Saturday, October 19

6:00am 5K Walk/Run

7:00am - 8:00am Meet the Professor Breakfast

Novedades en el manejo de la insuficiencia intestinal crónica Solange Heller Rouassant, MD, Hacienda De Presillas
Mercedes Martinez, MD, New York Presbyterian Hospital

Neuromodulation
Peter Lu, MD, Nationwide Children's Hospital
Katja Kovacic, MD, Medical College of Wisconsin

Challenging cases in EoE
Amir Kagalwalla, MD, Ann and Robert H Lurie Children's Hospital
Calies Menard-Katcher, MD, Children's Hospital Colorado

2nd attack of pancreatitis: Now what?
Mark Lowe, MD, PhD, Washington University School of Medicine
Zachary Sellers, MD, PhD, Stanford University

Complex cases in IBD (fibrostenotic/stricuring disease)
Edwin de Zoeten, MD, PhD, Children's Hospital Colorado
Jeffrey Brown, MD, Ann and Robert H Lurie Children's Hospital

Autoimmune hepatitis
Cara Mack, MD, Children's Hospital Colorado
Nitika Gupta, MBBS, DCH, DNB, MRCP, Emory University School of Medicine

Obscure GI bleeding
Ali Mencin, MD, Columbia University Medical Center
Sabina Ahmed Mir, MD, University of North Carolina Chapel Hill

Protracted diarrhea of infancy
Mamata Sivagnanam, MD, Rady Children's Hospital
Mary Abigail Garcia, MD, University of California, San Diego

7:30am Annual Meeting Breakfast

8:30am – 10:00am Concurrent Session III

WHAT ARE RESEARCHERS DOING FOR CLINICIANS TODAY? A PERSONALIZED MEDICINE DEBATE Link to Slides
Moderator: Kathleen Loomes, MD, Children's Hospital of Philadelphia and Bruno Chumpatazi, MD, Texas Children's Hospital/ Baylor College of Medicine
8:30am Tools to improve characterization of disease and personalize therapy in children with IBD Ted Denson, MD, Cincinnati Children's Hospital Medical Center vs
Judith Kelsen, MD, Children's Hospital of Philadelphia
Objectives:

To understand the evaluation and identify patients amenable to targeted therapy in VEO-IBD
To incorporate clinical phenotype and biomarkers to prognosticate disease course and to target therapy in older children with CD and UC

9:00am Personalized medicine in the field of Pancreatology: Ready for prime-time or caution ahead?
Véronique Morinville, MD, Montreal Children's Hospital vs
Maisam Abu-El-Haija, MD, Cincinnati Children's Hospital and Medical Center
Objectives:

Recognize the importance of genetics and genotype- phenotype correlations in pancreatitis
Understand the role of precision medicine in pancreatic diseases
Consider current limitations and concerns in utilizing genetics in pancreas patient care

9:30am Personalized medicine in inherited cholestasis: Needs, opportunities and limitations
Kathleen Loomes, MD, Children's Hospital of Philadelphia vs
Benjamin Shneider, MD, Texas Children's Hospital
Objectives:

Gain an understanding of the types of genetic tests that are available for inherited cholestasis and how the results may be interpreted
Be able to describe the lack of a genotype-phenotype relationship in Alagille syndrome and understand that genetic modifiers may play a role in disease outcome
Be able to describe a range of clinically relevant outcomes in ABCB11 disease that might warrant a need for personalized medicine
Be able to apply an understanding of genotype-phenotype relationships in ABCB11 disease to personalize clinical-decision making for individuals with specific mutations in ABCB11

VIDEO ORAL ABSTRACT PRESENTATIONS
Moderators: Bradley Barth, MD, UT Southwestern Medical Center and Diana Lerner, MD, Medical College of Wisconsin

438 ENDOSCOPIC RE-PEG TECHNIQUE FOR BURIED BUMPER SYNDROME. Karlo Kovacic, Alfonso Martinez, Diana Lerner. Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.

439 USE OF ENDOFLIP IN A PEDIATRIC PATIENT WITH DYSPHAGIA. Kenneth Ng. Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.

440 ROLE OF THERAPEUTIC ERCP IN MANAGEMENT OF PANCREATOBILIARY ANOMALIES. Karen Queliza, Douglas Fishman. Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Houston, TX, USA.

441 LAPAROTOMY AND INTRAOPERATIVE ENTEROSCOPY IN A TEEN WITH A SEVERE GASTROINTESTIMAL BLEEDING. Amornluck Krasaelap1, Jonathan Wong1, Amy Wagner2, Katherine Flynn-O'Brien2, James Southern3, Nghia Vo4, Diana Lerner1. 1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA; 2Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA; 3Division of Pediatric Pathology, Department of Pathology and Laboratory Medicine, Medical College of Wisconsin, Milwaukee, WI, USA; 4Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, USA.

442 USING COMBINED ANTEGRADE-RETROGRADE RENDEVOUS TECHNIQUE TO DILATE NEAR COMPLETE DISTAL ESOPHAGEAL STENOSIS. Abdul Shahein, J. Antonio Quiros, R'celle Boyd, Alida Dempsey, Analina Bayag, Ricardo Arbizu. Pediatric Gastroenterology, Medical University of South Carolina, Charleston, SC, USA.

