Atlanta,Georgia - NASPGHAN

REGISTRATION BROCHURE

annual meeting & postgraduate course

Atlanta,Georgiaoctober 23–26, 2014

ANNUAL MEETING & POSTGRADUATE COURSE REGISTRATION BROCHURE

Dear Colleagues:

We invite you to attend “The NASPGHAN Annual Meeting and Postgraduate Course” to be held in Atlanta, Georgia,from Thursday, October 23—Sunday October 26, 2014 at the Hilton Hotel. The planning committee has put togetheran outstanding program that will engage the interest of clinicians, academicians, nurses, nutrition and allied health professionals, and trainees alike.

The meeting will begin on Thursday, with our one day Postgraduate Course, organized by the Professional EducationCommittee (led by Drs. Melanie Greifer and Jennifer Strople). The course will provide a comprehensive overview ofpediatric endoscopy, hepatology, nutrition, intestinal inflammation and motility disorders. We will also have smallgroup learning luncheons that will provide more in-depth case based discussion of difficult patients with functionalGI disorders, complications of IBD, jaundice, liver failure, and in need of interventional endoscopy.

The Annual Meeting will begin at 5 pm Thursday evening with a Welcome Reception and the first Poster Session, as well asthe Professional Development Session, organized by Dr. Benjamin Gold. This is a symposium open to all attendees, whosetheme this year will be “glass ceilings”.

On Friday and Saturday morning during the plenary sessions, the best laboratory and clinical science abstracts will bepresented. The Keynote speaker this year will be Dr. Brennan Spiegel, an adult gastroenterologist from UCLA, who is anengaging speaker and a world leader in the field of outcome measures. Drs. Barnard and Balistreri will present theirvery popular Basic and Clinical Science Year in Review sessions.

This year, we have increased the number of abstract-based research sessions to 8 and these sessions will continue to hosta state-of-the-art presentation given by an expert in the field. We have added a video session with abstract presentations,which will also include a special video on the history of pediatric endoscopy produced by Dr. Fishman. There will be 7 invited-speakers sessions, including two “Hot Topics”, and two debates with speakers discussing the ideal timing for portalhypertension treatment and when to start biologic agents in IBD. The virtual session this year will focus on celiac diseaseand will be chaired by Dr. Ivor Hill. The Hands-on Endoscopy course will be run by Dr. Marsha Kay, and Dr. Joe Croffie willdirect the Hands-on Motility course which, this year will discuss anorectal manometry. Another session will continue toupdate clinicians on the nuances of correct billing and coding. According to the multicultural spirit of the meeting, we willcontinue to have a LASPGHAN meeting and reception in Spanish, on Friday evening. On Sunday morning, we will have a Research Skills Workshop with the participation of many of the most accomplished clinical and bench researchers in ourspecialty. On Friday morning, we are planning to have our first 5K run, an event that we hope will become a tradition offuture NASPGHAN meetings.

There will be 21 breakfast sessions (2 in Spanish) which will facilitate more intimate interaction between speakers and societymembers. Following up on the success of last year, we will have a parallel Nutrition Symposium aimed at dietitians, organizedby Dr. Praveen Goday. It will be held on Saturday from 8 am—4:00 pm. Finally, the meeting will end with the tremendouslyentertaining and instructive GI Jeopardy for Fellows and Faculty and the greatly fun and nutritious social program!

Athos Bousvaros MD Carlo Di Lorenzo MDPresident, NASPGHAN President–Elect, NASPGHAN

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Carlo Di Lorenzo MD (NASPGHAN President-Elect) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Program Committee ChairDoug Fishman MD (Chair, Endoscopy Committee) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Endoscopy sessionsBenjamin Gold MD (Chair, Professional Development Committee) . . . . . . . . . . . . . . . . . . . . . . . Professional Development sessionPraveen Goday MD (Chair, Nutrition Committee) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dietitians symposiumMelanie Greifer MD (Chair, Professional Education Committee) . . . . . . . . . . . . . . . . . . . . . . . . . . Postgraduate Course, Co-DirectorNeera Gupta MD (Chair, Research Committee) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Annual MeetingJames E. Heubi MD (NASPGHAN Secretary-Treasurer) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Meeting budget Alfredo Larossa Haro MD (Mexican Councilor) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LASPGHAN ProgramIan Leibowitz MD (Chair, Clinical Care and Quality Committee) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Clinical Vignette Posters Adam Noel MD (Chair, Clinical Practice Committee) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Billing & Coding, Practitioners’ ForumMiguel Saps MD (Chair, International Committee) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LASPGHAN ProgramCary Sauer MD (Chair, Training Committee) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Teaching and Tomorrow ProgramJen Strople MD (Vice Chair, Professional Education Committee) . . . . . . . . . . . . . . . . . . . . . . . . . . Postgraduate Course, Co-DirectorAthos Bousvaros MD (NASPGHAN President) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Program Advisor

ORGANIZING COMMITEE

Hilton Atlanta255 Courtland Street NEAtlanta, Georgia, 30303Phone: 1–404–659–2000/1–800–Hiltons

Hotel Reservation Deadline . . . . . . . . . . . . . . . . . . . . . . . . . October 1, 2014

Room Rates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Single/Double: $179.00Special NASPGHAN room rates. Applicable taxes will be added. (US rate subject tochange based on current exchange rates).

Check–in Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3:00 PM

Check–out time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12:00 NOONTo obtain the special NASPGHAN room rates, register online via the NASPGHAN website.Click on the Annual Meeting 2014 link and click on make hotel reservations. Or, call theHotel’s Reservation line at 1-800-Hiltons and make sure to identify yourself as attendingthe NASPGHAN Annual Meeting and Postgraduate Course.

The Hilton Atlanta hotel boasts a central location in the heart of downtown Atlanta within walking distance ofsome of the best attractions in the city, including the Georgia Aquarium, CNN Center and the Georgia WorldCongress Center. Hartsfield-Jackson Atlanta International Airport is just a 15-minute drive from our downtown Atlanta hotel.Swim in the outdoor pool and work out in the fully equipped fitness center. Stay fit on our downtown Atlanta hotel’s outdoortennis courts, full-sized basketball court or jogging track. Experience fine dining overlooking Atlanta’s downtown skyline inNikolai’s Roof restaurant, or try a Polynesian cocktail at the Mai Tai bar in Trader Vic’s.

Transportation from Airport to The Hilton Atlanta HotelFrom the Airport by the Subway (MARTA) —Take the train north and exit at Peachtree Center Station. Take the John PortmanBlvd. escalator or follow the directions for Peachtree Center Mall. You will go up a very steep escalator into the Mall. Take thewalkway from the Mall to the parking garage. Take the elevator to the street. The hotel is on your right when you exit the garage.

Airport Shuttle: —Service provided by T.A.A.S.S (The Atlanta Airport Shuttle Service). Prices are $16.50/person one-way and$32.00/person roundtrip to and from Atlanta Hartsfield Airport. Purchase tickets on the ground transportation level of theairport. The phone number is 404–941–3440. Airline customers, please call 404–762–3007 for transportation.

HOTEL INFORMATION

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NASPGHAN is accredited by the Accreditation Council for Continuing Medical Education to provide continuingmedical education for physicians.

NASPGHAN designates this educational activity for a maximum of 30.0 AMA PRA Category 1 Credit(s) TM (8.25credit hours for the Postgraduate Course, and 21.75 credithours for the Annual Meeting). Physicians should only claimcredit commensurate with the extent of their participationin the activity.

In order to ensure independence, objectivity and scientificrigor in all activities and in accordance with the ACCME,ANCC and ACPE Standards for Commercial Support, allthose in a position to control the content of an educationalactivity are required to disclose their relevant financial relationships. This includes indicating that one has nothingto disclose. Disclosure information will be distributed tothe activity attendees.

In compliance with the Americans with Disabilities Act of 1990,NASPGHAN will make all reasonable effort to accommodatepersons with disabilities. Contact NASPGHAN in order tomake arrangements.

NASPGHAN National OfficePO Box 6Flourtown, PA 19031

Telephone: 215–233–0808Fax: 215–233–3918Email: [email protected]: www.naspghan.org

REGISTRATION CME INFORMATION

FACULTY DISCLOSURE

AMERICANS WITH DISABILITIES ACT

The DEADLINE for the Early–Bird Registration Ratesis August 13, 2014

To receive Early-Bird rates if mailing payment, envelopemust be postmarked no later than August 13, or standardrates will apply.

After August 13, Standard Rates are applicable. Fees forthe Postgraduate Course and Annual Meeting will increaseby $50 per category.

