Bowel Sounds: The Pediatric GI Podcast

NASPGHAN

Bowel Sounds is a podcast on all things related to pediatric gastroenterology, hepatology, and nutrition. This podcast is brought to you by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN).

Danielle Wendel - Central Line Management in Intestinal Failure (Special JPGN Episode)
Aug 1 2022
Danielle Wendel - Central Line Management in Intestinal Failure (Special JPGN Episode)
In this collaborative episode with JPGN, Drs. Jennifer Lee and Jason Silverman talk to Dr. Danielle Wendel, the first author of the Management of Central Venous Access in Children With Intestinal Failure: A Position Paper From the NASPGHAN Intestinal Rehabilitation Special Interest Group published in JPGN. The discussion highlights important principles to consider and an overview of central line management in this population. Dr. Wendel is medical director of the intestinal transplant program at Seattle Children’s Hospital and Associate Professor at the University of Washington School of Medicine.This episode is 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!Learning Objectives:Understand the potential impact of, and strategies for preventing central line-associated bloodstream infections (CLABSI)Understand the approach to management of thrombosis in the setting of a central line.Review strategies and preparation essential to balance quality of life and medical needs in patients on home parenteral nutrition.Links:Management of Central Venous Access in Children With Intestinal Failure: A Position Paper From the NASPGHAN Intestinal Rehabilitation Special Interest GroupAs 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.Produced by: Jason SilvermanSupport the show
Rachel Rosen - Gastroesophageal Reflux Disease in Children
Jul 18 2022
Rachel Rosen - Gastroesophageal Reflux Disease in Children
In this episode, hosts Dr. Peter Lu and Dr. Jason Silverman talk to Dr. Rachel Rosen about one of the most common problems we see as pediatric gastroenterologists (or as pediatricians): gastroesophageal reflux disease or GERD. She explains how she approaches the evaluation and management of babies who spit up frequently and why all that spits up is not GERD. We also talk about the care of older children and adolescents who have GERD, including those with GERD symptoms that persist despite a trial of acid suppression. She discusses the value of pH-impedance testing and also explains why she is cautious about recommending anti-reflux surgery.Dr. Rosen is a pediatric gastroenterologist at Boston Children's Hospital, Director of their Aerodigestive Center, and an Associate Professor at Harvard Medical School. She is also the first author of the 2018 NASPGHAN and ESPGHAN guidelines on the evaluation and management of children with GERD.Learning Objectives:1) Recognize the evolving definition of GERD in children.2) Understand the pathophysiology and management of GERD symptoms in infants.3) Understand the role of pH-impedance testing in the evaluation of children with GERD symptoms.4) Understand the role of anti-reflux surgery in the management of children with severe GERD.CME for NASPGHAN members is available here!Links:Rosen R, et al. Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology,Hepatology, and Nutrition and the European Society for Pediatric Gastroenterology, Hepatology, and Nutrition. J Pediatr Gastroenterol Nutr. 2018.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.Produced by: Peter LuSupport the show
John Rosen - Technology and Innovation in Pediatric GI
Jun 27 2022
John Rosen - Technology and Innovation in Pediatric GI
In a special bonus episode, hosts Dr. Jennifer Lee and Dr. Temara Hajjat talk to Dr. John Rosen from Children's Mercy Kansas City about how technology and innovation are integral parts of our work as pediatric gastroenterologists.  He explains how we in the pediatric gastroenterologist community (and in the medical community in general) can take an idea and bring it to the clinic where it can impact patient care.  He also talks about the first Baby Shark Tank competition at this year's NASPGHAN Single Topic Symposium, The Next 50 Years: Technology and the Future of Pediatric Gastroenterology.  If you or your collaborator are part of NASPGHAN and have an idea you believe will improve how we care for children with gastrointestinal disorders, read more about the competition and submit your innovation by clicking here!CME for NASPGHAN members is available here!Learning Objectives1) To understand the role technology development and innovation play in our work as pediatric gastroenterologists.2) To understand how to determine whether an idea for medical technology is one worth pursuing and how to protect your idea.3) To recognize the resources available at many academic institutions that can help guide the physician who has an idea for new medical technology.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.Produced by: Peter LuLinks from Podcast (not endorsed by Bowel Sounds)  Support the show
