacing
Hayat Mousa, MD, Children's Hospital of Philadelphia
Learning objectives:

• To learn the indications for gastric electric stimulation
• To review the method of successful placement of temporary gastric electric stimulator
• To review the role of gastroenterologist during the intraoperative placement of permanent gastric electric stimulator (GES)
• To learn how to care for patient with GES and navigate their device setting
• To review literature on the outcome of using GES in pediatric population

Sacral and Posterior Tibial Nerve Stimulation
Peter Lu, MD, Nationwide Children's Hospital
Learning objectives:

• Understand the indications and evidence for sacral nerve stimulation in children with constipation and fecal incontinence
• Understand the indications and evidence for posterior tibial nerve stimulation in children with constipation and fecal incontinence
• Recognize the similarities and differences in neurostimulation delivery between sacral and posterior tibial nerve stimulation

The Motility Skills Session is supported in part through an educational grant from NeurAxis.

What's in a Name? MASLD and Obesity
Moderators: Ulrich Baumann, MD, ESPGHAN President, Medizinische Hochschule Hannover and Hillary Bashaw, MD, Doernbecher Children's Hospital, Oregon Health & Science University

2:00 PM Unraveling MASLD: New Nomenclature, Definitions and the Impact of Malnutrition in Pediatric MASLD
               Mohit Kehar, MD, Children's Hospital of Eastern Ontario
               Learning objectives:

• Understand the New Nomenclature and Definitions
• Recognize the New Diagnostic Criteria
• Understand the Key Relationship Between Malnutrition (Undernutrition/Overnutrition) and MAFLD

2:25 PM NASPGHAN Nutrition Prize
              TOPIRAMATE: A POSSIBLE THERAPEUTIC OPTION FOR PEDIATRIC METABOLIC
              DYSFUNCTION-ASSOCIATED STEATOTIC LIVER DISEASE
              Andrea Tou, MD, Children's Hospital of Philadelphia
2:37 PM Staying off Medications: Nutritional Treatment of MASLD and Obesity
                Sara Karjoo, MD, CPE, FOMA, Johns Hopkins Hospital
                Learning objectives:

• Compare and contrast the evidence-based diets for treatment of MASLD and Obesity in children
• Recognize which diets improve MASLD and/or provide weight loss

3:02 PM CBT/Psychological Aspects of Behavioral Changes, Multiple Markers of Success:
              Interdisciplinary Treatment of MASLD and Obesity
              E Thomaseo Burton, PhD, MPH, ABPP, Children's Hospital of Philadelphia and 
              Venus Setareh Kalami, MNSP, RD, CSP, Lucile Packard Stanford Children's Health
              Learning objectives:

• Discuss the roles of nutrition and psychology in addressing eating behaviors, lifestyle habits, and body image
• Review psychological techniques (e.g., motivational interviewing, cognitive behavioral therapy) that support adherence to treatment recommendations
• Explore reframing patient and provider goals toward non-weight outcomes

IBD's Shadow: When Inflammation Touches Other Organs
Moderator: Gitit Tomer, MD, Children's Hospital at Montefiore and Amanda Ricciuto, MD, Hospital For Sick Children

2:00 PM IBD Associated Liver Disease
               Amy Taylor, MD, Cincinnati Children's Hospital
               Learning objectives:

• To discuss the spectrum of abnormal liver biochemistries in children and young and adults with Inflammatory Bowel Disease
• Review and apply recommendations for the care of pediatric patients with concurrent IBD and Autoimmune Liver Disease
• Implement care practices to streamline care for children with IBD and liver abnormalities

2:25 PM Young Faculty Investigator Award
              OPTIMIZING PRECISION PROBIOTICS FOR THE TREATMENT OF GRAFT VERSUS HOST DISEASE
              Nonyelum Ebigbo, MD,The University of Texas Southwestern Medical Center,
              Children's Medical Center Dallas
2:37 PM When Inflammation Touches Other Organs – Rheumatologic Manifestations of IBD
               Eileen Crowley, MD, Children's Hospital London Health Sciences Centre
               Learning objectives:

• Explore the pathophysiology linking IBD and rheumatological disorders
• Recognize common rheumatological manifestations associated with IBD
• Discuss the therapeutic approaches for managing rheumatological conditions in IBD, including pharmacological and non-pharmacological treatments

3:02 PM Fatigue in IBD
              Jessica Breton, MD, HUC Sainte-Justine, University of Montreal
              Learning objectives:

• Review the definition and epidemiology of IBD-related fatigue
• Review the multidimensional pathophysiology of fatigue in IBD
• Discuss the various pharmacological and non- pharmacological

Intelligent Self-diversification: The Path to Personal and Career Growth
Moderators: Kristina Leinwand, DO, Kaiser Permanente and Riad Rahhal, MD, MS, University of Iowa

2:00 PM Work Smarter not Harder: How to Optimize your Billing and Coding
                Charina Ramirez, MD, Children's Medical Center of Dallas
                Learning objectives:

• Define commonly used coding terminology
• Outline necessary components within the note
• Associate proper diagnosis for the current encounter
• Learn to select the correct code to optimize your billing
• Identify coding practices specific to Pediatric GI

