Podcast

Bowel Sounds: The Pediatric GI Podcast

Health & Fitness, Life Sciences, Medicine, Science

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).

Episodes
175
Releases
Every two weeks
Typical length
54 min
On air since
2019
Latest episode
1 day ago

Episodes

175 episodes, newest first

  1. Phil Minar - Theraputic Drug Monitoring in Inflammatory Bowel Disease

    Show notes

    In this episode of Bowel Sounds, hosts Dr. Temara Hajjat and Dr. Jason Silverman talk to Dr. Phil Minar, a pediatric gastroenterologist who specializes in IBD at Cincinnati Children's Hospital and Medical Center, about implementing and interpreting theraputic drug monitoring (TDM) in IBD.

    Dr. Minar does not have any conflicts of interest to disclose.

    Learning objectives

    • Describe TDM in IBD
    • Explain how TDM can help with patient management.
    • Describe how to implement TDM for different therapies

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    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.

    52 min
  2. Season 8 Kickoff with the Hosts!

    Show notes

    In this episode, we look back on Season 7 and kick off what will be an amazing Season 8! All of our Bowel Sounds Hosts are joining for this one - Drs. Amber Hildreth, Temara Hajjat, Jenn Lee, Peter Lu, Jason Silverman, and Jordan Whatley!

    Send us Fan Mail

    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.

    51 min
  3. Vikram Raghu - What Is Cost-Effective Care in Pediatric GI?

    Season 7, Episode 26

    Show notes

    In this episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jordan Whatley talk to Dr. Vikram Raghu, a pediatric gastroenterologist and transplant hepatologist who specializes in intestinal rehabilitation at Children's Hospital of Pittsburgh. He is also an accomplished researcher with a focus on cost-effective care.

    There has long been a growing emphasis on the importance of providing cost-effective care, but what does that really mean? How does that look in the field of pediatric gastroenterology? Dr. Raghu explains in our conversation and provides several examples where the cost-effective choice may not be intuitive.

    Learning objectives

    • Define cost-effective medical care
    • Discuss how to determine what the cost-effective choice would be when making a medical decision
    • Understand how to discuss cost effectiveness with patients and their families

    References

    Dr. Raghu's favorite local Indian restaurant: Udipi Cafe

    Send us Fan Mail

    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.

    54 min
  4. A. Jay Freeman - Cystic Fibrosis: What Gastroenerologists Need to Know

    Season 7, Episode 25

    Show notes

    In this episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jenn Lee talk to Dr. A. Jay Freeman, pediatric gastroenterologist at Nationwide Children's Hospital and Professor at The Ohio State University College of Medicine. He is a leading clinician and researcher in pediatric pancreatic disorders and the GI and liver complications of cystic fibrosis.

    He provides a massive update on the treatment of cystic fibrosis, including the changing clinical landscape with the advent and use of CFTR modulator therapies.

    Dr. Freeman does not have any conflicts of interest to disclose.

    Learning objectives

    • Describe key GI and liver manifestations of cystic fibrosis
    • Explain how CFTR modulatos have changed GI and Liver disease in children with cystic fibrosis.
    • Apply current screening and management strategies for GI complications in children with cystic fibrosis

    Send us Fan Mail

    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.

    53 min
  5. Sarah Lusman - Two-Year Pediatric GI Fellowship?! The Proposed Changes from the ABP

    Season 7, Episode 24

    Show notes

    In this episode, Dr. Jordan Whatley and Dr. Jason Silverman talk to Dr. Sarah Lusman, Pediatric Gastroenterologist at Morgan Stanley Children’s Hospital and an Associate Professor of Pediatrics at Columbia University. She is the Program Director of the Pediatric GI Fellowship Program there as well as the Director of Pediatric Fellowship Training (across all pediatric subspecialties). She is also the Chair of the NASPGHAN Training Committee. During the episode, we discuss the significant pediatric subspecialty fellowship changes proposed by the American Board of Pediatrics (ABP) including the possibility of 2-year pediatric GI fellowships.