Marc Benninga - Intractable Constipation: The Dutch Perspective
May 23 2022
Marc Benninga - Intractable Constipation: The Dutch Perspective
In our first international episode, Dr. Peter Lu and Dr. Temara Hajjat cross the Atlantic (virtually) to talk to the illustrious Dr. Marc Benninga from Emma Children's Hospital/Academic Medical Centre in Amsterdam, the Netherlands. Dr. Benninga is not only our first guest from our sister society ESPGHAN, but also the first Olympian and perhaps the first with a Wikipedia page.We bring in the European authority on pediatric constipation to talk about how he evaluates and treats children with constipation that has persisted despite our usual treatment with oral medications.  We compare and contrast the practices in the United States and the Netherlands.Learning Objectives1) To understand different approaches to the evaluation of a child with constipation refractory to oral laxatives.2) To understand the role of rectal irrigation in the treatment of a child with constipation refractory to oral laxatives.3) To review the evidence on pelvic floor biofeedback therapy in children with suspected pelvic floor dyssynergia4) To recognize the differences in practice among pediatric gastroenterologists in the evaluation and management of children with intractable constipationCME for NASPGHAN members is available here!References:Mosiello G, et al. Consensus Review of Best Practice of Transanal Irrigation in Children. J Pediatr Gastroenterol Nutr. 2017.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.Produced by: Peter LuSupport the show
Jim Squires - Pediatric Acute Liver Failure (Special JPGN Episode)
Apr 11 2022
Jim Squires - Pediatric Acute Liver Failure (Special JPGN Episode)
In this collaborative episode with JPGN, Drs. Peter Lu and Jason Silverman talk to Dr. Jim Squires, the first author of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Diagnosis and Management of Pediatric Acute Liver Failure published recently in JPGN. Although this is a complex syndrome and topic, the discussion highlights important principles to consider and an initial approach to patients with this condition. Dr. Squires is Associate Director of Hepatology and Fellowship Director for Pediatric Transplant Hepatology at the University of Pittsburgh.Want to learn more about Pediatric Acute Liver Failure (PALF)? Join us on April 14 at 7 pm EST for the FIRST #PedsGIChat! Follow the hashtag and @PedsGIChat for a great discussion with Dr. Mohit Kehar on this topic, and keep following for news about future chats as well! Our thanks to the NASPGHAN Technology Committee for setting this up!This episode is 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!Learning Objectives:Understand the initial assessment and triage of a patient with suspected PALF.Understand the diagnostic evaluation of infants and children with PALF.Review the ongoing monitoring of patients with PALF to assess for complications.Links:NASPGHAN Position Paper on the Diagnosis and Management of Pediatric Acute Liver FailureFollow the conversation on Twitter!JPGN Fellow Reviewer Program application formAs 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.Produced by: Jason SilvermanSupport the show (
Hayat Mousa - Pediatric Intestinal Pseudo-obstruction
Mar 28 2022
Hayat Mousa - Pediatric Intestinal Pseudo-obstruction
In this episode of Bowel Sounds, hosts Drs. Jennifer Lee and Peter Lu talk to Dr. Hayat Mousa about the most severe of gastrointestinal motility disorders -- pediatric intestinal pseudo-obstruction or PIPO.   Although PIPO is a rare disorder, it is one that is important for all pediatric gastroenterologists to recognize.  Dr. Mousa is Director of the GI Motility Center and a pediatric gastroenterologist at Children's Hospital of Philadelphia.This is also our FIRST episode eligible for CME credit!  Once you have listened to the episode, click this link to claim 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!Learning Objectives:1) Recognize the presentation of pediatric intestinal pseudo-obstruction.2) Understand the diagnostic evaluation of children with symptoms suggestive of this disorder.3) Review the medical and surgical management of children with this disorder, including several promising, novel treatment modalities.Links:Thapar N, et al. Paediatric Intestinal Pseudo-Obstruction: Evidence and Consensus-Based Recommendations From an ESPGHAN-Led Expert Group. J Pediatr Gastroenterol Nutr. 2018 Jun; 66(6): 991-1019.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.Produced by: Peter LuSupport the show (