The DEADLINE for the Standard Registration Ratesis September 19, 2014

To receive Standard rates if mailing payment, envelopemust be postmarked no later than September 19, or On-site registration rates will apply.

After September 19, on site fees are applicable. Fees forthe Postgraduate Course and Annual Meeting will increaseby $50 per category.

Register by mail, fax or the Internet. Visit (www.naspghan.org) to register online. Alternately, mail or fax the registration forms

located on Pages 20–25 of this brochure to the NASPGHAN National Office.

Meeting confirmations, tickets and badges will be mailed 3 weeks prior to the meeting.

MEETING OBJECTIVES AND CME INFORMATION

EDUCATIONAL MISSION STATEMENT:The educational mission of the North American Society for Pediatric Gastroenterology, Hepatologyand Nutrition is to:

Advance understanding of normal development, physiologyand pathophysiology of diseases of the gastrointestinaltract, liver and nutrition in children.

Improve professional competence, quality of care, and patient outcomes by disseminating knowledge throughscientific meetings, professional, and public education.

Our activities, education, and interventions will strive to use Adult Learning Methods (ALM) designed to improvecompetence, practice performance, and patient outcomesin measureable ways. These educational activities will betargeted to pediatric gastroenterologists, physicians withan expertise in pediatric gastroenterology, hepatology, andnutrition, subspecialty fellows in pediatric gastroenterology,and nurses specializing in pediatric gastroenterology, hepatology, and nutrition.

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http://www.naspghan.org


7:55 AM—8:00 AM WELCOME AND INTRODUCTION

8:00 AM—9:15 AM MODULE 1: LIVER

Moderators: Henry Lin MD and Jennifer Strople MDPRIMARY SCLEROSING CHOLANGITISDennis Black MD, Le Bonheur Children’s Hospital

Learning objectives:

u Learn the etiology and progression of the conditionu Understand how to appropriately screenu Review the treatment controversies, including ursodiol and vancomycin

THE JAUNDICED INFANT Saul J Karpen MD, PhD, Emory University School of Medicine


u Learn the differential diagnosis and most common etiologiesu Understand the impact of genetic testing and other diagnostic modalitiesu Know the available treatments and what is being developed

ACUTE LIVER FAILURE Estella Alonso MD, Ann and Robert H Lurie Children’s Hospital of Chicago


u Learn the differential diagnosis and most common etiologiesu Know the treatment options and algorithmsu Understand the time frame of referral for transplantation

9:00 AM—9:15 AM RAPID–FIRE Q&A

9:15 AM—10:30 AM MODULE 2: ENDOSCOPY

Moderators: Jyoti Ramakrishna MD and Melanie Greifer MDTHE DREADED WAKE-UP CALL (PART A)“WE’VE GOT A BLEEDER”: EMERGENCY TECHNIQUES FOR VARICEAL BLEEDING—ESOPHAGEAL AND GASTRICMercedes Martinez MD, New York Presbyterian Hospital


u Know the appropriate timing and preparation for emergency interventions in this group of patients u Learn the newest emergency interventional techniques for esophageal and gastric variceal bleedingu Understand the risks and outcomes as well as alternatives for these techniques

THE DREADED WAKE-UP CALL (PART B)"WE'VE GOT ANOTHER BLEEDER": EMERGENCY TECHNIQUES FOR NON–VARICEAL UPPER GI BLEEDING Lee Bass MD, Ann and Robert H. Lurie Children’s Hospital of Chicago


u Know the appropriate differential diagnosis and causes of non-variceal upper GI bleedingu Know the appropriate timing and preparation for emergency interventions in this group of patientsu Learn the newest emergency interventional techniques for non-variceal bleeding

(injection, clips, heat, hemospray, EUS-guided, endoluminal suturing) ENDOSCOPIC INTERVENTIONS FOR BILIARY TRACT DISEASEVictor Fox MD, Boston Children’s Hospital


u Learn the indications and techniques for endoscopic therapy of choledocholithiasisu Recognize different types of biliary strictures and approaches to endoscopic treatmentu Understand the role of endoscopy in the management of accidental and surgical hepatobiliary injury 10:30

AM—10:50 AM BREAKTHURSDAY OCTOBER 23, 2014 POSTGRADUATE COURSE

NASPGHAN POSTGRADUATE COURSE

THURSDAY OCTOBER 23, 2014

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THURSDAY OCTOBER 23, 2014 POSTGRADUATE COURSE CONTINUED

10:15 AM—10:30 AM RAPID–FIRE Q&A

10:30 AM—10:50 AM BREAK

10:50 AM—12:25 PM MODULE 3: GI POTPOURRI

Moderators: Dinesh Pashankar MD and Melanie Greifer MD EXTRAESOPHAGEAL MANIFESTATIONS OF GASTROESOPHAGEAL REFLUX (GER): FACT VS . FICTIONBenjamin Gold MD, Children’s Center for Digestive Healthcare

Learning objectives:u Learn the extent of extraesophageal manifestations of GERu Know the diagnostic testing modalities u Understand the treatment options

EoE: PPI, EGD AND WHAT TO EAT: ALPHABET DISTRESSSandeep Gupta MD, Riley Hospital for Children

Learning objectives:u Understand the role of PPIs in EoE u Update on steroid based EoE therapiesu Review role of diet in EoE

“GOTTA KEEP ON MOVIN”—NEW TRICKS AND TREATMENTS FOR MOTILITY DISORDERS Carlo Di Lorenzo MD, Nationwide Children’s Hospital

Learning objectives:u Discuss pathophysiologic mechanisms contributing to functional and motility disorders u Present evidence supporting the use of novel medical and nonmedical treatments for motility disordersu In tegrate these modalities in the treatment of the child presenting with a possible motility disorder

WHAT’S NEW IN THE DIAGNOSIS AND MANAGEMENT OF CONSTIPATIONManu Sood MD, Medical College of Wisconsin

Learning objectives:u Understand when additional testing is indicated in the constipated child, including blood work and anorectal manometryu Review the data regarding biofeedback for treatment of dyssynergic defecationu Learn about new medications for treatment of constipation

12:10 PM—12:25 PM RAPID–FIRE Q&A

12:25 PM—1:50 PM LEARNING LUNCHEONS (REGISTRATION & TICKET REQUIRED)

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JAUNDICE IN THE NICUSaul Karpen MD and Ezequiel Neimark MD—Moderator: Vicky Ng MD

LIVER FAILUREEstella Alonso MD and Henry Lin MD—Moderator: Pinut Bulut MD

GI BLEEDING EMERGENCIES—CHALLENGING CASESMercedes Martinez MD and Lee Bass MD—Moderator: Anu Chawla MD

EXCITING CASES IN ESOPHAGEAL DISORDERSSandeep Gupta MD and Benjamin Gold MD—Moderator: Dinesh Pashankar MD

ERCP, MRCP . . . CHOOSING THE BEST MODALITY FOR BILIARY IMAGINGVictor Fox MD and Amber Spofford MD—Moderator: Raza Patel MD

FAD OR FICTION: CASE BASED DISCUSSION OF ALTERNATIVE DIETSRobert Baldassano MD, Dale Lee MD and Lindsey Albenberg MD—Moderator: Diana Riera MD

CHALLENGING CASES IN CONSTIPATIONManu Sood MD and Katja Kovacic MD—Moderator: John Stutts MD

THE TODDLER WITH IBDScott Snapper MD and Abdul Elkadri MD—Moderator: Judith Kelsen MD

INTRAABDOMINAL ABSCESS: THE VIEW FROM BOTH SIDESRobbyn Sockolow MD and Jason Frischer MD—Moderator: Maria Oliva-Hemker MD


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THURSDAY OCTOBER 23, 2014 POSTGRADUATE COURSE CONTINUED

1:50 PM—3:05 PM MODULE 4: NUTRITION

Moderators: Kelly Thomsen MD and Melanie Greifer MD

DIET AND THE MICROBIOME Robert Baldassano MD, Children’s Hospital of Philadelphia

Learning objectives:u Understand how diet influences the human microbiomeu Learn how the microbiome influences the response to diet and dietary componentsu Become familiar with the potential ways to modify the microbiome to reduce risk and prevent or modify disease

FODMAP: NAVIGATING THIS NOVEL DIET Bruno Chumpitazi MD, MPH, Texas Children’s Hospital, Baylor College of Medicine

Learning objectives:u Describe the common characteristics of FODMAP carbohydrates and mechanisms of action in triggering GI symptomsu Review the evidence to support their use in patientsu Learn to identify and appropriately counsel patients in the use of the FODMAP diet