    Learning objectives

    1. Describe the proposed changes to Pediatric GI Fellowship training announced by the American Board of Pediatrics in April 2026

    2. Understand the process of implementing these changes and what Pediatric GI Fellowship Training Programs can do now to prepare for them

    3. Understand the long-term impact of these changes to Pediatric GI training and the field of Pediatric GI

    Links

    ABP Press Release from April 2026

    ABP Competency-Based Medical Education and Entrustable Professional Activities Information

    Pediatric GI Entrustable Professional Activities (Updated August 2026)

    Send us Fan Mail

    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.

    56 min
  6. Bowel Sounds Summer School - Hepatology

    Season 7, Episode 23

    Show notes

    In our fourth Summer School episode this season, hosts Dr. Amber Hildreth and Dr. Jordan Whatley have taken highlights from past episodes on liver disease and put them into a special episode full of clinical pearls.

    Former expert guests Dr. Bill Balistreri, Dr. Jorge Bezerra, Dr. Saul Karpen, Dr. Dennis Black, Dr. Amy Taylor and Dr. Rohit Kohli cover neonatal cholestasis, biliary atresia, PSC, AIH, and MASLD.

    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:

    • Understand the evaluation of neonatal cholestasis
    • Review the natural history of PSC
    • Review the diagnosis and management of AIH
    • Understand the diagnostic evaluation and management of MASLD.

    Featured episodes:

    1. Bill Balistreri- Neonatal Cholestasis

    2. Jorge Bezerra- Advances in Biliary Atresia

    3. Saul Karpen- Updates in Biliary Atresia

    4. Dennis Black- Primary Sclerosing Cholangitis

    5. Amy Taylor- Autoimmune Hepatitis Management

    6. Rohit Kohli- Fatty Liver Disease

    Additional Links:

    1. Guideline for the Evaluation of Cholestatic Infants

    2. AASLD PSC Guidelines

    3. AASLD AIH Guidelines

    Send us Fan Mail

    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.

    1 hr 8 min
  7. Bowel Sounds Summer School - Celiac Disease

    Season 7, Episode 22

    Show notes

    In our third Summer School episode this season, hosts Dr. Temara Hajjat and Dr. Jordan Whatley have taken highlights from past episodes on celiac disease and put them into a special episode full of clinical pearls.

    Former expert guests Dr. Edwin Liu, Dr. Ivor Hill, Dr. Maureen Leonard, Dr. Marissa Stahl, Dr. Arun Singh, and Dr. Justine Turner cover a range of topics from early determinants of celiac disease risk to making a biopsy vs. non biopsy diagnosis.

    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:

    • Understand the factors influencing developing celiac disease.
    • Review an approach to the evaluation and management of celiac disease.
    • Review the indications and evidence for biopsy vs. non biopsy diagnosis for celiac disease.

    Send us Fan Mail

    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.

    56 min
  8. Bowel Sounds Summer School - Nutrition

    Season 7, Episode 21

    Show notes

    In our second Summer School episode this season, hosts Dr. Jason Silverman and Dr. Temara Hajjat have taken highlights from past episodes on nutrition and put them into a special episode full of clinical pearls.

    Former expert guests Dr. Charlie Vanderpool, Dr. Mark Corkins, Dr. Praveen Goday, Dr. Maria Mascarenhas, Dr. Ruba Abdelhadi, Dr. Bruno Chumpitazi and Kirsten Jones, and Dr. Eytan Wine cover a range of topics from early life nutrition and development, to picky eating and specialized diets.

    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:

    • Understand the importance of functional components of human milk and other early life influences on growth and development.
    • Review an approach to the evaluation and management of the picky eater.
    • Review the indications and evidence for specialized diets in the context of gastrointestinal disorders.

