APGNN Annual Meeting

Friday,November 8

7:30-8:00am: Breakfast & Welcome 

8:00-9:00am: Session I – Keynote Speaker & APGNN Year in Review 

8:00-8:45am: Keynote 
                        Recognizing and Responding to the Impact of Screen Time on Youth
                        Dr. Scott Poland, Licensed Psychologist - Nova Southeastern University
                        Learning objectives:

• National survey data will be shared to help participants understand the amount of screen time for youth daily
• National survey data will be shared to help participants understand the increasing rate of anxiety, depression, and suicide for youth
• The warning signs of anxiety, depression and suicide will be shared to help participants better recognize at-risk youth
• Practical suggestions will be provided to conduct discussions with parents and other adults on balancing their own screen time to serve as a model for youth
• Participants will learn strategies to discuss the importance of screen free time in homes with their clients
• Participants will learn strategies to discuss screen time with youth to help them to be more mindful of their screen time usage and to set goals for limiting screen time usage

8:45-9:00am: APGNN Year in Review
                        Kerry Reed, MS, RN, CPNP-PC, APGNN President

9:00-10:00am:  Session II - LGBTQ+ Centered Care 

9:00-9:30am: Creating LGBTQ+ Safe(r) Spaces 
                        Dr. Eyad Hanna - University of Iowa
                        Learning objectives:

• Describe how safe(r) spaces can
  • Save lives
  • Support colleagues
  • Change your life how to start the discussion of identity / pronouns with patients
• Name 2 things that can create safe(r) spaces
  • Individuals can do
  • Institutions / clinics can do

9:30-10:00am: LGBTQ+ inclusion in IBD, from the Trans Perspective
                          Elizabeth Mileti, MD - Pediatric Gastroenterology and Nutrition Associates Las Vegas
                          Learning objectives:

• Recommendations and resources regarding sexual health of patients with perianal disease and/or IBD-related surgeries
• Does gender-affirming medical care impacts IBD care (i.e., altering response to IBD treatment if receiving gender-affirming hormonal care)
• How stress and trauma may be particularly impactful including stress and trauma related to LGTBQ+ experiences

10:00-10:30am: Committee Meetings & Break

10:30-12:00 pm:   Session III - Celiac Disease

10:30-11:00am: Lab testing- When, How and Why?  
                             Ritu Verma, MD - University of Chicago
                             Learning objectives:

• Review which screening blood tests to order and when?
• Discuss - decision to biopsy or no biopsy?
• Discuss Gluten challenge; how, when and why?

11:00- 11:30am: Missing Nutrients: Monitoring for Deficiencies in the Gluten-Free Diet for Celiac Disease
                              Nicole Misner, MS RDN - University of South Florida
                              Learning objectives:

• Discuss common micronutrient deficiencies associated with celiac disease and adherence to the gluten-free diet
• Describe strategies to treat or prevent nutritional deficiencies on a gluten-free diet

11:30- 12:00pm: Celiac Disease: The Evolving Landscape of Drugs, Diet, and Diagnosis
                             Marisa Stahl, MD - Children’s Hospital Colorado
                             Learning objectives:

• Review the landscape of celiac disease pharmacotherapies under development
• Discuss the outcomes under use and in development for clinical trials and their potential clinical applications to celiac disease diagnosis and disease monitoring

12:00-1:30pm: Lunch and Poster Session

1:30-3:30pm:  Session IV - Nutrition & Weight Management

1:30- 2:00pm: The Nuts & Bolts of Childhood Obesity 
                         Stephanie Abrams, MD - Memorial Care Miller Children's and Women's Hospital Long Beach
                         Learning objectives:

• Understand the epidemiology of overweight vs obesity in children
• Gain knowledge of the most recent AAP guidelines on childhood obesity
• Utilize clinical pearls as management tools for the treatment of childhood obesity

2:00- 2:30pm:  From NAFLD to MASLD: Why the Name Change? What it Means for You and Your Patients
                          Jeff Schwimmer, MD - Rady Children’s San Diego
                          Learning objectives:

• To explain the reasons behind the transition from NAFLD to MASLD and the significance of the new nomenclature
• To differentiate between the old and new terminologies, highlighting changes in diagnostic criteria and disease understanding
• To discuss the clinical implications of the nomenclature change on the diagnosis, management, and treatment of pediatric patients with MASLD

2:30- 3:00pm: Bariatrics: Established Practices and Emerging Solutions
  Dr. Desiree Sierra-Velez & Annemarie Fayemi, NP - Boston Children's Hospital 
                          Learning objectives:

• Understand indications for referral for bariatric surgery
• Review available bariatric surgical procedures, mechanisms, outcomes and complications
• Discuss endobariatric procedures and available evidence in pediatric populations
• Consider the role of anti-obesity medications in pre- and post-op periods

3:00 to 3:30 pm: Eating on a Tight Budget: Balanced Meals for Malnourished Children of Low-Income Families
                          Olguyne Fernandez-Fraga, MS, RD, SP, CNSC - Miami Private Practice 
                          Learning objectives:

