Saturday, October 27, 2018
6:00am   5K WALK/RUN (Registration required)

A problem that is difficult to swallow (in Spanish)
Richard Noel MD and Ricardo Arbizu MD

Feeding disorders: Evaluation and treatment
Richard Katz MD and Wendelin Burdo – Hartman MD

Nutrition and cholestatic liver disease
James Heubi MD and Veena Venkat MD

ERCP for congenital pancreatic abnormalities
David Troendle MD and Travis Piester MD

Refractory constipation
Jose Garza MD and Jaya Punati MD

Desale Yacob MD and and Neetu Bali MD

When biologics fail in IBD
Sandy Kim MD and Brendan Boyle MD

Stricturing disease in IBD (surgical, medical, endoscopic rx)
Jeremy Adler MD and Tolulope Falaiye MD

Miriam Vos MD and Niviann Blondet MD

8:00am – 8:30am APGNN Awards

8:30am – 10:00am NASPGHAN Concurrent Session III
Clinical practice forum

Linda Muir MD and Chris Hayes MD

Malabsorption - Protein losing enteropathies

Moderators: Ala Shaikhkhalil MD and Henry Lin MD

8:30am Mutations in DGAT1 cause protein losing enteropathy
Harland Winter MD, Mass General Hospital
Learning objectives:
1  Recognize when to evaluate a patient for a mutation in DGAT1
2. Diagnose patients who have DGAT1 mutations
3. Prescribe appropriate treatment for patients with DGAT1 mutations

9:00am Efficacy, growth, and safety outcomes of teduglutide in children with short bowel syndrome–associated intestinal failure (SBS-IF): A phase 3 study
Samuel Kocoshis MD, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

9:12am Mysteries of protein losing enteropathy unraveled
Timothy Sentongo MD, University of Chicago
Learning objectives:
1. Recognize the presentation and differential diagnosis of non-genetic causes of protein losing enteropathy
2. Understand the mechanism and pathophysiology of protein losing enteropathies
3. Learn the management of challenging cases of protein losing enteropathy

9:42am An enteroid model fo congenital tufting enteropathy shows alteration in intestinal epithelial cell differentiation
Mamata Sivagnanam MD, Pediatrics, USCD Rady Children's Hospital, La Jolla, CA


Moderators: Quin Liu MD and Aliye Uc MD

8:30am Predicting severity and improving the outcomes of pediatric acute pancreatitis
Maisam Abu-El-Haija MD, Cincinnati Children’s Hospital and Medical Center
Learning objectives:
1. Identify background, prevalence and etiologies of pediatric pancreatitis
2. Recognize the advances in medical management of acute pancreatitis
3. Learn predictive models of severe acute pancreatitis
4. Identify gaps in knowledge and future research directions

9:00am Value of the endoscopic exocrine pancreatic function test (EPFT) in pediatric practice: report of large number of cases
Devendra Mehta MD, Gastroenterology, Arnold Palmer Hospital for Children, Orlando, FL

9:12am Management of complications of pancreatitis (leaks & collections): Safe access, drainage, debridement  and stenting
Roberto Gugig MD, Valley Children’s Hospital Lucille Packard Children’s Hospital
Learning objectives:
1. Identify background, prevalence of early and late complications of pancreatitis
2. Differentiate the different pancreatic fluid collections
3. Which endoscopic tools are available and when to use them (role of ERCP and EUS)
4. When is surgery or interventional radiology indicated
5. How to gain safe access and prevent complications
6. When is debridement indicated

9:42am Transiently high pancreatic ductal pressures induce pancreatic inflammation and tight junction alterations through calcineurin signaling
Li Wen MD, Pediatric Gastroenterology, University of Pittsburgh, Pittsburgh, PA

Video Abstracts

Moderators: Bradley Barth MD and Yolanda Rivas MD

Liver - Frontiers in hepatology

Moderators: Nanda Kerkar MD and James Squires MD 

8:30am CFLD: Finding those at risk
Simon Ling MD, Hospital for Sick Kids
Learning objectives:
1. Understand the continuing importance of CF liver disease in the era of CFTR modifier therapies
2. Interpret clinical biomarkers of CFLD in line with recent research, including laboratory- and imaging-based tests
3. Appreciate future directions of CFLD biomarker research

8:55am Engineering human liver organoids for modeling of inherited cholestasis
Akihiro Asal MD, 