443 SEVERE NECROTIZING PANCREATITIS SECONDARY TO HYPERTRIGLYCERIDEMIA MANAGED WITH PLASMAPHERESIS AND LUMEN APPOSING METAL STENT. Russell Zwiener1, Thu Pham1, Patrick Reeves2, Jeremy Stewart3, Chris Moreau4, Javier Monagas1, Sandeep Patel4, Adam Noel1. 1Pediatric Gastroenterology, Baylor College of Medicine - San Antonio, San Antonio, TX, USA; 2Pediatric Gastroenterology, Walter Reed Army Medical Center, Bethesda, MD, USA; 3Department of Pediatrics, Baylor College of Medicine - San Antonio, San Antonio, TX, USA; 4Transplant and Advanced Endoscopy, UT Health San Antonio, San Antonio, TX, USA.

444 ENDOSCOPIC MUCOSAL RESECTION IN CHILDREN. David Vitale, Laith Jamil, Kenneth Park, Quin Liu. Gastroenterology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.

445 RENDEZVOUS TECHNIQUE (ERCP AND PTC) IN PEDIATRIC PATIENTS. Karen Queliza1, Alex Chau2, J. Alberto Hernandez2, Douglas Fishman1. 1Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Houston, TX, USA; 2Baylor College of Medicine, Houston, TX, USA.

446 APPLICATION OF UNIQUE STENTING TECHNIQUE FOR DRAINAGE OF WALLED OFF PANCREATIC NECROSIS WITH CYST - CYSTOSTOMY. Russell Zwiener1, Chris Moreau2, Javier Monagas1, Sandeep Patel2, Adam Noel1. 1Pediatric Gastroenterology, Baylor College of Medicine - San Antonio, San Antonio, TX, USA; 2Transplant and Advanced Endoscopy, UT Health San Antonio, San Antonio, TX, USA.

447 UTILITY OF ENDOSCOPIC ULTRASOUND IN PEDIATRIC PANCREATIC NEOPLASMS: REPRESENTATIVE CASES. Jacob Mark1,2, Carrie Marshall3. 1Section of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Digestive Health Institute, Children’s Hospital Colorado, Aurora, CO, USA; 2Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA; 3Pathology, University of Colorado School of Medicine, Aurora, CO, USA.

448 ADVANCED ENDOSCOPIC THERAPY FOR REFRACTORY ESOPHAGEAL EAR GAUGE FOREIGN BODY STRICTURES. Robert Kramer1,2. 1Pediatrics, University of Colorado, Aurora, CO, USA; 2 Digestive Health Institute, Children’s Hospital Colorado, Aurora, CO, USA.

INNOVATIONS IN VIRAL HEPATITIS Link to Slides
Moderators: Regino Gonzalez-Peralta, MD, AdventHealth for Children and Saeed Mohammad, MD, Ann & Robert H Lurie Children's Hospital
8:30am Updates on Hepatitis C treatment: The cure is here
Karen Murray, MD, Seattle Children's Hospital
Objectives:

Understand the indications for treating chronically HCV-infected children
Understand what medications are approved for the treatment of children with chronic HCV

8:55am TNF SIGNALING IN STEATOTIC LIVER INJURY
Nitika Gupta, MD, Emory University
9:07am Chronic viral hepatitis coinfections: Management and challenges
Norberto Rodriguez-Baez, MD, UT Southwestern Medical Center
Objectives:

Describe the epidemiology and natural history of chronic viral hepatitis coinfections
Review the recommendations for monitoring and treatment options for patients with chronic viral hepatitis coinfections

9:32am Regulatory T cell dysfunction in biliary atresia Cara Mack

TEACHING THE TEACHER Link to Slides
Moderators: Christine Waasdorp Hurtado, MD, Children's Hospital Colorado and Sarah Lusman, MD, New York-Presbyterian Hospital
8:30am Framing your feedback
H Barrett Fromme, MD, MPHE, Comer Children's Hospital Chicago
Objectives:

Describe the roles of both the learner and teacher in feedback
List two techniques to enhance the feedback relationship
Appreciate the role feedback plays in professional development

8:50am Entrustable professional activities: How to incorporate into training
Cary Sauer, MD, Children’s Healthcare of Atlanta
Objectives:

Define/describe entrustable professional activities (EPAs)
Identify specific and practical components of EPAs useful for formative/summative feedback
Identify two opportunities to apply EPAs in training

9:10am Integrating technology and teaching
Daniel Mallon, MD, Cincinnati Children's Hospital Medical Center
Objectives:

Understand how online interactive spaced education programs leverage testing and spacing effects for learning
Envision how one could incorporate technology to facilitate synchronous group learning
Identify where to find curricular resources on the NASPGHAN members website

9:30am Best practices in teaching: Observing as the basis for assessing and coaching
Alan Leichtner, MD, FAAP, MS-HPEd, Boston Children's Hospital
Objectives:

Optimize opportunities to directly observe and assess trainees in the workplace
Develop new options for observing and assessing learners
Incorporate deliberate practice into teaching based on your observations and assessment

HOT TOPICS IN GASTROENTEROLOGY Link to Slides
Moderators: Norelle Reilly, MD, Columbia University Medical Center and James Heubi, MD, Cincinnati Children's Hospital Medical Center
8:30am Emerging therapies in NAFLD: Hope or hype?
Stavra Xanthakos, MD, Cincinnati Children's Hospital Medical Center
Objectives:

Review potential therapeutic targets for NAFLD
Summarize completed and ongoing clinical trials of pharmacotherapy and nutraceuticals for NAFLD
Understand challenges to developing effective pharmacotherapies for NAFLD