2:20 PM Growing as a Faculty Leader: Developing your 'Leader Muscles'
              Karen Murray, MD, Cleveland Clinic
              Learning objectives:

• Recognize what qualities make the best leaders
• Consider your goals, and realize that leadership is not about the role, but rather the goal
• Understand how to develop and practice your leadership skills to be the most effective

2:40 PM Private Talks: The Process of Starting and Running a Private Practice
               John Tung, MBBS, MRCP, South Jersey Pediatric GI, LLC
               Learning objectives:

• Minimal start up information you need
• How to budget your practice
• Some insurance basics you need to understand
• Passive income opportunities

3:00 PM Creating LGBTQ+ Safe(r) Spaces
               Eyad Michael Hanna, MD, MME, University of Iowa Stead Family Children's Hospital
               Learning objectives:

• Describe how safe(r) spaces can Save lives
• Support colleagues
• Change your life

The Third Visit: Pearls for Clinical Practice
Moderator: Elizabeth Mileti, DO, MAS,FAAP, Pediatric GI and Nutrition Associates and Ashish Chogle, MD, MPH, Children's Hospital Of Orange County

2:00PM Tried Elavil and the Patient is Back. What do I Prescribe Now?
               Rinarani Sanghavi, MD, MBA, FAAP UT Southwestern Medical Center
               Learning objectives:

• Understand the brain gut axis and its receptors
• Understand the neuromodulator medicines available for use in DGBIs
• Understand other neuromodulators available for use in DGBIs

2:25 PM NASPGHAN FOUNDATION MID-LEVEL CAREER DEVELOPMENT AWARD
               ADHERENCE MONITORING AND INTERVENTION IN PEDIATRIC HEALTHCARE:
               DEVELOPMENT AND IMPLEMENTATION OF A CLINICAL DECISION SUPPORT SYSTEM
               Michele H. Maddux, PhD, Children's Mercy Hospital and Clinics
2:37 PM My Patient Failed OTC Laxatives. What's Next?
                Dhiren Patel, MD, Saint Louis University Cardinal Glennon Children's Medical Center
                Learning objectives:

• Discuss the utility of diagnostic studies in the evaluation of patients with Functional Constipation (FC) failing OTC laxatives
• Discuss the safety and efficacy of newer medications for patients with FC refractory to conventional therapy
• Discuss the role of surgery in patients with refractory FC

3:02 PM My Patient is not Embracing the DGBI Diagnosis. There Must be Something Wrong!
              Jennifer Schurman, PhD, ABPP, Children's Mercy Hospital and Maria Perez, DO,
              Lurie Children's Hospital
              Learning objectives:

• Describe the importance of the patient-provider relationship in the care of DGBIs
• Explain how taking an integrated biopsychosocial view of contributors can enhance patient engagement in DGBIs
• List at least 3 strategies to promote interdisciplinary care in DGBIs

The Third Visit Session is supported in part by a grant from Children's Health/UTSouthwestern.

3:45 PM - 5:15 PM - Concurrent Session VI

The Endoscopic Maze of Complications
Moderators: Raza Patel, MD, MPH, University of Utah and Elizabeth Utterson, MD, St Louis Children's Hospital

3:45 PM Before the Scope: Pre-procedure Risk Mitigation for Endoscopy
                Inna Novak, MD, Joseph M. Sanzari Children's Hospital, Hackensack University Medical Center
                Learning objectives:

• Learn to identify patients requiring pre-procedure assessment and management
• Discuss special considerations for patients with medical comorbidities
• Review sedation-related assessment
• Discuss key point in endoscopy unit preparation

4:10 PM NASPGHAN Endoscopy Prize 
              RACIAL DISTRIBUTION OF ENDOSCOPIC VOLUME IN CHILDREN BEFORE AND AFTER
              THE COVID PANDEMIC
              Charlotte Banayan, MD, MS, SUNY Downstate Health Sciences University
4:22 PM Untangling Red Tape: Managing Bleeding-Related Adverse Events
               Riad Rahhal, MD, MS, University of Iowa
               Learning objectives:

• Review recognition and assessment of bleeding severity after endoscopic procedures
• Discuss therapeutic options for procedure-related bleeding

4:47 PM NASPGHAN FOUNDATION ADVANCED FELLOWSHIP IN PEDIATRIC ENDOSCOPY
               EFFICACY AND SAFETY OF PROLONGED ESOPHAGEAL STENTING FOR REFRACTORY
               BENIGN ESOPHAGEAL STENOSIS
               Diana Lerner, MD, Medical College of Wisconsin

Beyond the Belly: Integrative Approach to Decoding DGBI (Panel Discussion)
This interactive session will involve the presentation of specific cases followed by and an interactive discussion of the case between panelists and the audience. The panelists have been asked to focus on different approaches to the case.