NUTRITION IN THE CHILD WITH NEUROLOGICAL DISABILITIES Kathleen J Motil MD, PhD, Baylor College of Medicine

Learning objectives:u Be able to identify and address issues of malnutritionu Understand the management of refeeding syndrome and who is at risku Learn appropriate tube feeding schedules and possible transition to oral feedings


3:05 PM—3:25 PM BREAK

3:25 PM—5:00 PM MODULE 5: INTESTINAL INFLAMMATION

Moderators: Maria Oliva-Hemker MD and Jennifer Strople MDEARLY ONSET INFLAMMATORY BOWEL DISEASE Scott Snapper MD, Boston Children’s Hospital

Learning objectives:u Review immunodeficiencies that may present with intestinal inflammationu Understand the phenotype, genetics and prognosis for idiopathic IBD under 5 years u Learn an appropriate immunological evaluation of a child with early IBD

“LUMINITIS”: WHEN INFLAMMATION IS NOT IBD (MICROSCOPIC COLITIDES) Robbyn Sockolow MD, New York–Presbyterian Hospital, Weill Cornell Medical Center

Learning objectives:u Understand the diagnostic criteria and differential diagnosis for microscopic colitisu Review the treatment of lymphocytic and collagenous colitisu Discuss the diagnostic criteria and treatment of eosinophilic colitis, including approach in transplant patients

SURGERY IN CROHN’S DISEASE Jason Frischer MD, Cincinnati Children’s Hospital and Medical Center

Learning objectives:u Learn pre-surgical optimization of medical treatment (IFX vs non IFX)u Understand decision making of stricturoplasty vs resectionu Know the outcomes and morbidities post operatively

BEYOND ANTI-TNF THERAPY: NEW MEDICATIONS IN THE PIPELINE Athos Bousvaros MD, Boston Children’s Hospital

Learning objectives:u Review the mechanism of action of emerging biologic therapiesu Review the available data on the efficacy of these medicationsu Understand the risks of these therapiesu Review currently available rescue therapies for anti-TNF nonresponders in Crohn’s disease (natalizumab, thalidomide)



5:00 PM—7:00 PM WELCOME RECEPTION/POSTER SESSION I

7:00 PM—9:00 PM PROFESSIONAL DEVELOPMENT WORKSHOP—GLASS CEILINGS

PROMOTIONS AND CLIMBING THE LADDER Jean Molleston MD, Riley Hospital for ChildrenI DON’T KNOW HOW SHE DOES IT Elaine Moustafellos MD, Hackensack University Medical CenterCOMING FROM A DIFFERENT COUNTRY Samuel Nurko MD, Boston Children’s Hospital

7:00 AM—8:00 AM MEET THE PROFESSOR BREAKFASTS (REGISTRATION & TICKET REQUIRED)

CHALLENGING CASES IN AUTOIMMUNE HEPATITISUdeme Ekong MD and Henry Lin MD

WHEN DO I REALLY NEED MANOMETRY?Jose Garza MD and Ajay Kaul MBBS, MD

PANCREATIC AND BILIARY ENDOSCOPY: INDICATIONS, COMPLICATIONS, TRAINING AND COMPETENCYBradley Barth MD and David Troendle MD

FECAL TRANSPLANTStacy Kahn MD and Richard Kellermayer MD, PhD

ALLERGY TESTING AND DIETARY THERAPY IN EOE Seth Marcus MD, MSc and Luqman Seidu MD

OBESITYEmily Rothbaum Perito MD, MAS and Miriam B Vos MD, MSPH

RUMINATIONJoseph M Croffie MD and Desale Yacob MD

SHORT GUTBram Raphael MD and Timothy A Sentongo MD

THE DIFFICULT CROHN’S PATIENT Shehzad A Saeed MD and Thomas Walters MD

HEPATITIS C (IN SPANISH) (NO CHARGE)Norberto Rodriguez-Baez MD and Rima Fawaz MD

THE ART AND SCIENCE BEHIND ABP EXAMINATIONS (NO CHARGE)Erik Meyer MD and Deb Baldwin MD, American Board of Pediatrics

8:15 AM—10:00 AM PLENARY SESSION IModerators: Carlo Di Lorenzo MD and Athos Bousvaros MD8:15 AM—8:30 AM WELCOME

8:30 AM—9:00 AM BASIC SCIENCE YEAR IN REVIEW John Barnard MD, Nationwide Children’s Hospital

9:00 AM—9:30 AM BUSINESS MEETING

9:30 AM—10:00 AM CLINICAL SCIENCE YEAR IN REVIEWWilliam Balistreri MD, Cincinnati Children’s Hospital Medical Center

THURSDAY OCTOBER 23—FRIDAY OCTOBER 24, 2014 ANNUAL MEETING

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FRIDAY OCTOBER 24, 2014

NASPGHAN ANNUAL MEETING

THURSDAY OCTOBER 23, 2014

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FRIDAY OCTOBER 24, 2014 ANNUAL MEETING

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10:30 AM—12:00 PM CONCURRENT SESSIONS

CLINICAL SESSION 1: NUTRITIONModerators: Maria Mascarenhas MBBS and David Suskind MD

n FOOD AND FIRE: DIET IN IBDJoel Rosh MD, Goryeb Children’s HospitalLearning objectives:u To review the effect of diet on the gut microbiomeu Participants will review the evidence regarding exclusive enteral nutrition as a therapy in IBDu Common nutritional concerns raised by patients and families with IBD will be reviewed

n DIET IN IRRITABLE BOWEL SYNDROME (IBS)Robert Shulman MD, Baylor College of MedicineLearning objectives:u Describe how specific dietary components can exacerbate symptoms in IBSu Apply different dietary management strategies to children with IBS

n ELEMENTAL, EMPIRIC OR DIRECTED DIET: OH MY!Amir Kagawalla MD, Ann and Robert H Lurie Children’s Hospital of ChicagoLearning objectives:u Natural history of eosinophilic esophagitisu Familiarize the audience with the different dietary approaches to eosinophilic esophagitisu Describe the efficacy of different diet treatments

n SHORT AND (NOT) SWEET: DIET AND SHORT BOWEL SYNDROMEValeria Cohran MD, Ann and Robert H Lurie Children’s Hospital of ChicagoLearning objectives:u Develop regimens to introduce solid foods u Understand the advantages and limitations of carbohydrates, fats, and proteins in the dietu Recognize the optimal timing to refer to a multidisciplinary feeding clinic

CLINICAL SESSION 2: HOT TOPICS IN LIVERModerators: Shikha Sundaram MD and Simon Ling MD

n DEBATE: ESOPHAGEAL VARICEAL BLEEDING THERAPY IN CHILDREN: PROACTIVE OR REACTIVE?Karen Murray MD, Seattle Children’s Hospital -vs- Maureen Jonas MD, Children’s Hospital, BostonLearning objectives:u Accurately assess the risk of variceal hemorrhage in pediatric patients with portal hypertensionu Develop a treatment strategy for variceal bleeding in childrenu Recognize gaps in evidence-based pediatric management of variceal bleeding

n NASH: TRICK OR TREAT?Rohit Kohli MD, Cincinnati Children’s Hospital Medical CenterLearning objectives:u Provide updated data regarding the impact of obesity-related fatty liver disease in childrenu Highlight newer treatment paradigms and options now available for obesity-related fatty liver disease in childrenu Introduce concept, challenges, and downstream consequences of pediatric gastroenterologists “treating”

obesity-related fatty liver disease in childrenn THE ROLE OF THE MICROBIOME IN NASH

Marialena Mouzaki MD, Hospital for Sick ChildrenLearning objectives:u Analyzing the effects of intestinal microbiota on nutrient metabolismu Evaluating the inflammatory and profibrotic impact of microbiota on the liver of patients with NASHu Demonstrating the therapeutic potential of microbiota in NASH

RESEARCH SESSION 1—POTPOURRI/ENDOSCOPY: ORAL ABSTRACT PRESENTATIONS AND STATE OF THE ART LECTUREModerators: Ali Mencin MD and Nitika Gupta MD

n STATE OF THE ART LECTURE:TO BE NAMED

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FRIDAY OCTOBER 24, 2014 ANNUAL MEETING CONTINUED

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2:30 PM—4:00 PM CONCURRENT SESSIONS