9:07am Results of the WUPPSC study: Prospective multicenter withdrawal of ursodeoxycholic acid in pediatric primary sclerosing cholangitis (PSC) (Odell Prize)
Dennis Darrel Black MD, Pediatrics, University of Tennessee Health Science Center, Memphis, TN

9:19am Drug induced liver injury
Jean Molleston MD, Riley Children’s Hospital
Learning objectives:
1. Identify patterns of drug-induced liver injury in children
2. Know the drugs most commonly associated with pediatric DILI
3. Recognize phenotypes of DILI associated with specific drugs

9:44am Lipotoxicity and hempatic inflammation
Samar Ibrahim MD,  

8:30am - 10:00am CPNP Nutrition Symposium – Session I: Allergy Updates

EoE update
Glenn Furuta MD, Children’s Hospital of Colorado
Learning objectives:
1. To gain a general understanding of Eosinophilic Esophagitis
2. Review treatments available for EoE

FPIES update
Carla Davis MD, Baylor College of Medicine
Learning objectives:
1. Understand approaches to the diagnosis and medical management of the pediatric FPIES patient
2. Recognize the symptoms of FPIES and describe the most common food triggers

Nutritional management of the child with multiple foods allergies
Alison Cassin RD, Cincinnati Children’s Hospital Medical Center
Learning objectives:
1. Discuss potential obstacles, challenges and nutritional risks of an elimination diet for the management of food allergies
2. To be able to provide patients and families with survival skills to help them be successful with their elimination diet

Oral abstract presentation

8:30am - 10:00am  APGNN Session VII - IBD Module

8:30am - 9:00am - Very Early-Onset Inflammatory Bowel Disease 
Judith Kelsen, MD, Director, Very Early-Onset Inflammatory Bowel Disease Program Assistant Professor of Pediatrics Division of GI, Hepatology, and Nutrition, The Children's Hospital of Philadelphia Perelman School of Medicine at the University of Pennsylvania
Learning objectives:
1. To learn about the unique genetics of VEO-IBD and the new candidate genes that may be causative for disease
2. To review the collaborative approach used to deliver targeted therapy to patients with VEO-IBD
3. To review the how the identified genes result in the individual phenotypes of VEO-IBD through a translational approach

9:00am - 9:30am - Treat to Target
Brendan Boyle Associate Professor of Clinical Pediatrics, Medical Director of the NCH IBD Center, Nationwide Children's Hospital – Division of Gastroenterology, The Ohio State University College of Medicine
Learning objectives:
1. Review the methods of assessing disease activity in IBD
2. Discuss the concept of treat to target in IBD
3. Discuss the literature supporting this approach in adults
4. Describe literature using Treat to Target in children with IBD

9:30am - 10:00am - Diet and inflammatory bowel disease
Lindsey Albenberg, DO Center for Pediatric Inflammatory Bowel Disease Division of Gastroenterology, Hepatology, and Nutrition Children's Hospital of Philadelphia
Learning objectives:
1. Understand the relationship between the diet, the microbiome, and the increasing incidence of IBD
2. Describe studies both in animals and in humans that implicate diet as a potential factor in the pathogenesis of IBD
3. Understand the currently available dietary therapies for IBD and their potential mechanisms of action

10:00am – 10:30am BREAK 

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


Moderators: Joel Friedlander DO, MA and Eric Chiou MD

10:30am Dysphagia with aspiration in Children: The art and science of oral feedings
Dana Williams MD, Phoenix Children’s Hospital
Learning objectives:
1. Classify the factors contributing to, and the effects resulting from dysphagia and chronic aspiration in children
2. Analyze five common clinical scenarios to build a framework for categorizing any given case
3. Apply literature and clinically based management strategies of pediatric dysphagia and aspiration

11:00am JAK/STAT6 are potential therapeutic targets for esophageal remodeling in EoE
Edaire Cheng MD, Pediatrics, University of Texas Southwestern Medical Center, Children's Medical Center, Dallas, TX

11:12am Esophageal atresia: Making dysphagia easier to swallow
Diana Lerner MD, Medical College of Wisconsin
Learning objectives:
1. Understand the differential diagnosis of dysphagia in children with esophageal atresia
2. Discuss diagnosis and management of esophageal strictures
3. Discuss diagnosis and management of reflux esophagitis and esophageal eosinophilia
4. Discuss the clinical value of esophageal motility studies in children with esophageal atresia