8:55am Polypharmacy in GI: Are we treating the parent or the patient?
Samuel Nurko, MD, Boston Children's Hospital
Objectives:

Review the different treatments available for functional Gi diseases
Understand why multiple pharmacological approaches may be needed
Review the main known group interactions
Explore if it is possible to better tailor therapy

9:20am 449 PAI-1 AS AN EPITHELIAL MARKER OF DISEASE SEVERITY IN PEDIATRIC EOSINOPHILIC ESOPHAGITIS. Prerana Williamson1,2,3, Ranjan Dohil1,2,3, Maheen Hassan1,2,3, Armen Gharibans3,4,5, Jacqueline Barsamian3, Lucas Dohil1,8, Robert Newbury3,6, Hayat Mousa1,2,3, Seema Aceves3,7,8. 1Department of Pediatrics, University of California San Diego, San Diego, CA, USA; 2Division of Pediatric Gastroenterology, University of California San Diego, San Diego, CA, USA; 3Rady Children's Hospital, San Diego, CA, USA; 4Department of Surgery, University of Auckland, Auckland, New Zealand; 5Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand; 6Department of Pathology, University of California San Diego, San Diego, CA, USA; 7Department of Medicine and Pediatrics, University of California San Diego, San Diego, CA, USA; 8Division of Allergy and Immunology, University of California San Diego, San Diego, CA, USA

9:32am To AGRE(o)E or DIS-Agree: Eosinophilic esophagitis management from the real-world perspective
Joshua Brian Wechsler, MD, Ann & Robert H. Lurie Children's Hospital of Chicago
Objectives:

Identify complex cases of diagnosis and treatment that emphasize the need for new guidelines on PPIs
Discuss PPI response as a treatment-subtype of Eosinophilic Esophagitis
Define realistic practice standards for diagnosis and management with regards to PPI therapy

MOTILITY SKILLS HANDS ON WORKSHOP
Organizer: Jaime Belkind-Gerson, MD, MSc, Children's Hospital Colorado

8:30am-10:00am

CPNP Nutrition Symposium Session 1: Nutrition support teams

Home parenteral mutrition: The journey from inpatient consultation to a successful discharge home
Alexandra Carey MD
Objectives:

Initiation of the home parenteral nutrition consult
Patient selection, medical, social work and case management clearance
Parenteral nutrition prescription readiness
The 5-session teach and simulation laboratory
Pre-discharge meeting
Outpatient transition: telemedicine and beyond

Development of a nutrition support team: Addressing inpatient and outpatient needs
Andrea Armellino MS, RDN, CNSC, LD and Julie Buchholtz RDN, LD
Objectives:

Identify the tools used to justify development of an institutional-specific Nutrition Support Team
Understand implementation of an inpatient and outpatient Nutrition Support Team
Discuss how success of a new Nutrition Support Team can be measured

10:00am - 2:30pm Exhibit Hall Open

10:00am Break in Exhibit Hall

10:30am – 12:00pm Concurrent Session IV

COLONOSCOPY SKILLS WORKSHOP
Organizers: Douglas Fishman, MD, FASGE, Texas Children's Hospital and Catharine Walsh, MD, MEd, PhD, FRCPC, The Hospital for Sick Children

REPUTATION MANAGEMENT Link to Slides
Moderators: Christopher Hayes, MD, St. Mary's Hospital and Linda Muir, MD, Oregon Health and Science University
10:30am Digital footprint basics: Practical wisdom for mastering your online reputation as a physician
Bryan Vartabedian, MD, Baylor College of Medicine
Objectives:

How to leverage social media to build a basic online identity on a time-limited budget
How to conduct a basic digital footprint audit
How to optimize and maximize 'public profile' sites such as LinkedIn, Doximity and HealthGrades

11:00am How to develop yourself as a thought leader in social media while building and protecting your
reputation
John Pohl, MD, University of Utah
Objectives:

Learn best practices and tips that you can consider when building your reputation online and how to have a well-rounded presence
How you can partner with your marketing team to help your reputation
Learn from case studies of physicians and staff from various hospitals that have a great presence

11:30am Panel Discussion

WHAT DOES THE RESEARCHER OF THE TOMORROW LOOK LIKE? Link to Slides
Moderators: Bruno Chumpitazi, MD, Texas Children's Hospital/ Baylor College of Medicine and Jennifer Woo Baidal, MD, MPH, Columbia University Medical Center & New York-Presbyterian Morgan Stanley Children’s Hospital

10:30am From the NIH/CTSA perspective
James Heubi, MD, Cincinnati Children's Hospital Medical Center
Objectives:

To provide information about services broadly available through the CTSA Consortium
To discuss the importance of team science and how the CTSA hubs support this activity
To define the potential impacts of teams and social networking addressing a problem will lead to better understanding of disease and treatment
Define how we can prepare the researchers of the future to optimize their success

10:55am From the academic institution perspective
Menno Verhave, MD, Boston Children's Hospital
Objectives:

Understand the evolution of funding sources for research.
Recognize that successful career paths are not always straight lines.

11:20am Pathways to research in clinical practice
Benjamin Gold, MD, Children’s Center for Digestive Healthcare, LLC
Objectives:

Appreciate the differences between conducting research in the private practice setting compared to the academic physician.
Understand the variety of funding sources for research in private practice.

