Children with intestinal failure require long-term central venous access to provide them with fluids and/or nutrition. Complications of this access contribute to significant morbidity and mortality with loss of access becoming an increasingly common indication for intestinal transplant referral. Advances have occurred in prevention of complications and management of central venous access for children with intestinal failure, but practices vary widely among centers.

Long-term Central Venous Access Management in Pediatric Intestinal Failure will examine the current evidence and recent recommendations for general principles to optimize central venous access management of children with intestinal failure.

Gastrointestinal bleeding is one of the most common indications for urgent endoscopy in children though incidence is rare. All pediatric gastroenterologists should be comfortable with the endoscopy equipment and techniques used to stop bleeding and prevent rebleeding in children. Due to relative lack of clinical situations needed to achieve and maintain competency, additional training opportunities are needed to enhance skill acquisition and maintenance.

This webinar focuses primarily on non-variceal upper GI bleeding in children. Framed by an interactive realistic case presentation, we will review frequently asked questions regarding pre-procedural interventions and standards of endoscopic care. Through our international panel of interventional endoscopy experts, learners will gain knowledge of practical application of tools that may be scarcely available outside of large centers. Through our summary of up-to-date literature and highlights of society guidelines, participants will leave armed with evidence-based knowledge to tackle the next upper GI tract bleed.

July 2021 Nutrition Pearl: Risks Associated with European Infant Formulas.  Nutrition Pearls are sponsored by Mead Johnson.

Bowel Sounds, Episode Twenty Nine: Alan Leichtner - A Career in Medical Education

In this episode of Bowel Sounds, hosts Drs. Jennifer Lee and Jason Silverman talk to Dr. Alan Leichtner about how we in the pediatric GI community can have successful careers in Medical Education. He gives practical advice on how all physicians can use adult learning theories to successfully teach our trainees and patients and we talk about the subspecialty areas within medical education.

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.

Infants and children requiring prolonged parenteral nutrition may receive an intravenous fat in the form of soybean oil, fish oil, or composite lipid emulsion). Depending on patient characteristics, including age, nutritional status, and comorbidities, certain IV lipid emulsions may be preferrable to others.   

Dosing strategies and IV lipid selection rationale are complicated and require an understanding of components of the lipid emulsion and standards for appropriate use – and complications can occur due to gaps in knowledge, skills, and PN prescribing practices.   Many patients on chronic PN warrant close monitoring of their nutritional status and liver health.  

Update on Alternative Lipids will examine the different IV lipid emulsions used, describe the rational for IV lipid emulsion selection, help explain essential fatty acids and deficiencies and offer future direction and application.

Bowel Sounds, Episode Twenty Eight: Christopher Duggan - Pediatric GI and Global Health

In this episode of Bowel Sounds, hosts Drs. Jennifer Lee and Peter Lu talk to Dr. Christopher Duggan about how we in the pediatric GI community can and should get involved in global health. In addition to his work as Director of the Center for Nutrition and Medical Director of the Center for Advanced Intestinal Rehabilitation at Boston Children's Hospital, he has spent a substantial part of his career working to improve the care of children with diarrheal illnesses and malnutrition in other countries around the world. We talk about what inspired his passion for global health, how he was able to create his unique career path, and his recommendations for others in the pediatric GI community who want to get involved.

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.

Bowel Sounds, Episode Twenty Seven: Aliye Uc - Acute Pancreatitis Pearls

In this episode of Bowel Sounds, hosts Drs. Temara Hajjat and Jason Silverman talk to Dr. Aliye Uc, head of the division of pediatric gastroenterology at the University of Iowa, about her pearls for the evaluation and management of acute and acute recurrent pancreatitis.  She also discusses her journey to becoming an expert in pancreatic diseases in childhood and her inspiration for creating INSPPIRE, a network of medical centers committed to learning more about pediatric pancreatitis.

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.

May 2021 Nutrition Pearl: Introduction to Pediatric Patients with Intestinal Failure.  Nutrition Pearls are sponsored by Mead Johnson.

June 2021 Nutrition Pearl: “Step-up” Elimination Diet for EoE.  Nutrition Pearls are sponsored by Mead Johnson.

Bowel Sounds, Episode Twenty Six: Mel Heyman - Advice from an Editor-in-Chief

In this episode, hosts Drs. Temara Hajjat and Jason Silverman talk to former NASPGHAN Editor-in-Chief for JPGN, and current Editor for JPGN Reports, Dr. Mel Heyman.  We discuss his experiences in these roles including the challenges and the rewards, as well as reviewing a number of the key initiatives undertaken during his tenure. 

We also discuss solid advice for aspiring authors, including the most common mistake authors make with their submissions. There is also time for a pitch for being  journal reviewers, particularly for junior faculty. 

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.