11:42am Rapamycin-mediated autophagy activation ameliorates EoE-associated alterations in epithelial tissue architecture
Kelly Whelan MD, Fels Institute for Cancer Research and Molecular Biology, Temple University, Philadelphia, PA

Liver - Fibrosis

Moderators: Wikrom Karnsakul MD and Samar Ibrahim MBChB

10:30am Gastroesophageal varices: What do they do with adults?  Should I do that?
Benjamin Shneider MD, Texas Children’s Hospital
Learning objectives:
1. Describe three fundamental differences between children and adults that impact on clinical decision-making vis a vis primary prophylaxis of varices
2. Summarize the complexities related to the use of nonspecific beta blockers in children
3. Explain the rationale for primary prophylaxis of varices

11:00am PPARy-dependent genetic regulation of NAFLD
David Rudnick MD, 

11:12am Noninvasive assessment of pediatric liver disease: Can liver biopsy be avoided?
Stavra Xanthakos MD, Cincinnati Children’s Hospital Medical Center
Learning objectives:
1. Understand available modalities for noninvasive assessment of liver disease across pediatric liver diseases
2. Summarize the limitations of currently available biomarkers for liver disease
3. Identify gaps in knowledge and ongoing research in noninvasive assessment of liver disease

11:42am Optimal cut-off and prospective testing of the serum concentration of matrix metalloproteinase-7 for the diagnosis of biliary atresia
Li Yang MD, Gastroenterology, Hepatology and Nutrition, Department of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Cincinnati, OH

Inflammatory bowel disease: State of the art research

Moderators: Gitit Tomer MD and Jess Kaplan MD

10:30am Lessons learned from RISK and PROTECT: How these studies impact IBD care today
Joel Rosh MD, Goryeb Children’s Hospital
Learning objectives:
1. Review recent data regarding therapeutic outcomes in Pediatric IBD
2. Discuss the emerging data on the biology of IBD including genetic and microbiome findings
3. Identify biomarkers and clinical predictors of IBD disease progression

10:55am The impact of unfolded protein responses to regulatory cells
Ed De Zoeten MD, 

11:07am Loss-of-function CARD8 mutation causes NLRP3 inflammasome activation and Crohn's disease
Ivan J Fuss MD, Mucosal Immunity Section, National Institutes of Health, Bethesda, MD

11:19am Biomarkers and predicting disease
Anne Griffiths MD, Hospital for Sick Children
Learning objectives:
1. Understand the limitations of current biomarkers in predicting clinical course of IBD
2. Be able to critically utilize fecal inflammatory biomarkers in monitoring treatment response in IBD
3. Appreciate the need for development of novel biomarkers to predict responsiveness to biologic treatments

11:44am Infliximan monotherapy vs. combination therapy with immunomodulators for maintenance treatment of pediatric inflammatory bowel disease: An evolving role for methotrexate polyglutamates monitoring
Valentina Shakhnovich MD, Gastroenterology, Clinical Pharmacology, Children's Mercy Kansas City, Kansas City, MO

Endoscopy: Interventional endoscopy

Moderators: Najma Ahmed MD and Tom Lin MD

10:30am Esophageal strictures and leaks: Getting the esophagus together is only half the battle
Michael Manfredi MD, Boston Children’s Hospital
Learning objectives:
1. Understand the factors implicated in the pathogenesis of anastomotic stricture
2. Identify clinical signs and assessment for esophageal strictures and leaks
3. Understand the first line and adjunct treatments for esophageal strictures

4. Develop treatment and management plan for esophageal leaks

11:00am Comparative analysis of adverse events of balloon and bougie dilations in children
Jacob Mark MD, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Digestive Health Institute, Children's Hospital Colorado, Aurora, CO

11:12am GI bleeding: Rock, paper, scissors: New modalities
Lee Bass MD, Ann and Robert Lurie Children’s Hospital
Learning objectives:
1. Understand currently available recommended modalities for treatment of upper GI bleeding in children
2. Understand mechanisms of action of newer modalities for treatment of GI bleeding
3. Understand the clinical data supporting the use of new modalities for treatment of GI bleeding

11:42am Safety and efficacy of endoscopic retrograde cholangiopancreatography in pediatric patients: A multicenter 8-year experience
Rushikesh Shah MD, Division of Digestive Diseases, Department of Internal Medicine, Emory University School of Medicine, Decatur, GA