TREATING THE ENTIRE IBD PATIENT Link for Slides
Moderators: Alka Goyal, MD, Children's Mercy Hospital and Elaine Barfield, MD, New York-Presbyterian Hospital
10:30am Uncovering the evidence: Herbs, mind-body, and CBD for IBD
Ann Ming Yeh, Stanford University-Lucile Packard Children's Hospital
Objectives:

Discuss evidence for herbs and supplements in IBD
Review benefits of mind-body interventions for IBD patients
Understand current literature on medical marijuana for IBD

10:55am 450 OPEN SHARING OF AN EHR HEALTH MAINTENANCE CHECKLIST TO IMPROVE MONITORING OF CHILDREN WITH INFLAMMATORY BOWEL DISEASE. Jeannie Huang1,2, Rusvelda Cruz2, Ryan Yueh2, Steven Miller4, Jeremy Screws3. 1Gastroenterology, Rady Children's Hospital San Diego, San Diego, CA, USA; 2Pediatrics, University of California San Diego, La Jolla, CA, USA; 3Pediatric Gastroenterology, Erlanger Health System, Chattanooga, TN, USA; 4Pediatric Gastroenterology, Johns Hopkins School of Medicine, Baltimore, MD, USA.
11:07am Psychosocial Screening in Pediatric IBD
Laura Mackner, PhD, Nationwide Children's Hospital
Objectives:

Review role of psychosocial functioning in IBD
Understand importance of psychosocial screening and current clinical guidelines
Describe practical strategies for implementing screening in clinic

11:32am 451 VALIDATION OF THE UCEIS AND MAYO ENDOSCOPIC SUB-SCORE IN PEDIATRIC ULCERATIVE COLITIS. Amanda Ricciuto1, Nicholas Carman2, Eric Benchimol2, Anne Griffiths1, Thomas Walters1, Peter Church1. 1Gastroenterology, Hospital for Sick Children, Toronto, ON, Canada; 2Gastroenterology, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
GLOBAL INNOVATION, LOCAL APPLICATION Link to Slides
Moderators: Suzanna Attia, MD, University of Kentucky and Sana Syed, MD, University of Virginia
10:30am Beating viral hepatitis worldwide: vaccine$, antiviral$, village health care worker$, and informed public
health official$
Kathleen B. Schwarz, MD, The Johns Hopkins Hospital
Objectives:

Understand the global health care burden of viral hepatitis A, B and D, C and E
Know the indications for approved vaccines against A and B and the status of experimental vaccines for C and E
Be familiar with approved antivirals for HBV in pregnant women and children and for HCV in children
Understand the impediments to effective prevention of maternal infant transmission of HBV: the FISPGHAN study
Know how to advise public health officials on cost effective strategies to eliminate viral hepatitis globally

10:55am Evidence synthesis in global health. What goes in guideline development
Aamer Imdad, MBBS, SUNY Upstate Medical University
Objectives

Overview of evidence synthesis (systematic reviews and meta-analysis)
Introduction to GRADE (Grading of Recommendations, Assessment, Development and Evaluations)
Introduction to guideline development at WHO
Opportunities to learn and contribute to Evidence Synthesis

11:20am Micronutrient deficiencies and global burden including neurocognitive outcomes
Nancy Krebs, MD, University of Colorado
Objectives:

Describe global prevalence of most common micronutrient deficiencies (MND)
Describe conditions that associate with risk of MND, with emphasis on iron and zinc
Describe the long-term impact of MND, including growth & neurodevelopment
Name 3 potential solutions/approaches to prevent &/or treat MND

ASPIRATION FROM A MULTIDISCIPLINARY APPROACH Link to Slides
Moderators: Dana Williams, MD, Phoenix Children's Hospital and Matthew Riley, MD, Providence Pediatric Gastroenterology
10:30am Gastroenterology
Rachel Rosen, MD, Boston Children's Hospital
Objectives:

To discuss the role for GI testing in the evaluation aspiration
To review the implications of different thickeners on GI symptoms
To understand the implications of reflux therapies in the aspirating patient

10:48am Otolaryngology
Michael Rutter, MD, Cincinnati Childrens Hospital Medical Center
Objectives:

Recognize that aspiration may be due to anatomical causes or functional causes (such as neurological compromise)
Be familiar with the surgical solutions to anatomical problems
Be familiar with the surgical and non-surgical interventions for functional causes

11:06am Aspiration from the Pulmonologist’s perspective
R Paul Boesch, DO, Mayo Clinic
Objectives:

Recognize the presentation of chronic pulmonary aspiration in children
Understand the impact of chronic aspiration on the lungs
Understand the components of the diagnostic evaluation of chronic aspiration and when to use them
Understand the importance of a multidisciplinary approach to aspiration evaluation and management

11:24am Speech Language-Pathology
Joan Arvedson, PhD, CCC SLP, Children’s Hospital of Wisconsin
Objectives:

Identify pros and cons of methods for delineating aspiration in infants and children
Incorporate findings from instrumental swallow evaluations to aid in making management decisions for infants and children with oropharyngeal dysphagia
Discuss 3 variables related to frequency and texture specificity of aspiration in infants and children

11:42am Nutrition
Bridget Hron, MD, Boston Children's Hospital
Objectives:

to understand the data behind the use of blends to treat aerodigestive disorders
to understand the differences in blend options and the implications on motility and gastroesophageal reflux
to understand the limitations of blenderized feeds in the current insurance climate