CLINICAL SESSION 3: GASTROENTEROLOGY IN THE NICUModerators: Elizabeth Gleghorn MD and John Kerner MD

n PROBIOTICS IN NECPhilip M Sherman MD, FRCPC, Hospital for Sick ChildrenLearning objectives:u Provide an update on the composition and function of the gut microbiota during the first two years of lifeu Consider the potential impacts of an altered gut microbiome (“dysbiosis”)u Critically assess the evidence for altering the gut microbiota to prevent necrotizing enterocolitis and treat

allergic colitis

n GERD IN THE NICUHayat Mousa MD, Nationwide Children’s HospitalLearning objectives:u To determine the prevalence and economic burden of clinical gastroesophageal reflux disease (GERD) in

preterm infants u To appropriately utilize diagnostic testing in the evaluation of infants with complicated GERDu To understand the safety and outcome of current therapeutic approaches in the management of infants

with clinical GERn TPN CHOLESTASIS

Beth Carter MD, Baylor College of MedicineLearning objectives:u Identify clinical signs, lab measurements, and patient-specific risk factors that will help achieve timely

diagnosis of TPN-associated cholestasisu Gain exposure to various treatment algorithms such as proactive lipid minimization strategies for

TPN-associated cholestasisu Discuss and debate opinions regarding novel lipid formulations and treatments for TPN-associated cholestasis

VIRTUAL CELIAC DISEASE: THE SPECTRUM OF GLUTEN RELATED DISORDERSModerators: Linda Book MD, Tracy Ediger MD, Alessio Fasano MD, Joel Friedlander MD, Stefano Guandalini MD, Ed Hoffenberg MD, Hilary Jericho MD, Nasim Khavari MD, Maureen Leonard MD, Edwin Liu MD, Raza Patel MD, Michelle Pietzak MD, Joyce Silvester MD, Ritu Verma MD and Dascha Weir MD

Ivor Hill MD, Nationwide Children’s HospitalLearning objectives:u Differentiate celiac disease from wheat allergy and non-celiac disease gluten sensitivityu Choose appropriate tests to correctly diagnose gluten related disordersu Develop strategies for dealing with diagnostic dilemmas in gluten related disorders

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RESEARCH SESSION 2 – BASIC IBD: ORAL ABSTRACT PRESENTATIONS AND STATE OF THE ART LECTUREModerators: Michael Rosen MD and David Dunkin MD

n STATE OF THE ART LECTURE—BASIC RESEARCH IN PEDIATRIC INFLAMMATORY BOWEL DISEASE: WHERE ARE WE GOING?Ted Denson MD, Cincinnati Children’s Hospital Medical CenterLearning objectives:u Be familiar with major recent developments in pediatric IBD translational researchu Understand the implications of recent discoveries for clinical practice and new patient classification systemsu Identify gaps in our current knowledge that need to be filled and the next steps for the research agenda

12:00 PM—2:00 PM POSTER SESSION II

12:00 PM—2:30 PM HANDS ON ENDOSCOPY (SEPARATE REGISTRATION REQUIRED)Organizer: Marsha Kay MD


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FRIDAY OCTOBER 24, 2014—SATURDAY OCTOBER 25, 2014 ANNUAL MEETING

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4:15 PM—5:15 PM AWARDS CEREMONY

6:00 PM—8:00 PM CLINICAL PRACTICE FORUM: INNOVATIONS IN CLINICAL PEDIATRIC GASTROENTEROLOGY PRACTICE

6:00 PM—6:05 PM WELCOME BUFFET6:05 PM—6:15 PM CLINICAL PRACTICE COMMITTEE UPDATE6:15 PM—6:25 PM UPDATE ON THE INTERNET RESEARCH INITIATIVE

Sudipta Misra MD, Vidant Medical Center6:25 PM—6:35 PM WEBSITE UPDATE6:35 PM—7:00 PM STAYING INFORMED: WHY DOCTORS NEED TWITTER ETC.

Jay Hochman MD, Children’s Center for Digestive Healthcare7:00 PM—7:25 PM “SMILE, YOU’RE ON TELEMEDICINE”:

AN INTRODUCTION TO TELEMEDICINE IN PEDIATRIC GASTROENTEROLOGYRyan Carvalho MD, Nestlé Nutrition

7:25 PM—7:40 PM USING OUR CENTER'S MODEL TO HELP YOURSStan Cohen MD, Children’s Center for Digestive Healthcare

7:40 PM—8:00 PM ROUND TABLE DISCUSSION AND QUESTIONS

7:00 PM—9:00 PM TRAINING PROGRAM DIRECTORS MEETING

6:00 PM—8:00 PM LASPGHAN MEETING AND RECEPTION

7:00 AM—8:00 AM MEET THE PROFESSOR BREAKFASTS (REGISTRATION & TICKET REQUIRED)

ADVOCACYCamille Bonta and Mark A Gilger MD BONE HEALTHHelen Pappa MD and Ala Shaikhkhalil MDCARING FOR THE POST TRANSPLANT PATIENT FOR THE NON-TRANSPLANT HEPATOLOGISTVicky Ng MD and Norberto Rodriguez-Baez MDCHALLENGING CASES OF ABDOMINAL PAINJohn Rosen MD and Miguel Saps MD

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RESEARCH SESSION 3—CLINICAL IBD: ORAL ABSTRACT PRESENTATIONS AND STATE OF THE ART LECTUREModerators: Subra Kugathasan MD and Shehzad Saeed MD

n STATE OF THE ART LECTURE:CLINICAL AND TRANSLATIONAL RESEARCH IN IBD: MILESTONES ON A LONG PATHRichard Grand MD, Children's Hospital BostonLearning objectives:u Know the pathogenesis of pediatric inflammatory bowel diseasesu Be familiar with animal models that provide insights into pathogenesis u Understand the link between colonic inflammation and colon canceru Use appropriate surveillance techniques to evaluate the success of therapy

RESEARCH SESSION 4—PANCREAS: ORAL ABSTRACT PRESENTATIONS AND STATE OF THE ART LECTUREKathy Chen MD and Sohail Husain MD

n STATE OF THE ART LECTURE: PEDIATRIC PANCREATIC RESEARCH: WHERE ARE WE GOING?Peter Durie MD, FRCPC, Hospital for Sick ChildrenAfter completing this session, attendees will gain insight into:u Progression of knowledge of exocrine pancreatic diseases during the past 30 yearsu The role and limitations of molecular testing for diagnosing exocrine pancreatic disordersu Current and future research directions

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SATURDAY OCTOBER 25, 2014 ANNUAL MEETING

10:30 AM—12:00 PM CONCURRENT SESSIONS

CLINICAL SESSION 4: HOT TOPICS IN INFLAMMATORY BOWEL DISEASEModerators: Michael Kappelman MD and Neera Gupta MD

n THE ROLE OF THE MICROBIOME IN IBD Subra Kugathasan MD, Emory Children’s CenterLearning objectives:u Review the large body of literature about the gut microbiome in IBD over the last decade u Understand if diet and host genetics determine the gut microbiome and to critically review if

microbiome influences the diagnosis and treatment in IBD u Speculate how the emerging discoveries of gut microbiome can help clinicians manage IBD in day-to-day practice

n THE ROLE OF DRUG MONITORING IN INFLAMMATORY BOWEL DISEASEJennifer Strople MD, Ann and Robert H Lurie Children’s Hospital of ChicagoLearning objectives:u Understand the goals of TPMT testing and thiopurine metabolite monitoring in clinical careu Recognize the association between infliximab levels and clinical outcomes in UC and Crohn’s diseaseu Interpret anti-TNF antibody levels and apply to patient care

n DEBATE: INITIATION OF MAINTENANCE TREATMENT IN MODERATE TO SEVERE CROHN’S DISEASE:IMMUNOMODULATORS VS BIOLOGIC AGENTS James F. Markowitz MD, North Shore–LIJ Health System vs. Maria M Oliva-Hemker MD, Johns Hopkins University School of MedicineLearning objectives:u To review the published efficacy experience with immunomodulator therapy for children with Crohn’s disease u To discuss the potential short and long term risks associated with immunomodulators u To understand the potential for changing the natural history of Crohn’s disease with these agents

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FEEDING DISORDERS Barbara McElhanon MD and Richard J Noel MD, PhDMEDICAL THERAPY IN ULCERATIVE COLITISWallace V Crandall MD and Jennifer Dotson MDMICRONUTRIENT DEFICIENCIESRuba Abdelhadi MD and Ann O Scheimann MD, MBAUP CLOSE AND PERSONAL–IZED MEDICINE: A PRIMERSandeep Gupta MD and Prashanth Porayette MD, PhDSPHINCTER OF ODDI DYSFUNCTION/POST CHOLECYSTECTOMY PAIN Douglas S Fishman MD, FASGE and Arvind Srinath MD REGURGITACION Y VOMITOS (SPANISH BREAKFAST) (NO CHARGE) Adrian Miranda MD and Claudio Moreira MD