Professional development: The survival guide for the academic clinician

Moderators: Toba Weinstein MD and Laurie Fishman MD
Learning objectives:
1. Discuss how to develop and enhance a career as an academic physician in the 21st century
2. Review the challenges and barriers face by the academic clinician in the 21st century
3. Elaborate on what skills/background helps you achieve your best success

10:30am The clinician educator
Norberto Rodriguez-Baez MD, Southwestern Medical Center

10:50am The clinical researcher
Nicola Jones MD, PhD, Hospital for Sick Children

11:10am The clinician administrator
Karen Murray MD, Seattle Children’s Hospital

11:30am The QI clinician
Shehzad Saeed MD, Dayton Children’s Hospital

10:30am – 12:00pm Hands on Motility (Registration Required)

10:30am – 12:00pm CPNP Nutrition Symposium Session II: IBD Nutrition

SCD nutrition microbiome
David Suskind MD, Children’s Hospital of Seattle
Learning objectives:
1. Describe the gut microbiome and Inflammatory Bowel Disease
2. Discuss how modification of the gut microbiome is becoming a therapeutic strategy in GI disease such as IBD
3. Understand how the microbiome changes on the specific carbohydrate diet

SCD diets: Ins and outs
Nila Williamson MPH, RD, CNSC
Learning objectives:
1. Become familiar with RD’s role in educating families on Specific Carbohydrate Diet
2. Identify potential inadequacies corresponding with SCD
3. Learn ways to help promote successful initiation, adherence and maintenance in a pediatric population

Micronutrient recommendations in IBD
Cassandra Walia, RD, Children’s Hospital of Wisconsin and Abdul Elkardi, MD, Medical College of Wisconsin
Learning objectives:
1. Review NASPGHAN Guidelines for monitoring and treating micronutrient deficiencies in Inflammatory bowel disease
2. Examine evidence base for guidelines

Oral abstract presentation

10:30am - 12:00pm APGNN Session VIII- Motility Module/Functional

10:30am - 11:00am - The art of delivering care to children with FGIDs
Rose Lucey Schroedl, PhD  Clinical Coordinator GI Psychology, Pediatric Psychologist, Nationwide Children’s Hospital, Assistant Professor  Department of Pediatrics The Ohio State University & Desale Yacob, MD Associate Professor of Clinical Pediatrics, The Ohio State University College of Medicine, Medical Director, Center for Motility and Functional GI disorders, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital
Learning objectives:
1. Discuss the pathophysiology of Functional GI Disorders (FGIDs)
2. Explore the evaluation and workup of children suspected to have FGIDs
3. Discuss the Biopsychosocial model as a therapeutic tool for addressing FGIDs
4. Identify the key factors in engaging patients and their families in the rehabilitative journey

11:00am - 11:30am -  CAM: An introduction to self-hypnosis in pediatric
Robin Shannon, MS, APRN, CPNP, Pediatric Gastroenterology, University of Minnesota Masonic Children's Hospital
Learning objectives:
1. Define self-hypnosis
2. Discuss appropriate applications of hypnosis in pediatric GI
3. Describe goals of hypnotherapy

11:30am - 12:00pm - Early adverse life experience in functional gastrointestinal disorders
Miranda A.L. van Tilburg, PhD Associate Professor of Clinical Research, Campbell University, Buies Creek NC, Adjunct Professor of Medicine, University of North Carolina, Chapel Hill NC, Affiliate Associate Professor of Social Work, University of Washington, Seattle WA
Learning objectives:
1. In this lecture participants will explore the contribution of early adverse life experiences to the development of pediatric Functional Gastrointestinal Disorders (FGID)
2. Participants will be able to relate the effects of early life experiences to maturation of the central nervous system and HPA axis
3. Participants will examine the role of parental modeling and reinforcement of inappropriate illness behaviors in FGID
4. Participants will be able to guide parents in supporting child’s well-being rather than illness behaviors

12:00pm         APGNN Awards

12:00pm – 2:00pm Poster Session III
12:00pm – 2:30pm Hands on Endoscopy (Registration Required)

Organizer: Marsha Kay MD

12:00pm – 2:00pm Program Directors Meeting

1:00pm - 2:00pm  CPNP Nutrition Symposium - Session III:  Malnutrition

Limitations of the malnutrition guidelines: both the neonatal and pediatric
Timothy Sentongo MD, University of Chicago
Learning objectives:
1. Identify limitations of consensus guideline
2. Discuss practical use of applying the consensus guidelines in diagnosing malnutrition