10:30am – 12:00pm

CPNP Nutrition Symposium Session 2: Nutrition and transplant

Heart to heart: A discussion about nutrition in pediatric patients undergoing heart transplant
Melissa Froh, MS, RD, LDN, CD
Objectives:

Understand the impact of malnutrition in patients waiting for transplant?
Understand the differences in nutrition needs before and after transplant

Navigating the phases of liver transplant: A nutrition roadmap
Jill Rockwell RD, CSP, LD, CNSC
Objectives:

Identify nutritional consequences of end stage liver disease
Discuss strategies for optimizing nutritional status pre-liver transplant
Review nutritional requirements pre- and post- liver transplant

Nutrition in chronic liver disease
James Heubi MD
Objectives:

To describe the nutritional challenges and treatment in chronic childhood liver disease before liver transplant
To describe nutritional challenges and treatment after liver transplantation
To define gaps in our knowledge about nutritional challenges in childhood liver disease that can be addressed in the future

12:00pm - 2:00pm Poster Session III

12:00pm Light Lunch in the Exhibit Hall

1:00pm-2:00pm

CPNP Nutrition Symposium Session 3: Nutrition in the Cystic Fibrosis patient

Optimizing nutrition in the CF child: The gastroenterologist’s role in a multidisciplinary care team
Véronique Morinville MD
Objectives:

Identify potential causes of suboptimal nutrition in a child with CF with a focus on gastrointestinal etiologies
Assess a child for nutritional adequacy as part of a multidisciplinary CF team
Manage gastrointestinal and nutritional aspects over time to optimize outcomes in CF

Optimizing nutrition in children with Cystic Fibrosis; The dietitian’s role in the interdisciplinary team
Virginia Anderson RD
Objectives:

Summarize why nutrition is important in people with Cystic Fibrosis
Review the specific nutritional needs of people with Cystic Fibrosis
Discuss Pancreatic Enzyme Replacement Therapy and Vitamin Supplementation in patients with Cystic Fibrosis
Understand a case study describing a newly diagnosed infant with Cystic Fibrosis

2:00pm-2:45pm
CPNP Nutrition Symposium Session 4

Neonatal Malnutrition
Jackie Wessel, MEd, RDN, CNSC, CSP, CLE
Objectives:

The learner will be able to state why growth of head circumference is not used as a malnutrition indicator
The learner will be able to tell when in days of life are the primary indicators used
The learner will be able to list helpful computer programs to use in conjunction with the neonatal malnutrition indicators

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

TRAIN THE PEDIATRIC ENDOSCOPY TRAINER WORKSHOP
Organizers: Douglas Fishman, MD, FASGE, Texas Children's Hospital and Catharine Walsh, MD, MEd, PhD, FRCPC, The Hospital for Sick Children

PROFESSIONAL DEVELOPMENT WORKSHOP: EFFECTIVE COMMUNICATION Link to Slides
Moderators: Gitit Tomer, MD, Children's Hospital at Montefiore and Kimberly Chien
2:00pm “We need to talk….”: Strategies for difficult conversations
Binita Kamath, MD, MBBChir, MRCP, The Hospital for Sick Children
Objectives:

To identify, anticipate and prepare for a difficult conversation
To consider strategies that will help navigate a difficult conversation
To raise awareness of common pitfalls in difficult conversations

2:20pm Heart over mind: EQ vs IQ
Rina Sanghavi, MD, Children's Medical Center of Dallas
Objectives:

Understand what emotional intelligence is and how it differs from IQ
Understand the importance of EQ in developing leadership skills
Tools for evaluating your EQ
Tools for increasing your EQ

2:40pm Communicate with the opposition: Conflict resolution
Mitchell B Cohen, MD, UAB/Children's of Alabama
Objectives:

Appreciate that the desire to preserve artificial harmony stifles the occurrence of productive, ideological conflict
Identify several types of conflict
Obtain practical skills in Conflict Resolution

3:00pm Negotiation example and discussion

UPPER GI INTERVENTIONS Link to Slides
Moderators: Kenneth Ng, DO, Johns Hopkins Children's Center and Inna Novak, MD, The Children's Hospital at Montefiore
2:00pm Endoscopic interventions for upper gastrointestinal motility and functional disorders
Leonel Rodriguez, MD, MS, Boston Children's Hospital
Objectives:

Discuss available endoscopic procedures for upper gastrointestinal motility and functional disorders
Discuss endoscopic procedures for upper gastrointestinal motility disorders: indications, outcomes and complications
Familiarize with new endoscopic procedures for upper gastrointestinal motility and functional disorders

2:25pm 662 COMPARISON OF CURRENT DETECTION MODALITIES FOR RECURRENT TRACHEOESOPHAGEAL FISTULAE WITH A NOVEL METHOD: RISE IN END TIDAL CARBON DIOXIDE DURING ESOPHAGOSCOPY WITH CARBON DIOXIDE INSUFFLATION. Jessica Yasuda1, Steven Staffa2, Russell Jennings3, Peter Ngo1, Michael Manfredi1. 1GI, Boston Children's Hospital / Harvard, Boston, MA, USA; 2Anesthesia, Boston Children's Hospital / Harvard, Boston, MA, USA; 3Surgery, Boston Children's Hospital / Harvard, Boston, MA, USA. 2:37pm Advances in esophagitis: Endoscopic and surgical
Michael Manfredi, MD, Boston Children's Hospital
Objectives:

Discuss current endoscopic interventions for the management of Gastroesophageal Reflux
Discuss current minimally invasive surgery for the management of Gastroesophageal Reflux
Discuss the utility of these techniques in children

3:02pm 663 DEVELOPING AN INTERNATIONAL CONSENSUS ON QUALITY STANDARDS AND INDICATORS FOR PEDIATRIC ILEOCOLONOSCOPY: A REPORT FROM THE PEDIATRIC ENDOSCOPY QUALITY IMPROVEMENT NETWORK (PENQUIN). Catharine Walsh1, Jenifer Lightdale2, David Mack3, Jorge Amil-Dias26, Patrick Bontems4, Herbert Brill8,25, Nick Croft5,6, Douglas Fishman7, Raoul Furlano9, Peter Gillett10, Iva Hojsak11, Matjaz Homan12, Hien Huynh13, Kevan Jacobson14, Diana Lerner15, Quin Liu16, Petar Mamula17, Priya Narula18, Salvatore Oliva19, Joel Rosh20, Marta Tavares21, Elizabeth Utterson22, Veronik Connan23, Mike Thomson24, . PEnQuIN Investigators27. 1Division of Gastroenterology, Hepatology and Nutrition, Department of Paediatrics, Child Health Evaluative Sciences, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada; 2Department of Pediatrics, Division of Gastroenterology and Nutrition, UMass Memorial Children’s Medical Center, Worcester, MA, USA; 3Department of Pediatrics, Children’s Hospital of Eastern Ontario and University of Ottawa, Ottawa, ON, Canada; 4Paediatric Gastroenterology Uni, Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium; 5Barts and the London School of Medicine, Queen Mary University of London, London, United Kingdom; 6Royal London Children's Hospital, Barts Health NHS Trust, London, United Kingdom; 7Section of Pediatric Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Houston, TX, USA; 8Department of Pediatrics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada; 9Department of Pediatric Gastroenterology and Nutrition, University Children’s Hospital, Basel, Switzerland; 10Paediatric Gastroenterology, Hepatology and Nutrition (PGHAN) Department, RHCYP, Edinburgh, Scotland, United Kingdom; 11Children’s Hospital Zagreb, University of Zagreb School of Medicine, University J.J. Strossmayer School of Medicine, Osijek, Croatia; 12Department of Gastroenterology, Hepatology, and Nutrition, University Children’s Hospital, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia; 13Division of Pediatric GI and Nutrition, Department of Pediatrics, Stollery Children’s Hospital, University of Alberta, Edmonton, AB, Canada; 14Division of Gastroenterology, Hepatology and Nutrition, British Columbia's Children's Hospital and British Columbia Children’s Hospital Research Institute, University of British Columbia, Vancouver, BC, Canada; 15Department of Pediatrics, Section of Gastroenterology, Hepatology, and Nutrition, Medical College of Wisconsin, Milwaukee, WI, USA; 16Cedars-Sinai Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA; 17Division of Gastroenterology, Hepatology and Nutrition, Children’s Hospital of Philadelphia, Philadelphia, PA, USA; 18Department of Paediatric Gastroenterology, Sheffield Children’s Hospital, Western Bank, Sheffield, United Kingdom; 19Maternal and Child Department, Pediatric Gastroenterology and Liver Unit, Sapienza University of Rome, Roma, Italy; 20Division of Gastroenterology, Hepatology and Nutrition, Goryeb Children’s Hospital, Morristown, NJ, USA; 21Pediatric Gastroenterology Unit, Centro Materno Infantil do Norte, Centro Hospitalar Universitário do Porto, Porto, Portugal; 22Department of Pediatrics, Division of Pediatric Gastroenterology and Nutrition, Washington University School of Medicine, St. Louis, MO, USA; 23Child Health Evaluative Sciences, Hospital for Sick Children, Toronto, ON, Canada; 24International Academy for Paediatric Endoscopy Training, Sheffield Children’s Hospital, Weston Bank, Sheffield, United Kingdom; 25Department of Pediatrics, William Osler Health System, Brampton, ON, Canada; 26Department of Pediatrics, Centro Hospitalar Universitário S. João, Porto, Portugal; 27NASPGHAN and ESPGHAN, Ambler, PA, USA.

MANAGEMENT OF CHRONIC PANCREATITIS Link to Slides
Moderators: Maisam Abu-El-Haija, MD, Cincinnati Children's Hospital and Medical Center and Quin Liu, MD, Cedars-Sinai Medical Center
2:00pm Debate: ERCP for Chronic Pancreatitis: When enough is enough vs
David Troendle, MD, University of Texas Southwestern Medical School
Objectives:

When should ERCP be offered to pediatric patients with chronic pancreatitis
What is the role of pancreatic stenting in pediatric chronic pancreatitis
Understand the utility of various techniques that can augment ERCP in the treatment of pediatric chronic pancreatitis

Surgical Management: When enough is NOT enough
Sarah Jane Schwarzenberg, MD, University of Minnesota Amplatz Children's Hospital
Objectives:

Understand indications for surgery in chronic pancreatitis
Review options for surgery in chronic pancreatitis

