APGNN Annual Meeting


** Please note sessions with this mark will not be recorded for viewing online.
The recordings of sessions will be unedited. Virtual attendees will not be able to interact with the sessions other than viewing. All registrants, if they attend in person or virtually, will have access to the recorded sessions. More details will be posted shortly. 

Friday, October 14th

7:30-8:00am: Breakfast ** & Welcome 

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

8:00-8:30am: Gut Check: Are You Ready to Respond to Human Trafficking in Your Clinical Practice?
                        Jessica L. Peck DNP, APRN, CPNP-PC, CNE, CNL, FAANP, FAAN, Clinical Professor, Louise Herrington School of Nursing, Baylor University
                        Learning objectives:
  • Describe human trafficking of children and potential clinical presentations
  • Identify principles of trauma-informed care in caring for potentially trafficked persons
  • Analyze best practices for response to victims in the clinical environment
8:30-9:00am: APGNN Year in Review
                        Elizabeth Burch, MSN, RN, CPNP-PC, APGNN President 

9:00-10:00am:  Session II - Nutrition 

9:00-9:30am: When Diets Cause Harm
                        Toni Solari, RD, LDN- Boston Children’s Hospital 
                        Learning objectives:
  • Understand the potential negative impact of diet therapies for the pediatric patient population
  • Identify patients who may be at most at risk for disordered eating
  • Understand how to safely implement dietary interventions in an at risk population
9:30-10:00am: Identifying Maladaptive Eating Behaviors and Eating Disorders in the Clinical Gastroenterology Setting
                        Julia Carmody, PhD-  Boston Children’s Hospital 
                        Learning objectives:
  • Attendees will be able to describe common gastrointestinal complaints in patients with eating disorders and describe maladaptive eating behaviors that can develop in the context of gastrointestinal conditions
  • Attendees will be able to recognize clinical presentations and diagnostic criteria for anorexia nervosa, bulimia nervosa, binge eating disorder, and avoidant/restrictive food intake disorder
  • Attendees will be able to identify clinical interview questions and standardized measures that can assist in eating disorder screening and diagnosis
10:00-10:30am: Committee Meetings ** & Break**
10:30-12:00 pm:   Session III - Pancreas 

10:30-11:00am: Management of Patients After an Episode of Pancreatitis 
                             Maisam Abu-El-Haija, MD, MS - Cincinnati Children’s Hospital  
                             Learning objectives:
  • Define acute vs chronic pancreatitis
  • Review criteria for chronic pancreatitis
  • Discuss pharmacological and nonpharmacological treatment interventions for chronic pancreatitis
11:00- 11:30am: Advanced Testing for Pancreatitis
                              Wenly Ruan, MD - Texas Children’s Hospital  
                             Learning objectives:
  • Review advanced testing used in chronic pancreatitis
  • Understand interpretation of both normal and abnormal findings
  • Identify when patients need referral for additional testing
11:30-12:00am: Exocrine Pancreatic Insufficiency
                             Soma Kumar, MD- Rady Children’s Hospital 
                             Learning objectives:
  • Define Exocrine Pancreatic Insufficiency
  • Review diagnostic testing for EPI
  • Discuss pharmacological and nonpharmacological treatment interventions for EPI
12:00-1:30pm: Lunch** and Poster Session** 
1:30-3:00pm:  Session IV - Nutrition Part 2

1:30-2:00pm: Tube Weaning with Accompanying Medical, Structural and Feeding Preference Considerations: A Case Study
                         Kristen Frey Cole, MSN, PNP-PC- University of North Carolina Children’s Hospital
                         Learning objectives:
  • Identify infants who are best suited for nasogastric tube weaning
  • Define and apply the term, visceral hyperalgesia
  • Understand the nuances of ankyloglossia as it specifically relates to this case
  • Understand the importance of support, promotion, and protection of breast/chestfeeding in infants who are medically stable when tube weaning is recommended
  • Describe the importance of an interdisciplinary approach to nasogastric tube weaning
2:00-2:30pm: Feeding Difficulties in the Premature Infant
                        Daniel Duncan, MD, MPH – Boston Children’s Hospital 
                        Learning objectives:
  • Review potential causes of feeding difficulties in premature infants while in the NICU and after hospital discharge
  • Discuss the work-up and management of gastroesophageal reflux and oropharyngeal dysphagia in premature infants
  • Develop a multidisciplinary approach to safely providing nutrition and advancing feeding skills for premature infants with feeding difficulties
2:30-3:00pm: Making Sense of Infant Formula: An Overview for Health Professionals
                        Lisa Richardson, MS, RD, LDN, Knowing Nutrition LLC
                        Learning objectives:
  • Summarize primary ingredient differences between four categories of infant formula
  • Infer an infant formula category based on the ingredients a formula contains
  • Describe GI considerations for each category of infant formula
  • Suggest alternative formula to address common feeding difficulties
3:00-5:00:  Session V - Hot Topics 