    Featured Episodes:

    • Charlie Vanderpool - Functional Components in Infant Nutrition
    • Mark Corkins - Early Life Nutrition and Impact on Childhood Development
    • Praveen Goday - The Picky Eater
    • Ruba Abdelhadi - Enteral Nutrition and Feeding Tubes 101
    • Eytan Wine - Nutrition, IBD, and the Crohn's Disease Exclusion Diet
    • Bruno Chumpitazi & Kirsten Jones - Using the Low-FODMAP Diet for Children with IBS
    • Maria Mascarenhas - Culinary Medicine

    Additional links:

    • Lisa Richardson - Ins and Outs of Infant Formulas
    • Katie Larson-Nath - Faltering Weight
    • Nutrition Pearls Podcast

    Send us Fan Mail

    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.

    56 min
  9. Bowel Sounds Summer School - Abdominal Pain

    Season 7, Episode 20

    Show notes

    Bowel Sounds Summer School is BACK! In our first Summer School episode this season, hosts Dr. Peter Lu and Dr. Jordan Whatley have taken highlights from past episodes on abdominal pain and put them into a special episode jam-packed with clinical pearls.

    Former expert guests Dr. Miguel Saps, Dr. Sam Nurko, Dr. Miranda van Tilburg, Dr. Ann Ming Yeh, Dr. Bruno Chumpitazi, Kirsten Jones, RD, and Dr. Neha Santucci explain to us how they evaluate and treat the child with abdominal pain.

    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 making a positive diagnosis for a child with an abdominal pain-predominant disorder of gut-brain interaction (DGBI).
    2. Recognize the role of lifestyle modification, dietary changes, and supplements in the treatment of children with chronic abdominal pain.
    3. Review the behavioral and pharmacological therapies available for children with chronic abdominal pain.

    References:

    ESPGHAN/NASPGHAN Guidelines for Treatment of Irritable Bowel Syndrome and Functional Abdominal Pain

    Featured Episodes:

    Miguel Saps - Functional Abdominal Pain

    Miranda van Tilburg - Behavioral Treatment of Functional Abdominal Pain

    Bruno Chumpitazi & Kirsten Jones - Using the Low-FODMAP Diet for Children with IBS

    Neha Santucci - Functional Abdominal Pain in "Organic" GI Diseases

    Samuel Nurko - Using Neuromodulator Medications for Functional Abdominal Pain

    Ann Ming Yeh - Non-Medication Treatment for Children with Abdominal Pain and Nausea

    Send us Fan Mail

    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.

    55 min
  10. Katie Larson-Nath - Faltering Weight

    Season 7, Episode 19

    Show notes

    In this episode, Dr. Jordan Whatley and Dr. Temara Hajjat talk to Dr. Katie Larson-Nath, Pediatric Gastroenterologist and Division Director at the University of Minnesota M Health Fairview Masonic Children’s Hospital, who specializes in pediatric nutrition and leads the Intestinal Rehabilitation Program. We talk about the recently published joint AAP/NASPGHAN Clinical Practice Guideline for Diagnosis and Management of Faltering Weight, a new term that replaces "failure-to-thrive".

    Learning objectives

    1. Understand the basis for the change in terminology from “failure-to-thrive” to “faltering weight” per the 2026 joint AAP/NASPGHAN Clinical Practice Guideline

    2. Describe the defining criteria for a diagnosis of faltering weight

    3. Understand the recommended comprehensive evaluation and management of children with faltering weight

    Links

    Joint AAP/NASPGHAN Clinical Practice Guideline for Diagnosis and Management of Faltering Weight

    WHO Weight Gain Velocity Standards

    2015 AND/ASPEN Consensus Statement for the Identification and Documentation of Pediatric Malnutrition (Undernutrition)

    Send us Fan Mail

    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.

    43 min
  11. Lisa Richardson - Ins and Outs of Infant Formulas

    Season 7, Episode 18

    Show notes

    In this special Bowel Sounds and Nutrition Pearls collaboration episode, hosts Dr. Jennifer Lee and clinical dietitian Nicole Misner talk to Lisa Richardson about the ins and outs of infant formula. This is a must listen episode for all pediatricians, pediatric gastroenterologists, dietitians and anyone who is using or recommending infant formulas.