8:15 AM—10:00 AM PLENARY SESSION II

Moderators: John Barnard MD and Neera Gupta MD KEYNOTE LECTURE: THE FUTURE OF GASTROINTESTINAL DISEASE AND SYMPTOM MONITORING: BIOSENSOR, E-PORTAL, AND SOCIAL MEDIA APPLICATIONSBrennan Spiegel MD, University of California, Los Angeles

Learning objectives:u To recognize how advances in psychometrics are improving patient reported outcome (PRO) measurementu To study how patient-provider-portals and electronic health record interventions can improve patient outcomesu To understand the evolving role of social media in healthcare research and delivery u To learn about the "quantified self" movement and of biosensors as a novel outcome measure for clinical practice

ORAL ABSTRACT PRESENTATIONS

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CLINICAL SESSION 5: HOT TOPICS IN GIModerators: Alfredo Larossa–Haro MD and Jeffery Lewis MD

n EARLY NUTRITIONAL PROGRAMMING OF LONG TERM HEALTH: FACT OR FICTION Berthold Koletzko MD, Dr. von Hauner Children’s Hospital


u Identify opportunities to promote lifelong health through improved nutrition in pregnancy and early childhoodu Know the evidence for risk reduction of offspring obesity through intervention during pregnancy targeting

maternal diet and physical activityu Understand the association of breastfeeding and moderate weight gain in early childhood with reduced later obesityu Know the evidence for risk reduction of offspring obesity through intervention during pregnancy targeting

maternal diet and physical activity

n IS HELICOBACTER PYLORI GOOD FOR YOU?Steven J Czinn Md, University Of Maryland School of Medicine

n THE ROLE OF IMPEDANCE TESTING IN GERDMarina Orsi MD, Hospital Italiano de Buenos Aires


u To understand the principles of esophageal impedanceu To understand the indications and limitations of the technique u Discuss the advantages and disadvantages with respect to pH probeu To understand the clinical conditions in which impedance is recommended

BILLING AND CODING (REGISTRATION REQUIRED)Kathleen Mueller, AskMueller Consulting

HANDS ON MOTILITY: ANORECTAL MANOMETRY (REGISTRATION REQUIRED)Organizer: Joseph Croffie MD, Riley Hospital for Children

RESEARCH SESSION 5: CELIAC/EoE/ALLERGIC ENTEROPATHY:ORAL ABSTRACT PRESENTATIONS AND STATE OF THE ART LECTUREModerators: Mei-Lun Wang MD and Sonia Michail MD

n STATE OF THE ART LECTURE:PEDIATRIC EOSINOPHILIC ESOPHAGITIS RESEARCH: WHERE ARE WE GOING?Glenn T Furuta MD, Children’s Hospital of ColoradoLearning objectives:u Recognize pathogenetic mechanisms and therapeutic targetsu Realize unmet needs in basic, translational and clinical research

12:00 PM—2:00 PM POSTER SESSION III

12:00 PM—2:00 PM HANDS ON ENDOSCOPY (SEPARATE REGISTRATION REQUIRED)

Organizer: Marsha Kay MD, Cleveland Clinic


CLINICAL SESSION 6: ENDOSCOPYModerators: Robert Kramer MD and Mark McOmber MD

n MEASURING QUALITY IN PEDIATRIC ENDOSCOPY: ARE WE THERE YET? Jenifer Lightdale MD, University of Massachusetts Children’s Medical CenterLearning objectives:

u Relate the 6 quality domains identified by the Institute of Medicine ( Effectiveness, Patient-centeredness, Safety, Efficiency, Timeliness, Equity) to the practice of pediatric endoscopy

u Identify current validated measures that can be used to assess the quality of pediatric endoscopyu Discuss processes for implementing quality metrics in the pediatric endoscopy suite

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CLINICAL SESSION 7: INFLAMMATORY BOWEL DISEASEModerators: Ted Denson MD and Edwin de Zoeten MD

n RISK STRATIFICATION IN PEDIATRIC IBD: ARE WE THERE YET? Jeffrey S Hyams MD, Connecticut Children’s HospitalLearning objectives:u Understand the relationship of clinical features, genetics, serology, and microbiome to the prognosis of pediatric IBDu Utilize our current knowledge of risk stratification to design initial therapies for pediatric IBD

n CROSS EXAMINATION OF CROSS-SECTIONAL IMAGING IN IBDSudha Anupindi MD, Children’s Hospital of PhiladelphiaLearning objectives:

u Identify the current role of barium studies and conventional CT in IBD patientsu Analyze the role of CT and MR enterography techniques for evaluation of patients with suspected or known IBD and its

complicationsu Analyze the radiation risk from imaging u Become familiar with novel techniques for evaluation of the bowel, i.e. bowel ultrasound, contrast enhanced

bowel ultrasound and bowel elastography

n IBD TREATMENT: TARGETS FOR THE MODERN AGEEric Benchimol MD, Children’s Hospital of Eastern OntarioLearning objectives:u To review the concepts of ‘mucosal healing’ and ‘deep remission’ in pediatric IBDu To determine which targets best predict prognosisu To assess current methods of measuring remission in children with IBD

RESEARCH SESSION 6—LIVER: ORAL ABSTRACT PRESENTATIONS AND STATE OF THE ART LECTUREModerators: Randolph Matthews MD, PhD and Ajay Jain MD

n STATE OF THE ART LECTURE:IMPROVING CLINICAL PRACTICE THROUGH RESEARCH: WHERE ARE WE GOING?Jorge Bezerra MD, Cincinnati Children’s Hospital Medical CenterLearning objectives:u To become familiar with research advances in pediatric liver diseaseu To recognize implications for individualized care in the clinic:

–The rationale and feasibility of personalized care–The argument for de-personalization of care

u To outline potential research directions: From liver genome to liver bud

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n VASCULAR ANOMALIES: DIAGNOSIS AND MANAGEMENTVictor L Fox MD, Boston Children’s HospitalLearning objectives:u Properly classify vascular anomalies as either malformations and tumorsu Recognize the typical endoscopic appearance of specific lesionsu Develop an appropriate treatment plan for vascular lesions

n ADVANCED ENDOSCOPY IN PEDIATRIC POPULATIONSField Willingham MD, Emory University HealthcareLearning objectivesu Know the indications for advanced endoscopic procedures in pediatric populations u Review applications and limitations of advanced endoscopic treatments in childrenu Understand the role, outcomes, and complications associated with pediatric ERCPu Learn new therapeutic advances in the management of Barrett’s esophagus, achalasia and esophageal stricturesu Understand the novel therapies for achalasia and esophageal strictures

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RESEARCH SESSION 7—MOTILITY AND FUNCTIONAL DISORDERS: ORAL ABSTRACT PRESENTATIONS AND STATE OF THE ART LECTUREModerators: Arvind Srinath MD and Cheryl Gariepy MD

n STATE OF THE ART LECTURE:PEDIATRIC MOTILITY RESEARCH: WHERE ARE WE GOING?Robert Heuckeroth MD, PhD, Children’s Hospital of Philadelphia

Learning objectives:u Discuss some of the current clinical dilemmas in care of children with intestinal motility disordersu Review the type of information we need to improve our ability to care for children with serious

intestinal motility disordersu Discuss cutting edge research that may provide new approaches to diagnose, treat, prevent or cure

children with serious intestinal motility disordersu Consider options for collaborative work to advance pediatric intestinal motility disorder research


CLINICAL SESSION 8: FUNCTIONAL/MOTILITYModerators: John Fortunato MD and Shamaila Waseem MD

n THE AUTONOMIC NERVOUS SYSTEM: A MISSING LINK IN FGID? Gisela G Chelimsky MD, Medical College of WisconsinLearning objectives:u Understand the relationship of POTS to FGIDsu List the comorbidities of FGIDu Describe the cen tral mechanisms of pain modulationu Relate pain modulation to autonomic function

n SOCIETY GUIDELINES FOR CONSTIPATION: WHAT IS NEW? Samuel Nurko MD, Boston Children’s Hospital Learning objectives:u Understand the new NASPGHAN-ESPGHAN guidelines for the treatment of functional constipationu Understand changes to the new guidelines u Understand the evidence behind the new guideline recommendations

n PHARMACOLOGICAL TREATMENTS FOR CHRONIC ABDOMINAL PAIN: WHAT YOU SEE IS NOT WHAT YOU GET Adrian Miranda MD, Medical College of WisconsinLearning objectives:u Review the basic pathophysiology of chronic abdominal pain in children u Review current treatment options and problems with clinical trials u Understand the potential targets for pharmacological therapy