Tools for identifying malnutrition: labs, and dexa scans
Maria R. Mascarenhas MBBS, Children’s Hospital of Philadelphia
Learning objectives:
1. Describe available labs, tests available to assist in identifying malnutrition in the pediatric patient
2. Learn how to use these results as part of your nutritional assessment


Inflammatory bowel disease: Great debates in IBD

Moderators: Ted Denson MD and Edwin De Zoeten MD, PhD

2:00pm Thiopurines: To 6MP or not 6MP, that is the question….
Pro - Maria Oliva-Hemker MD, Johns Hopkins University School of Medicine
Con - Robert Baldassano MD, Children’s Hospital of Philadelphia

Learning objectives:
1) To understand the potential risk of 6MP
2) To determine the efficacy of 6MP as a monotherapy or as a combination therapy

2:30pm Pharmacodynamic biomarkers of response to glucocorticoids and infliximab; Validation and correlation with clinical outcomes in pediatric inflammatory bowel disease
Lina Diaz-Calderon MD, Gastroenterology, Hepatology and Nutrition, Children's National Medical Center, Washington, DC

2:42pm Proactive vs. reactive drug monitoring of biologic therapies
Proactive – Andrew Grossman MD, Children’s Hospital of Philadelphia
Reactive – Jennifer Strople MD, Ann and Robert Lurie Children’s Hospital

Learning objectives:
1. Recognize the clinical utility of implementing therapeutic drug monitoring to optimize the use of biological therapies in the treatment of pediatric inflammatory bowel disease
2. Understand the rationale for a proactive vs. a reactive approach to therapeutic drug monitoring

3:12pm ITK haploinsufficiency as a causal defect in VEO-IBD
Judith Kelsen MD, Gastroenterology, Children's Hospital of Philadelphia, Philadelphia, PA


Moderators: Nila Williamson MPH, RD, CNSC and Jacqueline Fridge MB, ChB, MBA

2:00pm Dispelling myths in constipation
Carlo Di Lorenzo MD, Nationwide Children’s Hospital
Learning objectives:
1. Discuss the concerns about the use of stimulant laxatives
2. Clarify the role of diet in the treatment of childhood constipation
3. Emphasize the role of abdominal radiographs in the evaluation of child with suspected constipation

2:25pm Dispelling myths in nutrition: Paleo or gluten free, anyone?
Praveen Goday MBBS, Medical College of Wisconsin
Learning objectives:
1. Understanding the facts and fallacies about various diets prescribed by pediatric gastroenterologists
2. Understanding the facts and fallacies about various diets not prescribed but frequently followed by our patients

2:50pm Donor specific antibodies are less likely to develop in patients with blood T cell macrochimerism: Correlation with intestinal allograft rejection
Mercedes Martinez MD, Pediatric, Medicine, Columbia University, New York, NY

3:02pm Dispelling myths in food allergy testing
Carla Davis MD, Baylor College of Medicine
Learning objectives:
1. Contrast the pathophysiology of food allergies and intolerances
2. Understand how to use current testing to diagnose food allergies
3. Identify the most accurate tests for food allergy and associated disease
4. Evaluate efficacy and risks of food elimination diets for food allergic disease

Neurogastroenterology and motility: Interventional advances in motility

Moderators: Alejandro Flores MD and Tanaz Danialifar MD

2:00pm Antroduodenal/colonic motility: Does manometry change management?
Anil Darbari MD, MBA, Children’s National Medical Center
Learning objectives:
1. Review the setup, performance and diagnostic utility of antroduodenal and colonic manometry studies
2. Identify the child with refractory symptoms who may be a candidate for manometry studies
3. Understand the therapeutic options based on the antroduodenal and colonic manometry studies

2:30pm Quantification of human colon ENS using novel optical clearing methods and 3-dimentional imaging
Kahleb Graham MD, Gastroenterology, Hepatology and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA

2:42pm Neuromodulation of the GI tract in children: What’s the buzz?
Peter Lu MD, Nationwide Children’s Hospital
Learning objectives:
1. Review applications of neuromodulation for treatment of gastrointestinal disorders in children
2. Identify the child with refractory nausea and vomiting who may be a candidate for gastric electrical stimulation
3. Understand the role of sacral nerve stimulation in the treatment of the child with severe constipation and fecal incontinence

3:14pm RET signaling in the intestinal epithelium regulates gastrointestinal motility
Laurence Feinstein MD, Pediatric Gastroenterology, Columbia University, New York, NY