    Learning Objectives

    • Explain infant formula nutrition, components, and comparison to breast milk
    • Differentiate formula types, ingredients, and clinical use
    • Apply guidance for fomula selection, safety, and caregiver education

    Links:

    Infant Formula Preparation and Storage | Infant and Toddler Nutrition | CDC

    Infant Formula Homepage | FDA

    Operation Stork Speed | FDA

    Infant Formula References

    Larson-Nath C, Bashir A, Herdes RE, et al. Term infant formula macronutrient composition: An update for clinicians. J Pediatr Gastroenterol Nutr. 2025;80(5):751-759. doi:10.1002/jpn3.70002

    Rodrigo ML, Tymann HA, Lochen HA, Shores DR. Infant formula ingredients: Updates for clinicians. J Pediatr Gastroenterol Nutr. 2024;78(5):1005-1008. doi:10.1002/jpn3.12192

    Lewis JI, Dror DK, Hampel D, et al. Reference Values for Macronutrients in Human Milk: the Mothers, Infants and Lactation Quality (MILQ) Study. Adv Nutr. 2025;16 Suppl 1(Suppl 1):10050. doi:10.1016/j.advnut.2025.100501

    Taylor SN, Buck CO. Post-discharge nutrition to optimize preterm infant short- and long-term outcomes. Semin Fetal Neonatal Med. 2025;30(2):101637. doi:10.1016/j.siny.2025.101637

    Send us Fan Mail

    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.

    1 hr 1 min
  12. Valeria Cohran - Transforming Care for Children with Intestinal Failure

    Season 7, Episode 17

    Show notes

    In this episode, Drs. Jason Silverman and Amber Hildreth talk to Dr. Valeria Cohran about the advances in intestinal rehabilitation care for infants and children with short bowel syndrome including changes nutrition management, line care and use of GLP-2 analogues that have led to decreases in intestinal failure associated liver disease and transplantation.

    Learning objectives

    • To understand the composition and impact of multidisciplinary intestinal rehabilitation teams.
    • To review the historical presentation of intestinal failure-associated liver disease (IFALD) and changes in practice that have reduced its prevalence and severity.
    • To review GLP-2 analogues and their impact on outcomes and quality of life for children with short bowel syndrome.

    Links

    Papers mentioned:

    • PIFCON data paper on IFALD
    • Cholestasis and infection in long-term PN
    • Management of CVL in SBS Position Paper
    • Intestinal Rehabilitation Teams Practice Guideline

    Previous episodes mentioned:

    • Sue Protheroe - Enteral Nutrition in Intestinal Failure
    • Danielle Wendel - Central Line Management in Intestinal Failure (Special JPGN Episode)
    • Ruben Quiros-Tejeira - Multivisceral Transplantation
    • Paul Wales - Surgical Management in Short Bowel Syndrome
    • Valeria Cohran & Conrad Cole - Racism in Medicine

    Send us Fan Mail

    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.

    50 min
  13. Maureen Leonard - Can We Prevent Celiac Disease?

    Season 7, Episode 16

    Show notes

    In this episode of Bowel Sounds, hosts Dr. Temara Hajjat and Dr. Peter Lu talk to Dr. Maureen Leonard, a pediatric gastroenterologist and Associate Professor at Massachusetts General Hospital.

    Dr. Leonard discusses the latest research on early life factors that can increase celiac disease risk for susceptible children, including potentially modifiable risk factors.

    Dr. Leonard's disclosures include: Consultant for Takeda, Chugai, Anokion, Sonoma, and Interlude Biopharma and research support from Takeda, Pfizer, Regeneron, Moderna, and Mead Johnson Nutrition.

    Learning objectives

    • Understand early life determinants for celiac disease
    • Understand environmental influences on developing celiac disease

    Send us Fan Mail

    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.