CLINICAL SESSION 9: LIVER/ PANCREASModerators: Eve Roberts MD and Aliye Uc MD

n DRUG-INDUCED LIVER INJURY (DILI) IN CHILDREN: CHALLENGES AND OPPORTUNITIESRobert H Squires MD, Children’s Hospital of Pittsburgh of UPMLearning objectives:u Appreciate the complex mechanisms of DILIu Identify potential markers for DILIu Recognize the importance of reporting suspected DILI cases

n PRURITUS: THE ITCH THAT DRIVES CHOLESTATIC PATIENTS WILD!James E Heubi MD, Cincinnati Children’s Hospital Medical CenterLearning objectives:u Demonstrate understanding of the pathophysiology of pruritus in infants/children with cholestatic pruritusu Apply knowledge of medical/surgical treatments to improve quality of life among infants/children with

cholestatic pruritusu Evaluate the effectiveness of potential for new therapies for treatment of infants/children with cholestatic pruritus

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SUNDAY OCTOBER 26, 2014

SATURDAY OCTOBER 25, 2014—SUNDAY OCTOBER 26, 2014 ANNUAL MEETING15

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n WHAT’S NEW IN THE EVALUATION AND TREATMENT OF CHRONIC PANCREATITISVéronique Morinville MD, Montreal Children’s Hospital Learning objectives:u Evaluate a child for diagnosis and complications of chronic pancreatitis (CP)u Develop a management plan for pediatric CP (that may include medical, endoscopic, and surgical

interventions such as total pancreatectomy and islet autotransplantation) u Discuss emerging trends, targets, and improvements in the diagnosis of and therapies for pediatric CP

RESEARCH SESSION 8—NUTRITION: ORAL ABSTRACT PRESENTATIONS AND STATE OF THE ART LECTUREModerators: Rohit Kohli MD and Miriam Vos MD

n STATE OF THE ART LECTURE:PEDIATRIC MALNUTRITION RESEARCH: WHERE ARE WE GOING?Praveen Goday MBSS, Medical College of WisconsinLearning objectives:u To discuss the latest definitions of malnutrition and their application to clinical practice and future researchu To discuss the role of malnutrition in outcomes in various GI and non-GI diseases and its application to

clinical practice and future research

RESEARCH SESSION 9—VIDEO ABSTRACT SYMPOSIUMModerator: Douglas Fishman MD

n VIDEO ABSTRACT PRESENTATIONSn THE HISTORY OF PEDIATRIC ENDOSCOPY

Douglas Fishman MD, Baylor College of Medicine

5:30 PM GI JEOPARDY FOR FELLOWS AND FACULTY

7:00 PM SOCIAL EVENT

8:00 AM—11:30 AM RESEARCH SKILLS WORKSHOP

WELCOME AND INTRODUCTIONNeera Gupta MD and Benjamin Gold MD

NON-NIH SOURCES OF FUNDING Harland Winter MD, MassGeneral Hospital for Children

NIH: MINI 101Judith Podskalny PhD, NIDDK

GETTING NIH FUNDING Sohail Husain MD, Children's Hospital of Pittsburgh

MAINTAINING NIH FUNDING & MANAGING YOUR FUNDS Joel Lavine MD, Morgan-Stanley Children's Hospital

NAVIGATING CHALLENGES IN RESEARCH AS MID-LEVEL FACULTY Binita Kamath MD, Hospital for Sick Children

PROTECTING YOUR PROTECTED TIME John Barnard MD, Nationwide Children's Hospital

PERSPECTIVES OF A DIVISION CHIEF Mitchell Cohen MD, Cincinnati Children's Hospital Medical Center

DISCUSSION/WRAP-UP

LASPGHAN PROGRAM

FRIDAY OCTOBER 24, 2014—SATURDAY OCTOBER 25, 2014

COMITÉ ORGANIZADOR

Miguel Saps MDChair, NASPGHAN International Committee

Alfredo Larrosa Haro MDMexican Councilor, NASPGHAN

Marina Orsi MDLASPGHAN Past President

FACULTAD

Ariel Feldstein MDUCSD-Rady Children's Hospital

Francisco Sylvester MDConnecticut Children's Medical Center

Jose Garza MDChildren's Center for Digestive Health Care

Leonel Rodríguez MDChildren's Hospital Boston

Norberto Rodriguez-Baez MDUT Southwestern Medical Center

VIERNES, 24 DE OCTUBRE DEL 2014

6:00 PM BIENVENIDA

6:15 PM HEPTATITS AUTOINMUNEDr. Ariel Feldstein

6:35 PM CLOSTRIDIUM DIFFICILE—DIAGNOSTICO Y TRATAMIENTO Dr. Francisco Sylvester

6:55 PM GRAN DEBATE: REFLUJO GASTROESOFAGICO—TRATAR, ESTUDIAR O IGNORAR? Dr. Leonel Rodriguez vs. Dr. Jose GarzaModerador: Dr. Leonel Rodríguez

7:40 PM VISION LATINOAMERICANADra. Marina Orsi

7:55 PM PRESENTACIÓN DE TRABAJOS DE INVESTIGACIÓN

8:25 PM PREMIACIÓN DE TRABAJOS DE INVESTIGACIÓN RECEPCIÓN PRESIDENCIAL

REUNION CON EL PROFESOR

VIERNES, 24 DE OCTUBRE DEL 2014HEPATITIS CNorberto Rodriguez-Baez MD and Rima Fawaz MD

SÁBADO, 25 DE OCTUBRE DEL 2014REGURGITACION Y VOMITOS—QUE PENSAR CUANDO NO ES REFLUJO?Adrian Miranda MD and Claudio Moreira MD

FRIDAY OCTOBER 24, 2014—SATURDAY OCTOBER 25, 2014 LASPGHAN PROGRAM16

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APGNN ANNUAL MEETING

FRIDAY OCTOBER 24, 2014

FRIDAY OCTOBER 24, 2014—SATURDAY OCTOBER 25, 2014 APGNN ANNUAL MEETING

7:30 AM—8:15 AM REGISTRATION/BREAKFAST/WELCOME

8:15 AM—9:15 AM KEYNOTE SPEAKER—Lori Stohs...............................................................................................60 minutes—1.0Lori Stohs is a consulting professional with a strong mission to create meaningful change for individuals and organizations. Lorihas more than 17 years of professional experience strategic planning, organizational performance consulting, executive, teamand individual performance coaching, talent management and employee & customer engagement. In addition, Lori has extensiveexperience in human resource management, succession planning & training and development strategy & implementation. Lori’syears of impactful business coaching with companies from all over the globe have helped move leaders to higher levels of per-formance. Lori combines her years of experience with relevant, up to date data to develop a coaching plan that is tailored toeach client’s needs. Her talent is helping individuals discover, understand and develop their unique strengths and talents. Heryears of working with individuals and corporate teams have honed her ability to break a group of individuals down by theirstrengths, immediately recognizing potential pitfalls and unrecognized opportunities for success. All attendees should takethe 30 minute Strengths Assessment. A special code will be provided after registration.

9:15 AM—10:15 AM LIVER SEROLOGY—Shabina Walji-Virani, CPNP .................................................................60 minutes—1.0n How to interpret liver labsn What labs to obtain in elevation of aminotransferasesn What is your differential and how to treat each

10:15 AM—10:30 AM BREAK

10:30 AM—12:30 PM BREAKOUT SESSIONS (PLEASE CHOOSE ONE)..................................................................120 minutes—2.0 OPTION 1: RN SECTION

—PHONE TRIAGE—Bernadette Diez, CRNPn Tips and tricks for talking to parent

—GASTROSTOMY TUBES—Ricardo Caicedo MDn Review G tube, GJ tube and J tube indicationsn Trouble shooting ideas—skin break down and leaking

—GI 101—Susan Peck, CRNPn Review common GI disordersn Discuss common therapies in the GI disorders

OPTION 2: APN SECTION—ROLE OF APN IN HEALTH CARE REFORM—Laura Searcy, MN, APRN, PNP-BC

n Identify the role of APN in the future of healthcare

—BASIC IMMUNOLOGY—Jon Vanderhoof, MDn Understand basic immunologyn Learn ways to manipulaten Review clinical applications

12:30 PM—1:00 PM POSTERS AND LUNCH

1:00 PM—2:00 PM BREAKOUT SESSIONS (PLEASE CHOOSE ONE)....................................................................60 minutes—1.0OPTION 1: SPECIAL INTEREST GROUPS

n IBDn Celiacn Livern Advance Practice Nursingn GI Clinic or Hospital Nursingn Endoscopy or Procedures

OPTION 2: A SPECIAL SESSION WITH LORI STOHS (Available for the first 25 who register)What do you do better than 10,000 other people? How can you become more successful andhappier in your career and in your life! Join us to learn about your strengths and what you do bestevery day. This information will help you learn how to use this to save time, be more engaged, a better employee, manager, parent, friend or spouse just by honoring who you are!