Diana Lerner - Management of Foreign Body Ingestions
Feb 14 2022
Diana Lerner - Management of Foreign Body Ingestions
In this episode of Bowel Sounds, hosts Drs. Temara Hajjat and Jason Silverman talk to Dr. Diana Lerner about the management of foreign body ingestions, with a particular focus on button battery ingestions including their rising incidence as well as risk mitigation strategies and public education approaches to reducing harm.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.Produced by: Jason SilvermanLinks:Follow Dr. Lerner on Twitter for more on foreign bodies and endoscopyAAP site on button battery safety for parentsUS Poison Control Centre site on button battery managementGIRC - app for reporting ingestionsManagement of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee (2015)Diagnosis, Management, and Prevention of Button Battery Ingestion in Childhood: A European Society for Paediatric Gastroenterology Hepatology and Nutrition Position Paper (2021) Special requests:Thank you to everyone for listening to our podcast. If you enjoyed this content and thought it was useful, we ask you to consider doing any or all of the following three things:Tell one person who you think would like this type of content about the podcast.  We want to reach more GI doctors and trainees and general pediatricians, pediatric residents, and medical students.Leave a review on Apple Podcasts -- this helps more people discover our podcast.You can also support the show by making a donation to the NASPGHAN FoundationSupport the show (
John Barnard - How to Succeed in Pediatric GI Research
Jan 31 2022
John Barnard - How to Succeed in Pediatric GI Research
In this episode of Bowel Sounds, hosts Drs. Peter Lu and Jennifer Lee talk to former NASPGHAN President Dr. John Barnard about the past, current, and future of pediatric GI research.  We ask him to reflect upon his career as a leader in the field of pediatric GI and specifically in advancing pediatric GI research for the past several decades.  We ask him how research interest and funding is changing over time, how researchers can best position themselves in today's research landscape, and what he feels are the most important factors for success as a medical researcher.  We also discuss how our community can better support women and underrepresented minorities in academic medicine.  Finally, he talks to us about the advice that has guided him throughout his career.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.Produced by: Peter LuSpecial requests:Thank you to everyone for listening to our podcast. If you enjoyed this content and thought it was useful, we ask you to consider doing any or all of the following three things:Tell one person who you think would like this type of content about the podcast.  We want to reach more GI doctors and trainees and general pediatricians, pediatric residents, and medical students.Leave a review on Apple Podcasts -- this helps more people discover our podcast.You can also support the show by making a donation to the NASPGHAN FoundationSupport the show ( the show (
Sohail Husain - Digesting Chronic Pancreatitis
Jan 17 2022
Sohail Husain - Digesting Chronic Pancreatitis
In this episode of Bowel Sounds, hosts Drs. Temara Hajjat and Dr. Jason Silverman talk to Dr. Sohail Husain about chronic pancreatitis in children. He explains the evaluation, diagnosis, and management of chronic pancreatitis.Learning objectives:1. Learning the definition of chronic pancreatitis 2. Learning the common etiologies of chronic pancreatitis 3. Learning how to manage a patient with chronic pancreatitis4. Learning how to work up a patient with chronic 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.Produced by: Temara HajjatLinks to papers mentioned in the podcast: NASPGHAN Chronic Pancreatitis Paper: Medical Management of Chronic Pancreatitis in Children: A Position Paper by the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Pancreas CommitteeChronic Pancreatitis Definition - JPGN Paper: Definitions of pediatric pancreatitis and survey of present clinical practices.Endoscopic Pancreatic Function Testing (ePFT) in Children: A Position Paper From the NASPGHAN Pancreas CommitteeNoble prize winner laureates in economics - roundtable discussionSpecial requests:Thank you to everyone for listening to our podcast. If you enjoyed this content and thought it was useful, we ask you to consider doing any or all of the following three things:Tell one person who you think would like this type of content about the podcast.  We want to reach more GI doctors and trainees and general pediatricians, pediatric residents, and medical students.Leave a review on Apple Podcasts -- this helps more people discover our podcast.You can also support the show by making a donation to the NASPGHAN FoundationSupport the show