    40 min
  14. Elizabeth Rand- Fontan Associated Liver Disease

    Season 7, Episode 15

    Show notes

    In this episode of Bowel Sounds, hosts Drs. Amber Hildreth and Jennifer Lee talk to Dr. Elizabeth Rand, a pediatric gastroenterologist in the Division of Gastroenterology, Hepatology and Nutrition at Children's Hospital of Philadelphia (CHOP), Medical Director of CHOP's Liver Transplant Program, Director of the Gastroenterology Fellowship Program and Director of the Advanced Transplant Hepatology Program. We talk everything about Fontan Associated Liver Disease (FALD), from diagnosis to management and future research opportunities in the field.

    Learning objectives

    • Describe the pathophysiology of FALD
    • Understand the management challenges in patients with FALD
    • Explore the unanswered questions about FALD to help guide future research priorities

    Links:

    Single-cell multiomics guided mechanistic understanding of Fontan-associated liver disease

    Send us Fan Mail

    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.

    56 min
  15. Leonel Rodriguez - Why Can't My Child Burp?

    Season 7, Episode 14

    Show notes

    In this episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jason Silverman talk to Dr. Leonel Rodriguez, Chief of Pediatric Gastroenterology and Professor of Pediatrics at Yale Medicine. We discuss the rising number of children presenting to us with the inability to belch and the relatively new diagnosis of retrograde cricopharyngeal dysfunction (R-CPD).

    Learning objectives

    • Recognize the presenting symptoms of retrograde cricopharyngeal dysfunction (R-CPD) and its potential overlap with disorders of gut-brain interaction.
    • Understand the evaluation of a child with an inability to belch and the utility of esophageal manometry.
    • Review the management of R-CPD, including the potential role of less invasive treatment options prior to cricopharyngeal Botox injection.

    Send us Fan Mail

    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.

    56 min
  16. Pete Duncan - Oropharyngeal Dysphagia and Aspiration

    Season 7, Episode 13

    Show notes

    In this episode, Dr. Jordan Whatley and Dr. Amber Hildreth talk to Dr. Pete Duncan, Pediatric Gastroenterologist at Boston Children's Hospital who specializes in Aerodigestive Medicine and leads the NASPGHAN Aerodigestive Special Interest Group. We talk about the evaluation and management of oropharyngeal dysphagia and aspiration in children and how the approach to these issues has changed over time.

    Learning objectives

    1. Understand normal swallowing function and the phases involved

    2. Describe the causes of dysphagia in each phase of swallowing

    3. Understand the evaluation and management of children with oropharyngeal dysphagia

    Links

    https://www.iddsi.org/standards/framework

    https://www.childrenshospital.org/services/aerodigestive-center

    Send us Fan Mail

    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.

    54 min
  17. Douglas Fishman - Mitigating Risk of Endoscopy

    Show notes

    In this episode, Drs. Jason Silverman and Jennifer Lee talk toDr. Douglas Fishman about mitigating risk of endoscopy. This episode reviews the 2019 NASPGHAN guidelines on high-risk pediatric endoscopy, with a practical focus on risk mitigation and safety. A must-listen for clinicians performing diagnostic endoscopy, offering real-world strategies for managing complex cases.

    Learning objectives

    • Explain endoscopy risks and mitigation strategies in children
    • Apply the 2019 High Risk Endoscopy NASPGHAN guidelines to pediatric endoscopy scenarios
    • Evaluate patient-specific factors influencing endoscopy safety

    Links

    Papers mentioned:

    Pediatric_Endoscopy_and_High_risk_Patients__A.26.pdf

    Send us Fan Mail

    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.

    1 hr 2 min
  18. Saul Karpen - Updates in Biliary Atresia

    Season 7, Episode 11

    Show notes

    In this episode of Bowel Sounds, hosts Drs. Amber Hildreth and Jason Silverman talk to Dr. Saul Karpen, the inaugural chief scientific officer for the Stravitz-Sanyal Institute for Liver Disease and Metabolic Health at Virginia Commonwealth University, Richmond, Va., where he is a professor of internal medicine and adjunct professor in pediatric medicine at the VCU School of Medicine. We talk about new genetic discoveries in biliary atresia and the future goals of research on this important pediatric liver topic.