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SATURDAY OCTOBER 25, 2014

SATURDAY OCTOBER 24, 2014 APGNN ANNUAL MEETING

8:00 AM—8:30 AM REGISTRATION/BREAKFAST

8:30 AM—10:00 AM IBD—UP AND COMING THERAPIES—FECAL TRANSPLANT FOR IBD AND C. DIFFICILE—Suchitra Hourigan MD................. 90 minutes—1.5n Identify the indication for fecal transplantn Review the process for fecal transplantn Discuss risk associated with fecal transplant

—COMPLICATIONS OF CURRENT IBD THERAPY & NEW MEDICATIONS IN IBD—Edwin deZoeten MDn Discuss new medications in the treatment of IBDn Review potential risk of biologicsn Review cancer risk of therapiesn Discuss complications of immunomodulators

10:00 AM—11:00 AM MEDICAL CHILD ABUSE—Lynne Myers BSN, RN, CPN....................................................... 60 minutes—1.0n Define medical child abusen Identify how to recognize and report medical child abusen Review case study

11:00 AM—11:30 AM AWARDS ANNOUNCEMENTS

11:30 AM—12:00 PM POSTER 101—Meghan Dalton CPNP.......................................................................................... 30 minutes—0.5n For RN and APNn Review the steps of creating a poster from beginning to endn Idea, components of a poster, making a template

12:00 PM—1:30 PM LUNCH

1:30 PM—2:30 PM ZEBRAS—INTERESTING CASE PRESENTATIONS.................................................................. 60 minutes—1.0


2:45 PM—3:15 PM FEEDING DIFFICULTIES—Barbara McElhanon MD ................................................................ 30 minutes—0.5n Discuss the evaluation of a child with feeding difficulties from start to finishn Review treatments –old to new

3:15 PM—3:45 PM BONE HEALTH FOR THE GI—Maria Mascarenhas MD......................................................... 30 minutes—0.5n Discuss the risk of decreased bone health in Celiac, IBD, Liver n Discuss concern for long term use of PPI and bone health

3:45 PM—4:00 PM CONFERENCE WRAP UP/CE CONTACT HOURS ........................................... 15 minutes—0.25/Total-5.25

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2:00 PM—2:30 PM CAPSULE ENDOSCOPY—Cary Qualia MD .......................................................................... 30 minutes—0.5n Review the indications for obtaining a capsule endoscopyn Discuss the findings on a capsule endoscopyn Discuss how it may change therapyn Discuss complications associated


2:45 PM—3:15 PM CELIAC-NUTRITIONAL REQUIREMENTS OF CELIAC DISEASE—Anne Lee, EdD, RDN, LD..... 30 minutes—0.5n Review iron, folate, fiber, vitamins and minerals

3:15 PM—4:15 PM ARE YOU SMARTER THAN A 5TH GRADER!!!! Norberto Rodriguez-Baez MD........... 60 minutes—1.0

4:15 PM—4:30 PM CONFERENCE WRAP UP......................................................................................15 minutes—0.25/Total-7.25

4:30 PM—5:15 PM APGNN COMMITTEE MEETINGS Patient Family Ed/Program/Clinical Practice/Research and Publications/Membership/Newsletter

5:30 PM—7:00 PM APGNN SOCIAL EVENT

FRIDAY OCTOBER 24, 2014 APGNN ANNUAL MEETING CONTINUED

SATURDAY OCTOBER 24, 2014 NASPGHAN NUTRITION SYMPOSIUM FOR DIETICIANS

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FRIDAY OCTOBER 25, 20145:30 PM RECEPTION & CELEBRATION OF THE “COUNCIL FOR PEDIATRIC NUTRITION PROFESSIONALS”

SATURDAY OCTOBER 25, 20147:30 AM—8:00 AM BREAKFAST

8:00 AM—8:15 AM INTRODUCTIONSPraveen Goday MD, Chair, NASPGHAN Nutrition Committee

8:15 AM—9:05 AM MALNUTRITION Beth Smith RD, CNSC, LDN, Children’s Hospital of Philadelphia

9:05 AM—9:55 AM GLUTEN-FREE DIETS FOR THE NON-CELIAC PATIENTAlessio Fasano MD, Center for Celiac Research and Treatment MassGeneral Hospital for Children

9:55 AM—10:10 AM BREAK

10:10AM—11:00AM FIBER IN HEALTH AND DISEASEAsim Maqbool MD, Children’s Hospital of Philadelphia

11:00AM—11:50AM GROWTH CHARTS Sarah Vermilyea MS, RD, CSP, LD, CNSC, ChildServe, Johnston, IA

11:50 AM—12:30 PM LUNCH

12:30 PM—1:20 PM NUTRITION OF VERY LOW BIRTH WEIGHT INFANTS Berthold Koletzko MD, Dr. von Hauner Children’s Hospital; President, ESPGHAN

1:20 PM—2:20 PM HANDS–ON PHYSICAL ASSESSMENT

Length/height/knee height

Triceps skinfold, mid–arm circumference

Circumference–waist and head

Muscle-grip measurement and assessment of fat/muscle/edema

Subjective global assessment

2:30 PM—3:00 PM BREAKOUT SESSION #1 (PICK FROM 4 TOPICS BELOW)



SESSION CHOICES FOOD PROTEIN INDUCED ENTEROCOLITIS SYNDROME (FPIES) Karen Freedle MD and Alexia Beauregard MS, RD, LD, Children’s Healthcare of Atlanta

MICRONUTRIENT INTERPRETATIONDavid Suskind MD, Seattle Children’s Hospital

PEDIATRIC FEEDING DISORDERS: ASSESSING TYPICAL DIETARY FLUCTUATIONS VS. CHRONIC/SEVERE FEEDING PROBLEMS William Sharp PhD and Rashelle Berry RD, The Marcus Autism Center, Children’s Healthcare of Atlanta

INTESTINAL FAILURE: MEDICAL MANAGEMENTConrad Cole MD, Cincinnati Children’s Hospital Medical Center

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NASPGHAN NUTRITION SYMPOSIUM FOR DIETITIANS

TEACHING AND TOMORROW 2014

OCTOBER 22—26, 2014 TEACHING & TOMORROW 201420

We are pleased to announce the 2014 Pediatric GI Teaching and Tomorrow Program of the North American Societyfor Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN). Our goal is to attract the best and brightest residents to subspecialty training in pediatric gastroenterology, hepatology and nutrition. In order toaccomplish this goal, we have created the Teaching and Tomorrow Program. This program brings pediatric residents from North America to our Annual NASPGHAN Meeting to see first-hand the cutting edge basic andclinical science of our subspecialty. This year, the conference will take place October 23—26 in Atlanta. Duringthis period we will also meet with these residents, to share our enthusiasm for pediatric gastroenterology hepatology and nutrition and to offer career guidance.

WHAT: Attend NASPGHAN Annual Meeting and Postgraduate Course

WHERE: Atlanta, Ga

ARRIVE: October 22, 2014 (Evening)

DEPART: October 26, 2014

ELIGIBILITY: Pediatric Residents with an interest in pediatric gastroenterology, hepatology and nutrition. It is expectedthat those selected will be the equivalent of a PL-2 resident at the time of the meeting or PL-3 residentsconsidering applying for fellowship to begin in July 2016.

SUPPORT: NASPGHAN will provide support by extending a reduced registration fee of $200 that includes registrationfor the Postgraduate Course, Annual Meeting and all the Teaching and Tomorrow events. This includesorientation breakfast on Thursday, a luncheon program on Thursday, the reception on Friday and the closingbreakfast on Saturday morning. Participants or sponsoring institutions will be responsible for all traveland hotel costs associated with the meeting.

NASPGHAN will assist attendees in making double hotel accommodations for those who are interested.Please include your gender, and arrival and departure dates at the bottom of your personal statement. We will need your hotel information no later than August 11 in order to reserve a room for you. AfterAugust 11, we will not be able to assist you with room reservations.

APPLICATION: Residents should register for the meeting by using the attached registration form or by registering on-line.Once they have registered they will need to send the following Teaching and Tomorrow registration materials to ([email protected]).