Moderators: Carlo DiLorenzo, MD, Nationwide Children's Hospital and Julie Khlevner, MD, Morgan Stanley Children's Hospital

Panelists:

• Maggie Stoeckel, PhD, Yale University School of Medicine
• Kirsten Jones, RD, Nationwide Children's Hospital
• Jennifer Webster, DO, Children's Hospital of Philadelphia
• Miranda Van Tilburg, PhD, University of North Carolina

Learning objectives:

• To better understand the considerations of a GI Psychologist in the treatment of patients with DGBI
• Recognize ethical dilemmas and DEI perspectives in diagnosing, treating, and studying DGBI
• Understand the impact of social media on mental health and outcomes in DGBI
• Recognize key concepts in ARFID and malnutrition prevention in DGBI

Promoting Health Equity and Addressing Barriers to Care
Moderators: Brad Constant, MD, Children's Hospital Colorado and Shehzad Saeed, MD, Dayton Children's Hospital

3:45 PM Achieving Health Equity in Pediatric GI Disease
               Jennifer Dotson, MD, MPH, University of Arkansas for Medical Sciences
               Learning objectives:

• Define health equity in our health care system by providing a brief overview
• Discuss literature related to health inequities in pediatric gastroenterology
• Understand the impact of health inequities in our field and how to start moving toward equity

4:10 PM Fellow Research Award
              DIFFERENTIAL EFFECTS OF EARLY-LIFE MALNUTRITION AND STRESS FROM MATERNAL
              SEPARATION ON GASTRIC EMPTYING AND GASTROINTESTINAL PATHOPHYSIOLOGY
              IN NEONATAL MICE
              Donovan Berens, MD, Baylor College of Medicine, Texas Children's Hospital
4:22 PM Systems-Level Interventions for Health Equity in PGHN
                Jennifer Woo Baidal, MD, MPH, Stanford University
                Learning objectives:

• Define health related social needs and related terms
• Understand emerging social care policies in clinical settings
• Identify the importance and potential pitfalls in existing clinical and community interventions to inform systems change

4:47 PM Unlocking the Mystery: Strategies for Confronting Medical Denials
               Brad Pasternak, MD, Phoenix Children's Hospital
               Learning objectives:

• Understanding the Landscape: provide an overview of the current state of medical denials in pediatric inflammatory bowel disease (IBD), including common reasons for denials and their impact on patient care
• Navigating the Denial Process: Outline strategies and best practices for navigating the medical denial process, including tips for effective communication with insurance providers
• Advocacy and Empowerment: Empower healthcare professionals with tools and resources to effectively advocate for patients facing medical denials in pediatric IBD
• Future Directions: Discuss potential innovations in insurance coverage and healthcare delivery models to address medical denials

To Burp or not to Burp? Updates on Cricopharyngeal Dysfunction
Moderators: Amornluck Krasaelap, MD, Children's Mercy Kansas City and Ajay Jain, MD, Saint Louis University

3:45 PM New Tools of the Trade
               Rachel Rosen, MD, Boston Children's Hospital
               Learning objectives:

• To review the sensitivity of standard tests for cricopharyngeal function (high resolution manometry, video fluoroscopic swallow studies)
• To discuss the clues suggestive of air transit issues using standard, commonly available tests (impedance, plain films)
• To highlight the masqueraders of air transit issues on testing and how to broaden the differential diagnosis

4:10 PM Young Faculty Clinical Investigator Award
              GASTRIC ELECTRICAL STIMULATION IS EFFECTIVE FOR CHILDREN WITH REFRACTORY
              NAUSEA AND VOMITING: RESULTS OF A CONTROLLED BLINDED TRIAL
              Kathryn Hawa, DO, Riley Hospital for Children at Indiana University Health
4:22 PM Debate
              The Belching Bonanza: Breezing through Retrograde Cricopharyngeal Dysfunction and
              Supragastric Belching
              Shikib Mostamand, MD, Stanford University
              Learning objectives:

• Identify the signs and symptoms of retrograde cricopharyngeal dysfunction (RCPD)
• Understand diagnosis and treatment options for RCPD
• Review the Rome IV criteria for diagnosing Supragastric belching
• Explore treatment options for supragastric belching

              VS
              The Great Belch Debate: R-CPD and Supragastric Belching: To Treat or Not to Treat
              Leonel Rodriguez, MD, MS, Yale University
              Learning objectives:

• Evaluate the historical evidence against the diagnosis of supragastric belching and R-CP dysfunction
• Describe the evidence against the treatment of supragastric belching and contrast it with the evidence supporting its therapy
• Describe the evidence against the treatment of R-CP dysfunction and contrast it with the evidence supporting its therapy

5:15 pm - 7:00 PM  Fellows Social
The Fellows Committee would like to invite all current fellows to a social event on the beach (Beach space below the South Terrace). Come mix and mingle, take part in a sandcastle building competition and have a great time connecting with other fellows. 

5:30 PM - 6:30 PM GI Jeopardy

7:00pm The NASPGHAN Social with a Retro Resort Vibe
Join your fellow attendees for a night of dancing, food and fun while embracing a 1950s Retro Florida Resort vibe complete with a beach view. Dont forget to RSVP when you register for the Annual Meeting!

 

*Seperately ticketed event.