2:30pm COMPARISON OF MULTIPLE INDICES OF FAT AND ENERGY ABSORPTION IN PEOPLE WITH CHRONIC PANCREATITIS WITH A HEALTH COMPARISON GROUP Hillary Bashaw, MD, Children’s Hospital of Philadelphia
2:42pm Psychosocial treatments for management of pain in chronic pancreatitis across the lifespan
Tonya Palermo, PhD, Seattle Children's Hospital
Objectives:

Understand biopsychosocial processes that underlie the development of chronic pain
Review evidence for psychosocial treatments for chronic pain across the lifespan
Apply psychosocial pain treatment to individuals with chronic pancreatitis pain

3:07pm 664 CLINICAL OUTCOMES FOLLOWING THERAPEUTIC ERCP IN CHILDREN WITH PANCREAS DIVISUM. Tom Lin1, Sagar Pathak2, David Vitale1, Jaimie Nathan3, Maisam Abu-El-Haija1. 1Gastroenterology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; 2Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; 3Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
WHAT, WHEN AND HOW OF MANOMETRY IN GASTROINTESTINAL DYSMOTILIY Link to Slides
Moderators: Desale Yacob, MD, Nationwide Children's Hospital and Kristin Fiorino, MD, Children's Hospital of Philadelphia
2:00pm Colonic manometry
Jaime Belkind-Gerson, MD, MSc, Children's Hospital Colorado
Objectives:

To understand functional and manometric differences from right vs left colon
To understand the predictive value of an abnormal global and segmental colonic manometries
To learn which manometric abnormality patterns could be reversible by chronic colonic irrigation

2:25pm 665 PROSPECTIVE STUDY EVALUATING THE CORRELATION BETWEEN COLON MOTILITY AND THE TISSUE NEUROTRANSMITTER GENE EXPRESSION. Leonel Rodriguez, Kitzia Colliard, Benjamin Sallis, Edda Fiebiger, Samuel Nurko. Gastroenterology, Children's Hospital Boston, Boston, MA, USA.
2:37pm Antroduodenal manometry. Helpful or just a fancy test?
Jose Garza, MD, Children’s Center for Digestive Healthcare, LLC
Objectives:

Describe antroduodenal manometry testing
Identify key indications for testing
Understand how antroduodenal manometry can be useful in clinical practice

3:02pm 666 EARLY-LIFE ADVERSITY RESULTS IN DIFFERENCES IN ENTERIC NERVOUS SYSTEM DEVELOPMENT AND GI MOTILITY. Kimberly Law1, Andrew Del Colle1, Moneek Madra1,2, Narek Israelyan1,3, Kara Margolis1. 1Pediatrics, Columbia University Medical Center, New York, NY, USA; 2Institute of Human Nutrition, Columbia University Medical Center, New York, NY, USA; 3Columbia University Vagelos College of Physician and Surgeons, New York, NY, USA.

3:15pm Afternoon Break

3:30pm-5:00pm

CPNP Nutritional Symposium Breakouts

(Three 30 minute sessions with rotation)
Breakout 1: Nutrition follow-up of the NICU graduate: Practical strategies for monitoring and intervention
Linda Stephenson Somers, RD
Objectives:

Monitor and assess the adequacy of post discharge weight gain velocity, linear growth velocity and feedings
Assess the impact of GERD and dysphagia on feeding and growth
Provide intervention strategies to maintain growth or promote growth restoration while also providing psychosocial support to families/caregivers who appear overwhelmed or anxious

Breakout 2: Thickening in pediatrics: Why and how Katie Walsh SLP Objectives:

Participants will be able to identify and discuss potential clinical rationale for thickening
Participants will be able to discuss at least 3 common products (commercial and food based) being used to thicken in pediatrics

Breakout 3: Resource sharing: The low FODMAP diet
Kirsten Jones RD
Objectives:

Exchange ideas and resources used to develop Low FODMAP diet educations
Share ways to increase patient compliance during the elimination phase of the diet
Compare high FODMAP reintroduction methods

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

CHALLENGES IN IBD Link to Slides
Moderators: Ashish Patel, MD, UT Southwestern Medical Center and Jenifer Strople, MD, Ann & Robert H Lurie Children’s Hospital
3:45pm “Fail first” and other payor driven policies: How can physicians become effective advocates?
Sandra Kim, MD, Children's Hospital of Pittsburgh of UPMC
Objectives:

Summarize the impact of IBD care costs in the United States
Provide an overview on different issues impacting care access (“fail first” components of step therapy, lack of coverage for medical foods, and opt out plans) for patients with IBD
Discuss ongoing bills that have been proposed to improve access to care

4:10pm Treatment of intestinal inflammation in a murine model with epicutaneous tolerance induction requires TGF-B and IL-10 but not FOXP3+ Tregs David Dunkin
4:22pm Role of small molecules in the treatment of inflammatory bowel disease
Jeffrey Hyams, MD, Connecticut Children's Medical Center
Objectives:

Understand the mechanisms of action and pharmacology of emerging small molecule therapies
Understand the potential role of available and emerging small molecules in the treatment of pediatric IBD

4:47pm Characterization of the fistula-associated microbiome in pediatric perianal Crohn’s disease Jessica Breton

NON-INVASIVE MARKERS OF HEPATIC FIBROSIS Link to Slides
Moderators: Shikha Sundaram, MD, Children's Hospital Colorado and Niviann Blondet, MD, Seattle Children's Hospital
3:45pm Worth a thousand words: Approaches in non-invasive imaging of hepatic fibrosis
Christine Lee, MD, Boston Children's Hospital
Objectives:

Understand how different imaging modalities estimate liver fibrosis
Acknowledge the advantages/ disadvantages of various imaging techniques
Describe new uses of non-invasive imaging for the assessment of liver disease

4:10pm 667 MRCP SEVERITY PREDICTS DISEASE OUTCOMES IN PEDIATRIC PRIMARY SCLEROSING CHOLANGITIS: A RELIABILITY AND VALIDITY STUDY. Amanda Ricciuto1, Kedar Patil2, Alaa Alsharief2, Jehan Al-Rayahi2, Afsaneh Amirabadi2, Peter Church1, Binita Kamath1, Mary-Louise Greer2. 1Gastroenterology, The Hospital for Sick Children, Toronto, ON, Canada; 2Diagnostic Imaging, The Hospital for Sick Children, Toronto, ON, Canada.
4:22pm Serum biomarkers of liver fibrosis: Ready for prime time in pediatrics?
Alex Miethke, MD, Cincinnati Children's Hospital Medical Center
Objectives:

Interpret liver fibrosis scores and established biomarkers of fibrosis
Discuss the advantages and disadvantages of these biomarkers
Review serum biomarkers of fibrosis validated for pediatric diseases

4:47pm 668 INTAKE OF DAIRY FAT IS INVERSELY ASSSOCIATED WITH HEPATIC STEATOSIS. Mary Sawh1,2, Martina Wallace3, Craig Bross2, Alexandra Schlein4, Emma Shapiro5, Janis Durelle2, Kimberly P Newton1,2, Hyeri You6, Ronghui Xu6, Jon Gangoiti7, Bruce Barshop7,8, Claude Sirlin4, Christian Metallo3, Jeffrey Schwimmer1,2. 1Gastroenterology, Hepatology and Nutrition, Rady Children’s Hospital, San Diego, CA, USA; 2Pediatrics, University of California San Diego, School of Medicine, La Jolla, CA, USA; 3Bioengineering, University of California, San Diego, La Jolla, CA, USA; 4Radiology, Liver Imaging Group, University of California San Diego, La Jolla, CA, USA; 5Boston University, Boston, MA, USA; 6Altman Clinical and Translational Research Institute, University of California San Diego, La Jolla, CA, USA; 7Pediatrics, Biochemical Genetics Laboratory, University of California San Diego, School of Medicine, La Jolla, CA, USA; 8Metabolics and Mitochondrial Medicine, Rady Children's Hospital, San Diego, CA, USA.

FEEDING DISORDERS: MULTIDISCIPLINARY PERSPECTIVE Link to Slides
Moderators: Praveen Goday, MBBS, Medical College of Wisconsin and Wendelin Burdo-Hartman, MD, Nationwide Children's Hospital
3:45pm Interdisciplinary treatment of children with complex pediatric feeding disorders and tube dependence
Danielle Dolezal, PhD, Seattle Children's Hospital
Objectives:

Define pediatric feeding disorders and tube dependence
Review treatment approaches for tube dependent children
Review clinical outcomes from an interdisciplinary approach

4:10pm Common feeding problems and management strategies in Autistic Spectrum Disorder
Sherri Cohen, MD, MPH, FAAP, The Children's Hospital of Philadelphia
Objectives:

Define pediatric feeding disorders
Review common feeding problems in children with autism spectrum disorder (ASD)
Identify treatment options for children with ASD and pediatric feeding disorders

4:35pm 671 PHARYNGEAL AND UPPER ESOPHAGEAL SPHINCTER MOTOR DYNAMICS DURING SWALLOW IN CHILDREN. Alisara Damrongmanee1, Khalil El-Chammas1, Lin Fei2, Huaiyu Zang2, Neha Santucci1, Ajay Kaul1. 1Gastroenteroloty, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; 2Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
4:47pm When scurvy is curvy: Sometimes hips do lie
Amy Drayton, PhD, University of Michigan
Objectives:

Discuss evidence that malnutrition can occur with normal growth curves
Identify the most common nutritional deficiencies in food selective children
Describe short cut strategies to treat nutritional deficiencies and constipation

WHAT HEALTH CARE COULD AND SHOULD LOOK LIKE: EVOLVING PARADIGM Link to Slides
Moderators: Ian Leibowitz, MD, Children’s National Health System and Jeannie Huang, MD, MPH, UCSD/Rady Children's Hospital
3:45pm How to create a pediatric GI medical home at your site
Leo Heitlinger, MD, St Luke's University Hospital
Objectives:

Review the history and criteria for medical home certification and specialty practice recognition
Discuss the criteria by which specialty practices are evaluated by mayors
Identify the patient groups for whom specialty medical homes would be appropriate

4:10pm Value based care
Shehzad Saeed, MD, Dayton Children's Hospital
Objectives:

Understand value based care
Understand the components of value based care and value equation
Understand how to achieve value based care in GI

4:35pm The future of clinical pediatric gastroenterology: Predictions, possibilities and pitfalls
David A. Piccoli, MD, Children's Hospital of Philadelphia
Objectives: To anticipate the future challenges facing pediatric gastroenterologists:

Clinical practice: Academic and private
Financial realities: Independent and corporate
Education and training: Physician fellows and allied personnel
Disruptive technology and events

5:30pm–6:30pm GI Jeopardy Game for Fellows and Faculty

Hosted by: Norberto Rodríguez-Báez, MD, UT Southwestern