Research: Vision 2020

Moderators: Edaire Cheng MD and Kathleen Loomes MD

2:00pm Research funding: Creative strategies you can bank on
John Barnard MD, Nationwide Children’s Hospital
Learning objectives:
1. Understand the many options for intramural and extramural research funding available to pediatric gastroenterologists
2. Understand the importance of indirect cost recovery
3. Appreciate less well known pathways for acquiring research support

2:30pm How digital health and technology will change how we practice gastroenterology
Michael Docktor MD, Boston Children’s Hospital
Learning objectives:
1. Understand how the advances in technology will impact clinical care and research
2. Gain exposure to developments in novel technologies for patients and providers including virtual and augmented reality, chat bots, remote patient monitoring, virtual agents and voice technologies

3:00pm New basic techniques for research: Advances in research technologies applied to inflammatory bowel disease: Lenses to the future for diagnosis and treatment
D. Brent Polk MD, Children’s Hospital Los Angeles
Learning objectives:
At the end of this presentation the attendees will understand...
1. The principle features of imaging intestine to define defects in repair and homeostasis 
2. How single cells can be studied to identify the population of cells present during tissue repair and,
3. Approaches to connect the microbiome to health and disease

2:00pm – 3:30pm Colonoscopy Skills Workshop (Registration required, attendance is limited)

Moderators: Catharine Walsh MD and Douglas Fishman MD

2:00pm - 3:30pm CPNP Nutrition Symposium- Session IV: Celiac Disease

Optimizing medical management of celiac disease
Hilary Jericho MD, University of Chicago
Learning objectives:
1. Discuss current guidelines for diagnosis of celiac disease
2. Review best practices for medical management of celiac disease

Adherence and psychological issues with celiac disease
Shayna Coburn PhD, Children’s National Medical Center
Learning objectives:
1. Identify barriers to adherence in the celiac child
2. Describe psychological issues prior to and after diagnosis of celiac disease

Treating the non-responsive celiac patient: Fasano diet
Pamela Cureton RD, University of Maryland
Learning objectives:
1. To outline the expected results of treatment with a gluten free diet
2. To understand the approach to patients with a diagnosis of celiac disease who have persistent or recurrent symptoms despite a gluten-free diet

Oral abstract presentation

Hot topics in GI diagnostics

Moderators: Christopher Jolley MD and Mary Boruta MD

3:45pm Newer modalities to diagnose EoE
Girish Hiremath MBBS, MD, MPH, Monroe Carell Jr. Children’s Hospital
Learning objectives:
1. Review the epidemiology and pathogenesis of eosinophilic esophagitis
2. Understand current approach to diagnose eosinophilic esophagitis
3. Learn about promising modalities to diagnose eosinophilic esophagitis

4:07pm Optimizing non-invasive surveillance in IBD
Cary Sauer MD, Emory University
Learning objectives:
1. Describe non-invasive monitoring in pediatric IBD
2. Understand pros/cons of each disease monitoring modality
3. Reconsider current disease monitoring practices in pediatric IBD

4:29pm Non-invasive testing in motility disorders
Bruno Chumpitazi MD, Texas Children’s Hospital
Learning objectives:
1. Discuss updates on existing non-invasive modalities
2. Learn about potential upcoming new non-invasive modalities
3. Recognize the limitations of non-invasive modalities for the evaluation of pediatric motility disorders

4:51pm Advances in imaging of pancreatic function

Andrew Trout MD, Cincinnati Children’s Hospital Medical Center
Learning objectives:
Upon completion of this session, the learner will:
1. Understand modalities available for imaging pancreatic function
2. Recognize the limitations and requirements of imaging modalities for pancreatic function
3. Understand the data related to modalities for imaging pancreatic function

Research: A cautionary tale or a new era

Moderators: Jennifer L. Dotson MD, MPH and Jeannie Huang MD, MPH

3:45pm The Public Physician (presence on social media)
Bryan Vartabedian MD, Baylor College of Medicine
Learning objectives:
1. To define social media and the way that it is changing the doctor-patient relationship
2. Understand the emerging role, benefits and risks of the healthcare provider in public conversation and social media
3. Recognize the potential moral obligation of the physician to participate in public discourse