3:00-3:30pm: Cannabinoid Hyperemesis Syndrome
                         Neetu Bali Puri, MD, MPH- Nationwide Children’s Hospital 
                         Learning objectives:
  • Review causes of Cannabinoid Hyperemesis Syndrome
  • Discuss diagnosis and treatment of Cannabinoid Hyperemesis Syndrome
  • Understand potential complications of Cannabinoid Hyperemesis Syndrome
3:30-4:00pm: Approach to the Jaundiced Infant
                        Shabina Walji-Virani, MSN, CPNP-PC, Children’s Medical Center Dallas, UT Southwestern Medical Center 
                         Learning objectives:
  • Identify pathologic jaundice vs physiologic jaundice
  • Describe causes for neonatal jaundice
  • Review diagnostic testing for neonatal jaundice
  • Review treatment for neonatal jaundice and potential complications of untreated jaundice
4:00-4:30pm: Let’s Talk about Immunizations in Pediatric IBD
                        Maureen Kelly, DNP, MS, CPNP - University of North Carolina Children’s Hospital
                         Learning objectives:
  • Discuss importance of immunizations in pediatric inflammatory bowel disease (IBD)
  • Identify barriers to vaccine completion in pediatric IBD
  • Discuss methods/timing of immunization assessment/administration
  • Describe vaccine implementation strategies in pediatric IBD
4:30-5:00pm: HEADDS Shoulders Knees and Psych
                        Sarah Bolog, MSW, LSW - Rainbow Babies & Children’s Hospital  
                         Learning objectives:
  • Review the Headds Assessment
  • Understand the role of the SW in a multidisciplinary GI clinic
  • Identify resources available in practice when SW is unavailable
5:00-5:30pm: APGNN Awards & Presentations **

6:00PM APGNN Social Event**
Saturday, October 15th 

8:00-8:30am: Breakfast & Welcome 

8:30-10:00am:  Session VI - Intestinal Failure & Rehabilitation 

8:30-9:00am: Introduction to Intestinal Failure
                        Lindsey Gumer, MD, MSc- Children’s Hospital Colorado
                        Learning objectives:
  • Review etiologies for intestinal failure
  • Review surgical procedures used in intestinal failure
  • Discuss the multidisciplinary approach to the treatment of the patient with intestinal failure
  • Discuss the prognosis for patients with intestinal failure
9:00-9:30am: Common Complications and Management of the Intestinal Rehabilitation Patient
                        Kimberly Ackerman, RN, MSN, CPNP, AC/PC- UPMC Children’s Hospital of Pittsburgh 
                        Learning objectives:
  • Discuss management of a febrile TPN dependent patient
  • Identify complications of central line associated bloodstream infections (CLABSIs) and prevention prophylaxis
  • Discuss complications of long term indwelling catheters
  • Identify risk factors for central vessel thrombosis and prevention prophylaxis
  • Discuss unique complications associated with small bowel bacterial overgrowth and D-lactic acidosis
9:30-10:00am: Total Parenteral Nutrition: Back to Basics
                          Nicole Lidyard, RD, LD - UH Rainbow Babies & Children’s Hospital   
                        Learning objectives:
  • Review Parenteral Nutrition composition
  • Describe how to calculate a TPN order
  • Describe how to adjust electrolytes and additives
  • Review of monitoring guidelines and weaning protocols