    Learning objectives

    • Describe the pathophysiology of biliary atresia
    • Understand the importance of early screening and new tools to assist in early detection
    • Examine the newly discovered genetic etiology to biliary atresia

    Links:

    Guidance for the Primary Care Provider in Identifying Infants with Biliary Atresia by 2-4 Weeks of Life: Clinical Report

    https://bilitool.org/

    Liver-Restricted Deletion of the Biliary Atresia Candidate Gene PKD1L1 Causes Bile Duct Dysmorphogenesis and Ciliopathy

    Stravitz-Sanyal Institute for Liver Disease and Metabolic Health

    AASLD

    Previous Episodes Mentioned:

    Bill Balistreri- Neonatal Cholestasis

    Jorge Bezerra- Advances in Biliary Atresia

    Disclosures:

    Dr. Karpen has a non-reimbursed consulting relationship with Ipsen as BOLD PI

    Dr. Hildreth serves as a consultant and speaker for Ipsen

    Send us Fan Mail

    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!

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    43 min
  19. Paul Wales - Surgical Management in Short Bowel Syndrome

    Season 7, Episode 10

    Show notes

    In this episode, Drs. Jason Silverman and Jennifer Lee talk to Dr. Paul Walesall about the surgical management of short bowel syndrome, including decision-making based on initial presentation and important considerations for any autologous reconstruction procedure.

    Learning objectives

    • To define intestinal failure, short bowel syndrome and ultrashort bowel syndrome as well as surgical subtypes of short bowel syndrome
    • To review surgical considerations in the staged management of short bowel syndrome
    • To discuss surgical approaches to autologous bowel reconstruction including their potential advantages and disadvantages

    Links

    Papers mentioned:

    • Surgical therapy for short bowel syndrome (review with images)
    • Establishing norms for intestinal length in children
    • Predicting Intestinal Adaptation in Pediatric Intestinal Failure
    • Advantages of the distal sigmoid colostomy
    • Delayed primary STEP procedure

    Previous episodes mentioned:

    • Sue Protheroe - Enteral Nutrition in Intestinal Failure
    • Danielle Wendel - Central Line Management in Intestinal Failure (Special JPGN Episode)
    • Ruben Quiros-Tejeira - Multivisceral Transplantation

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    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.

    1 hr 11 min
  20. ¡Bowel Sounds en español! Rodrigo Vázquez Frías - El microbioma y la salud infantil

    Season 7, Episode 9

    Show notes

    In our second Spanish episode, guest hosts Dr. Jose Garza and Dr. Rosalyn Diaz talk to Dr. Rodrigo Vázquez Frías about the microbiome and its role in child health!

    Bienvenidos al segundo episodio de Bowel Sounds en español. En este episodio, los anfitriones, Dr. José Garza y Dra. Rosalyn Díaz se adentran en uno de los temas más fascinantes y polémicos de la gastroenterología pediátrica: “La microbiota”. Entrevistando al Dr. Rodrigo Vázquez Frías un líder en el campo de la gastroenterología pediátrica y la microbiota.

    Exploramos qué es realmente la microbiota, cómo se forma, su vínculo con el sistema inmune y por qué está en el centro de tantas enfermedades y de modas terapéuticas. Hablamos sin filtros sobre lo que dice la evidencia (y lo que no), sobre los mitos comunes que escuchamos en consulta y sobre el rol de los probióticos en diarrea, cólico, estreñimiento y mucho más.

    El Dr. Rodrigo Vázquez es Gastroenterólogo y Nutriólogo Pediátra en el Instituto Nacional de Salud Hospital Infantil de México Federico Gómez. Maestro y Doctor en Ciencias Médicas por la Universidad Nacional Autónoma de México. Past-president de la Sociedad Latinoamericana de Gastroenterología Pediátrica y Nutrición (LASPGHAN). Miembro del Grupo de Investigación del Caribe y Centroamérica para la Microbiota, Probióticos y Prebióticos.

    Send us Fan Mail

    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.

    43 min

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