• Define low-income, under-resourced, and malnutrition with an emphasis on overnutrition
• Outline practical tips and strategies for eating balanced meals on a tight budget
• Recognize barriers for the creation of home-cooked meals
• Formulate recommendations for food resources that support at-risk patients

3:30-5:00:  Session V - Nutrition Potpourri/Nutrition, Highs and Lows

3:30- 4:00pm: NG Tube Weaning: A Multidisciplinary Approach  
               Sarah Connearny, NP - Boston Children’s Hospital 
               Learning objectives:

• Understand the criteria for weaning NG tube feeds
• Understand the teamwork approach to weaning NG tube feeds
• Understand the monitoring criteria in weaning NG tube feeds and what success looks like 

4:00- 4:30pm: Dysphagia Detective: The Role of Speech Pathology in the Diagnosis and Management of the Pediatric Swallow
               Courtney A. Long, M.Ed. CCC-SLP, CLC, Children’s National Hospital
               Learning objectives:

• Define the physiology of the swallow, appropriate reasons for a speech consultation and complicating medical challenges/comorbidities impacting to safe feeding
• Identify the instrumentation to objectively assess deglutition and describe the limitations and advantages of each in the infant and pediatric population 
• List the components of IDDSI and five management techniques to safely modify an oral feeding plan

4:30- 5:00pm: Management of Enteral Nutrition in Pediatric Patients with Medically Complex Histories
               Victoria Powell, NP - University Pittsburgh Medical Center
               Learning objectives:

• Describe how to assess nutritional status for medically complex children both through physical assessment and with utilization of growth charts
• Explain the importance of using specialized growth charts, monitoring weight/length or BMI trends
• Describe how to utilize lab testing to monitor nutritional status

5:00-5:30pm: APGNN Awards & Presentations

• Excellence in Education
• Poster of Distinction
• Susan Moyer Research Grant
  • Announcing current year’s winner
  • Grant update from two years prior winner

6:00pm: APGNN Social Event

Saturday,November 9

8:00-8:30am: Breakfast & Welcome 

8:30-10:00am:  Session VI - Constipation

8:30- 9:00am: Pooping in all the wrong places-Functional Constipation and Encopresis  
                         Melanie Merrill Kennedy, PA - University of Colorado
                         Learning objectives:

• Define normal stooling and constipation
• Understand causes of constipation, encopresis  and “Red Flags”
• Discuss testing and treatment options 
• Discuss long term use of laxative therapy, addressing parental fears of dependence 

9:00- 9:30am: Innovative Bowel Management strategies for intractable Constipation 
                         Fiona Paul, DNP - Boston Children’s Hospital 
                         Learning objectives:

• Review existing enema programs, including retrograde, transanal irrigations, and antegrade continence enemas
• Identify appropriate candidates for an intensive bowel management plan
• Discuss strategies to address challenges in treatment
• Review additional interventions to improve the success of bowel management, including pelvic floor therapy, massage techniques

9:30- 10:00am: First Line Behavioral Treatments for Going Number 2
                           Dr. Christina Low Kapalu - Oregon Health
                           Learning objectives:

• Describe evidence based behavioral interventions for reducing soiling in children
• Identify two behavioral strategies to increase appropriate toileting behaviors
• Evaluate for (and problem solve solutions to) barriers to implementation of strategies

10:00-10:30am Break 

10:30- 12:00pm:  Session VII - Hot Topics

10:30- 11:00am:  My TikTok says I have MALs, POTs, EDS, SFN, MCAS: What should I do next? 
                        Anil Darbari, MD - Children’s National Medical Center
                        Learning objectives:

• GI symptoms in association in children and adolescents with Multisystem symptoms
• Diagnostic process
• Treatment options and outcomes

11:00- 11:30am: Things You Shouldn’t Eat AKA Indigestibles
                        Christina Sanchez, NP UT Southwestern
                        Learning objectives:

• Discuss recommendations for the evaluation and management of water bead ingestions
• Review current guidelines for the treatment and management of button battery ingestions
• Highlight the evaluation, treatment, and follow up required following an unintentional caustic ingestion
• Understand necessary imaging, treatment, and protentional complications following 2 or more magnet ingestion

11:30am- 12:00pm:  Less Invasive and Innovative Modalities in the Management of Eosinophilic Esophagitis 
                       Nathalie Nguyen, MD, Children's Hospital Colorado
                       Learning objectives:

• Identify the barriers to care and unmet needs in the diagnosis and monitoring of EoE
• Discuss innovative modalities to address these needs
• Recognize current limitations to integrating these modalities into clinical practice

12:00-2:00pm: Lunch and Poster Session

2:00 PM - 3:30 PM  - NASPGHAN Concurrent Session V: IBD's Shadow: When Inflammation Touches Other Organs
Moderator: Gitit Tomer, MD, Children's Hospital at Montefiore

2:00 PM IBD Associated Liver Disease
               Amy Taylor, MD, Cincinnati Children's Hospital
2:25 PM Flash Abstracts
2:37 PM Rheumatologic Manifestations of IBD
               Eileen Crowley, MD, Children's Hospital London Health Sciences Centre
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

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