10:00-10:30am Break 
10:30- 12:00pm:  Session VII - Procedures

10:30-1100am: Biopsies: What Does it Mean?
                           Joseph Picararo, MD - NewYork-Presbyterian Morgan Stanley Children's Hospital, Columbia University Irving Medical Center  
                           Learning objectives:
  • Discuss histology findings in Celiac disease and Eosinophilic Esophagitis
  • Understand histologic findings when compared to endoscopic findings
  • Learn to apply histological findings to clinical practice
11:00-11:30am: Utilization of Botox in the Pediatric GI Patient
                             Jaime Belkind-Gerson, MD, MSc - Children’s Hospital Colorado 
                           Learning objectives:
  • Overview of Botulinum toxin A
  • Discuss use, safety, and efficacy in treating lower esophageal sphincter for gastroparesis
  • Discuss use, safety, and efficacy in treating the internal anal sphincter to decrease rectal tone in refractory constipation
11:30-12:00pm: Endo-what??
                             Rachel Rosen, MD, MPH- Boston Children’s Hospital  
                           Learning objectives:
  • Overview of the endoluminal functional lumen imaging probe
  • Discuss indications for endoluminal functional lumen imaging probe
  • Review of procedure and outcomes

12:00-2:00pm: Lunch and Poster Session**
Handout: Endo-what??
(Adobe PDF File)
2:00 -6:00pm: NASPGHAN Concurrent Sessions 

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

When a spoonful of sugar doesn't make it go down
Moderators: Hannibal Person, MD, Seattle Children's Hospital and Karla Kristine Hicks Vaz, MD, Nationwide Children's Hospital

2:00 PM    Approach to functional dyspepsia and chronic nausea
                 Julie Khlevner, MD, Columbia University Vagelos College of Physicians and Surgeons and
                  New York-Presbyterian Morgan Stanley Children’s Hospital
                  Learning objectives:
  • Discuss the criteria for diagnosing functional dyspepsia (FD)
  • Understand the current concepts in pathogenesis of FD and nausea
  • Review evidence-based approach to therapy in pediatric FD and nausea
2:25 PM    A tough pill to swallow: Novel tests and treatments to define clinical algorithms in esophageal dysphagia
                 Justin C. Wheeler, MD, University of Utah
                 Learning objectives:
  • Review clinical algorithms for management of pediatric patients with esophageal dysphagia
  • Review novel and proven testing modalities used to guide diagnosis in pediatric patients with esophageal dysphagia
  • Review treatment options for pediatric patients with esophageal dysphagia
2:50 PM    Abstract
3:02 PM    Decoding gastroparesis: What is motor vs sensation
                 Samuel Nurko, MD, Boston Children's Hospital
                 Learning objectives
  • Describe clinical characteristics of patients with gastroparesis
  • Understand symptom generation in patients with gastroparesis
  • Describe a symptom based approach to patients with gastroparesis

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

IBD beyond the scope
Moderators: Jennifer Dotson, MD, MPH, Nationwide Children's Hospital and Joseph Picoraro, MD, Columbia University Medical Center

3:45 PM    “Mild IBD” How do we address this as pediatric gastroenterologists?
                 Sandra Chihyun Kim, MD, UPMC Children's Hospital of Pittsburgh
                 Learning objectives:
  • Define “mild” pediatric Crohn’s disease
  • Review treatment options for mild Crohn’s disease
  • Discuss future areas of research
4:10 PM    Venous thromboembolism (VTE) in Pediatric IBD
                 Eric Benchimol, MD, The Hospital for Sick Children
                 Learning objectives:
  • Review the pathophysiology of VTEs in IBD
  • Discuss rates and risk factors of VTEs in pediatric IBD
  • Determine indications and safety of VTE prophylaxis in children with IBD
4:35 PM    Abstract
4:47 PM    What are roles for ultrasound in IBD and who needs it
                 Mallory Chavannes, MD, MHSc, Children's Hospital Los Angeles
                 Learning objectives:
  • Discuss the role and indications of intestinal ultrasound in the diagnosis and monitoring of IBD
  • Review how intestinal ultrasound is performed in clinical practice
  • Discuss advanced applications of intestinal ultrasound and its potential impact on clinical care