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
- 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
- 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
- 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
ENDOSCOPIC RE-PEG TECHNIQUE FOR BURIED BUMPER SYNDROME. Karlo Kovacic, Alfonso Martinez, Diana Lerner. Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
USE OF ENDOFLIP IN A PEDIATRIC PATIENT WITH DYSPHAGIA. Kenneth Ng. Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.
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.
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.
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.
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.
ENDOSCOPIC MUCOSAL RESECTION IN CHILDREN. David Vitale, Laith Jamil, Kenneth Park, Quin Liu. Gastroenterology, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
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.
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.
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.
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
- 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
- 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
TEACHING THE TEACHER Link to Slides
Moderators: Christine Waasdorp Hurtado, MD, Children's Hospital Colorado and Sarah Lusman, MD, New York-Presbyterian Hospital
Framing your feedback
H Barrett Fromme, MD, MPHE, Comer Children's Hospital Chicago
- 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
Entrustable professional activities: How to incorporate into training
Cary Sauer, MD, Children’s Healthcare of Atlanta
- 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
Integrating technology and teaching
Daniel Mallon, MD, Cincinnati Children's Hospital Medical Center
- 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
- 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
- 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
Polypharmacy in GI: Are we treating the parent or the patient?
Samuel Nurko, MD, Boston Children's Hospital
- 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
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
- 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
CPNP Nutrition Symposium Session 1: Nutrition support teams
Home parenteral mutrition: The journey from inpatient consultation to a successful discharge home
Alexandra Carey MD
Development of a nutrition support team: Addressing inpatient and outpatient needs
- 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
Andrea Armellino MS, RDN, CNSC, LD and Julie Buchholtz RDN, LD
- 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