In our FIRST episode of the Bowel Sounds Summer School series, hosts Dr. Peter Lu and Dr. Temara Hajjat have taken highlights from past episodes on constipation and put them into a special episode jam-packed with clinical pearls. Former expert guests Dr. Carlo Di Lorenzo, Dr. Lusine Ambartsumyan, Dr. Jose Garza, and Dr. Marc Benninga explain to us how they evaluate and treat the child with constipation.

Our Bowel Sounds Summer School series will include four episodes each summer on big topics in our field, artisanally crafted for the ears of learners of all stages from the young student to the seasoned attending.

Learning Objectives:

1. Understand the importance of the physical exam in the evaluation of a child with constipation.
2. Recognize the role that behavior plays in pediatric constipation.
3. Review the medical management of the child with constipation.

Featured Episodes:

Carlo Di Lorenzo - Pediatric Constipation (October 2019)

Jose Garza - Why Kids Poop Their Pants (February 2020)

Marc Benninga - Intractable Constipation: The Dutch Perspective (May 2022)

Lusine Ambartsumyan - Pediatric Constipation: What to Do When You Get Stuck (October 2024)

Support the show

This episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

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Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.

Click here to support the show.

In this episode of Bowel Sounds, hosts Dr. Temara Hajjat and Dr. Peter Lu speak with Dr. Gayle Diamond, a pediatric gastroenterologist at Children's Hospital of Philadelphia, about identifying and managing food protein-induced enterocolitis syndrome (FPIES).

Learning objectives

• Identify the symptoms, etiology, and work up done for FPIES
• Discuss the difference between FPIES vs. IgE-mediated food allergy vs. Milk protein-induced enterocolitis.
• Discuss the management of FPIES.

Support the show

This episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Check out our merch website!

Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.

Click here to support the show.

In this episode of Bowel Sounds, hosts Dr. Jenn Lee and Dr. Peter Lu talk with Dr. Hilary Michel, pediatric gastroenterologist at Nationwide Children's Hospital in Columbus, OH about women's health in IBD.

Learning objectives

• Identify the impact of inflammatory bowel disease (IBD) on key stages of female reproductive health, including puberty, menstruation, fertility, and pregnancy.
• Discuss the considerations and clinical decision-making involved in contraceptive counseling and bone health in female patients with IBD.
• Apply patient-centered strategies for addressing psychosocial concerns, fertility, and reproductive planning in adolescent and young adult females with IBD.

Support the show

This episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Check out our merch website!

Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.

Click here to support the show.

In this episode of Bowel Sounds, hosts Dr. Jenn Lee and Dr. Peter Lu talk with Dr. Nishant Patel, pediatric gastroenterologist at Orlando Health Arnold Palmer Hospital for Children, about the diagnosis and evaluation of exocrine pancreatic insufficiency (EPI) in children.

Learning objectives

• Recognize the varied clinical presentations of exocrine pancreatic insufficiency (EPI)
• Compare the utility, advantages, and limitations of diagnostic tools for EPI
• Apply evidence-based protocols for performing and interpreting ePFT

Endoscopic Pancreatic Function Testing (ePFT) in Children: A Position Paper From the NASPGHAN Pancreas Committee

Support the show

This episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Check out our merch website!

Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.

Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jason Silverman talk to Dr. Cary Sauer about Competency-Based Medical Education (CBME) to break down this concept and all the related terminology that is part of this approach to medical training. If you're confused about CBME, EPAs, milestones and competencies, this episode is for you! Dr. Sauer is a Pediatric Gastroenterologist specializing in the care of children with IBD and Division Chief at Children’s Healthcare of Atlanta and Emory University.

Learning Objectives:

1. Understand what Competency-Based Medical Education (CBME) means and how it differs from traditional time-based models of medical training
2. Understand how milestones, competencies and EPAs relate to one another within the CBME framework
3. Recognize the central role of entrustment and how that can is incorporated into workplace-based assessments of trainees

Links:

1. Pediatric GI Milestones (v2.0)
2. NASPGHAN EPA resources
3. ABP EPAs for subspecialties
4. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on Entrustable Professional Activities: Development of Pediatric Gastroenterology, Hepatology, and Nutrition Entrustable Professional Activities
5. Educating pediatric gastroenterology fellows: milestones, EPAs, & their application within a new educational curriculum
6. Implementing entrustable professional activities in pediatric fellowships: facilitating the process
   
   

Support the show

This episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Check out our merch website!

Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.

Click here to support the show.

In this episode, hosts Drs. Peter Lu and Temara Hajjat talk to Dr. Thangam Venkatesan about cannabinoid hyperemesis syndrome (CHS). Dr. Venkatesan is an adult gastroenterologist and Professor of Internal Medicine at The Ohio State University Wexner Medical Center, where she leads the Neurogastroenterology and Motility section. She is a world-renowned expert in CHS and cyclic vomiting syndrome (CVS). In this episode, we discuss the diagnosis of CHS, its relationship with CVS, and the management of the adolescent with CHS.

Learning Objectives:

1. Understand the diagnostic criteria for cannabinoid hyperemesis syndrome (CHS).
2. Recognize the similarities and differences between CHS and cyclic vomiting syndrome.
3. Review the management of the adolescent with CHS.

Links:

Venkatesan T, et al. Guidelines on management of cyclic vomiting syndrome in adults by the American Neurogastroenterology and Motility Society and the Cyclic Vomiting Syndrome Association. Neurogastroenterol Motil. 2019 Jun;31 Suppl 2(Suppl 2):e13604. PMID: 31241819

Support the show

This episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Check out our merch website!

Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.

Click here to support the show.

In this episode, hosts Drs. Peter Lu and Temara Hajjat talk to Dr. Jean Molleston about drug-induced liver injury (DILI) in children. Dr. Molleston is the former Division Chief of Gastroenterology, Hepatology, and Nutrition at Riley Children's and Professor of Clinical Pediatrics at University of Indiana School of Medicine.

Learning Objectives:

1. Understand the definition of DILI and signs that should raise our concern for this diagnosis.
2. Recognize common causes of DILI, including both medications and supplements.
3. Recognize the signs of drug reaction with eosinophilia and systemic symptoms or DRESS syndrome.

Links:

LiverTox: Searchable resource on drug-induced liver injury

Support the show

This episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Check out our merch website!

Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.

Click here to support the show.

In this episode, hosts Drs. Temara Hajjat and Jenn Lee talk to Drs. Glenn Furuta and Noam Zevit about the diagnosis and management of eosinophilic GI disorders (EGIDs) beyond eosinophilic esophagitis based on the new joint ESPGHAN/NASPGHAN recommendations.

Learning Objectives:

• Discuss the diagnosis of non-EoE EGIDs.
• Explain the role of pathology in diagnosis of non-EoE EGIDs.
• Review management of non-EoE EGIDs.

References:

Joint ESPGHAN/NASPGHAN Guidelines on Childhood Eosinophilic GI Disorders Beyond Eosinophilic Esophagitis

Support the show

This episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Check out our merch website!

Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.

Click here to support the show.