4:15pm New models in publishing: “Buyer beware”!
William Balistreri MD, Cincinnati Children’s Hospital Medical Center
Learning objectives:
1. Discuss the trend to Open Access (OA) Publishing and the potential benefits
2. Outline approaches to differentiate legitimate OA publishers from “Predators”

4:45pm Promoting wellness and preventing burnout
Karen Murray MD, Seattle Children’s Hospital
Learning objectives:
1. Learner will understand the impact of burnout on the individual, care system, and patient care
2. Learner will recognize the seriousness of burnout to gastroenterologists
3. Learner will become more equipped with strategies to mitigate burnout and promote wellness

Celiac disease

Moderators: Ivor Hill MB, ChB, MD and Norelle Reilly MD

3:45pm ASKing the right questions: Can you prevent celiac disease?
Edwin Liu MD, Children’s Hospital Colorado 
Learning objectives:
1. Recall the risk factors associated with celiac disease development
2. Understand the populations at highest risk for celiac disease
3. Discuss the strategies that may be used for prediction and subsequent prevention of celiac disease

4:05pm Controversies in management and surveillance
Ritu Verma MD, Children’s Hospital of Philadelphia
Learning objectives:
1. Evaluate evidence based best practices for the diagnosis and management of celiac disease in symptomatic individuals
2. Evaluate current evidence pertaining to diagnosis and management of celiac disease in genetically susceptible asymptomatic individuals
3. Evaluate current evidence available for surveillance pre and post diagnosis of celiac disease

4:30pm Screening the general pediatric population for celiac disease: Autoimmunity screening for kids (ASK)
Marisa Laura Gallant MD, Gastroenterology, Hepatology and Nutrition, Children's Hospital of Colorado, Denver, CO

4:42pm From bench to bedside: Emerging treatments for celiac disease
Maureen Leonard MD, Massachusetts General Hospital
Learning objectives:
1. Demonstrate the need for non-dietary therapy for celiac disease
2. Discuss the challenges faced by celiac disease clinical trials
3. Present the current state of the celiac disease therapeutic pipeline

Upper GI/Eosinophilic Esophagitis

Moderators: Calies Menard Katcher MD and Joshua Wechsler MD

3:30pm Between a rock and a hard place: Fundoplication vs jejunal feeds
Scott Pentiuk MD, Cincinnati Children’s Hospital Medical Center
Learning objectives:
1. Discuss the indications to consider fundoplication or post-pyloric feeds
2. Discuss the risks and benefits of fundoplication
3. Discuss the risks and benefits of jejunal feedings
4. Discuss potential alternative treatments

4:05pm Drug development for EoE: The present and future
Sandeep Gupta MD, University of Illinois College of Medicine
Learning objectives:
1. Review data on corticosteroids in EoE
2. Know data on biologics in EoE
3. Understand practical considerations in EoE therapy

4:30pm EOE esophageal epithelial cells induce TH2 polarizing dendritic cells
Diana Montoya Melo MD, Pediatrics, University of Texas Southwestern, Dallas, TX

4:42pm EGIDs below the esophagus: Recognition and management
Mirna Chehade MD, MPH, Mount Sinai School of Medicine
Learning objectives:
1. Recognize the clinical presentation and differential diagnosis of EGIDs
2. Review the diagnostic work-up for EGIDs
3. Discuss various therapies for EGIDs

Colonoscopy Skills Worshop (Registration required, attendance is limited)

Moderators: Catharine Walsh MD and Douglas Fishman MD

3:45pm - 5:00pm CPNP Nutrition Symposium - Session V: Breakout Sessions

(Each session 20 minutes:   first session: 3:45 - 4:05pm, second session: 4:10-4:30 pm, third session: 4:35-4:55pm.)

Resource sharing: Blenderized tube feedings
Sharon Weston RD, Boston Children’s Hospital
Learning objectives:
1. Exchange ideas and recipes on blended diets
2. Discuss best practices and tips on starting and managing blended tube feedings

Leap study - what are we recommending?
Allison Cassin, RD, Cincinnati Children’s Hospital Medical Center
Learning objectives:
1. Discuss treatment management of food allergies based on LEAP study
2. Understand “best practice” nutritional management options to optimize outcomes

Osteopenia of prematurity
Jennifer Garcia, MD, University of Miami
Learning objectives:
1. Identify risk factors that contribute to the development of osteopenia
2. Implement prevention and management strategies to minimize the incidence and severity of osteopenia

5:30pm   GI JEOPARDY

Host: Norberto Rodriguez-Baez MD