• Applicant’s CV

• A one page personal statement explaining the applicant’s motivation to participate in the Teaching andTomorrow Program

• Letter from one (and only one) of the following: Pediatric Chair, Pediatric Residency Program Director,Pediatric GI Division Director or Pediatric GI Training Program Director attesting that the resident willhave clinical coverage allowing them to attend the four day conference.

DEADLINE: September 15, 2014


Early-Bird Registration Deadline: August 13, 2014(To receive Early-Bird rates, envelopes must be postmarked no later than August 13, or standard rates will apply)

After August 13, Standard Rates apply and fees for Postgraduate Course and Annual Meeting increase by $50 each per category.

After September 19, rates increase again to On-site rates and fees for Postgraduate Course and Annual Meeting increase an additional $50 each per category.

Register online at (www.naspghan.org)

Please fill in below information completely. A complete address must indicate where registration/meeting material should be mailed. Please print clearly.

First Name Last Name

Address

City State Zip Country

Phone Fax

Email (Very Important)

NASPGHAN POSTGRADUATE COURSE (Thursday, October 23, 2014)

Check your member type Early Bird Rates Standard Rates After 9/19/14 Amount OwedDeadline 8/13/14** Deadline 9/19/14

Member $325 $375 $425

Non-Member $425 $475 $525

Trainee/Fellow Member $200 $250 $300

Non-Member Trainee $250 $300 $350

Allied Health Professional $250 $300 $350

Student/Resident $125 $175 $225

**To receive Early-Bird rates, envelopes must be postmarked no later than August 13, 2014

NASPGHAN POSTGRADUATE COURSE LEARNING LUNCHES (SELECT ONE) (Thursday, October 23, 2014)You must be registered for the Postgraduate Course to attend a Learning Lunch.

Learning Lunches: $25 (See Page 5 for titles and indicate by # below) Amount Owed

First Choice:

Second Choice:

Third Choice:

NASPGHAN ANNUAL MEETING AND POSTGRADUATE COURSE / OCTOBER 23—26, 2014NASPGHAN MEMBERS AND NON–MEMBER PHYSICIANS, FELLOWS AND RESIDENTS

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NASPGHAN ANNUAL MEETING AND POSTGRADUATE COURSE REGISTRATION FORM21

REGISTRATION FORM


NASPGHAN ANNUAL MEETING (Friday, October 24, 2014—Sunday, October 26, 2014)

Check your member type Early Bird Rates Standard Rates After 9/19/14 Amount Owed Deadline 8/13/14** Deadline 9/19/14

Member $325 $375 $425

Non-Member $500 $550 $600

Trainee/Fellow Member $200 $250 $300

Non-Member Trainee $275 $325 $375

Student/Resident $75 $125 $175



ADDITIONAL EVENTS (Friday, October 24, 2014—Sunday, October 26, 2014)

Indicate All Choices Fee Amount Owed

Virtual Celiac (Friday 2:30 pm—4:00 pm) No charge

Billing & Coding (Saturday 10:30 am—Noon) No charge

Hands On Motility (Saturday 10:30 am—12:00)50 total slots; first come first served

No charge

Meet the Professor Breakfast (Friday, 10/24) See Page 7 $40 Indicate choices below

Meet the P rofessor Breakfast (Saturday, 10/25) See Pages 10—11 $40 Indicate choices below

Saturday Social Event No charge/Indicate if attending

Extra Ticket(s) for Saturday Social Event (Adult) $75

Extra Ticket(s) for Saturday Social Event (Child) $25

Sunday Research Skills Workshop No charge/Indicate if attending

TOTAL $

MEET THE PROFESSOR BREAKFAST SESSIONS (Friday, October 24, 2014—Saturday, October 25, 2014)See Page 7 (Friday Sessions) or P ages 10–11 (Saturday Sessions) and indicate order of choices below

Friday, October 24, 2014 Saturday, October 25, 2014

1st Choice: 1st Choice:

2nd Choice: 2nd Choice:

3rd Choice: 3rd Choice:

TOTAL OF ALL ABOVE TRANSACTIONS: $ _________________________________________________________

Payment Information: MasterCard Visa Discover American Express

Credit Card #: ___________________________________________________Verification Code#:_________________ Expiration: ________________

Make checks (drawn on a US bank in US funds) payable to “NASPGHAN”Mail or Fax completed form to — Mail: NASPGHAN / PO Box 6 / Flourtown, PA 19031 — Fax: 215-233-3918

Contact NASPGHAN National Office if further information is needed Phone: 215-233-0808 — Fax: 215-233-3918 — [email protected] — www.naspghan.org

NASPGHAN Federal Tax ID: 84-126-4996

WHAT’S INCLUDED:NASPGHAN Postgraduate Course—Registration fees include Postgraduate course syllabus, continental breakfast, and coffee breaks.

NASPGHAN Annual Meeting—Registration fees for the Annual Meeting include the wine and cheese reception on Thursday evening, continental breakfast on Friday and Saturday mornings, lunch on Friday and Saturday, coffee breaks, and the social event on Saturday evening.

CANCELLATION AND REFUNDS:Written cancellations and refund requests must be received on or before October 3, 2014. Requests will not be honored after this date. Registration badge,if received, and receipt must accompany requests. Refunds, minus a $50 administrative fee per each registered item, will be mailed after the meeting.

MAIL REFUND REQUESTS TO: NASPGHAN Annual Meeting Registration / PO Box 6 / Flourtown, PA 19031

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NASPGHAN ANNUAL MEETING AND POSTGRADUATE COURSE REGISTRATION FORM



Early-Bird Registration Deadline: August 13, 2014(To receive Early-Bird rates, envelopes must be postmarked no later than August 13, or standard rates will apply)

After August 13, Standard Rates apply and fees for Postgraduate Course and Annual Meeting increase by $50 each per category.

After September 19, rates increase again to On-site rates and fees for Postgraduate Course and Annual Meeting increase an additional $50 each per category.

Register online at (www.naspghan.org)



Address


Phone Fax


NASPGHAN POSTGRADUATE COURSE (Thursday, October 23, 2014)


APGNN Member $200 $250 $300

Non-Member Nurse $250 $300 $350



NASPGHAN POSTGRADUATE COURSE LEARNING LUNCHES (SELECT ONE) (Thursday, October 23, 2014)You must be registered for the Postgraduate Course to attend a Learning Lunch.

Learning Lunches: $25 (See Page 5 for titles and indicate by number below) Amount Owed

First Choice:

Second Choice:

Third Choice:

NASPGHAN POSTGRADUATE COURSE AND APGNN ANNUAL MEETING /OCTOBER 23—25, 2014APGNN MEMBERS, NON-MEMBER NURSES AND ALLIED HEALTH PROFESSIONALS

REGISTRATION FORM

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APGNN ANNUAL MEETING / NASPGHAN ANNUAL MEETING (You can attend sessions in both meetings)Friday, October 24, 2014—Saturday, October 25, 2014


APGNN Member $185 $235 $285

Non-Member Nurse $235 $285 $335

Allied Health Professional $235 $285 $335**To receive Early-Bird rates, envelopes must be postmarked no later than August 13, 2014

NASPGHAN POSTGRADUATE COURSE AND APGNN ANNUAL MEETING REGISTRATION FORM


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ADDITIONAL EVENTS (Friday, October 24, 2014—Saturday, October 25, 2014)


Virtual Celiac Disease (Friday 2:30 pm—4:00 pm) No charge

Billing & Coding (Saturday 10:30 am—Noon) No charge

Hands On Motility (Saturday 10:30 am—Noon)50 total slots; first come first served

No charge

Meet the Professor Breakfast (Friday, 10/24) See Page 7 $40 Indicate choices below

Meet the P rofessor Breakfast (Saturday, 10/25) See Pages 10—11 $40 Indicate choices below

Breakout Sessions—See Page 17 (Choose One)q RN Section: Phone Triage, Gastrostomy Tubes, GI 101 No chargeq APN Section: APN in Health Care, Immunology

Special Interest Group Sessions—See Page 17Option #1—Limit 30 Registrants Each (Choose One)q IBD q Celiac q Liver q Advanced Practice Nursing No chargeq GI Clinic or Hospital Nursingq Endoscopy or ProceduresOption #2—Limit 25 Registrants q A Special Session with Lori Stohs

Friday APGNN Social Event No charge/Indicate if attending




TOTAL $

MEET THE PROFESSOR BREAKFAST SESSIONS (Friday, October 24, 2014—Saturday, October 25, 2014)See Page 7 (Friday Sessions) or Pages 10—11 (Saturday Sessions) and indicate order of choices below

Friday, October 24, 2014 Saturday, October 25, 2014

1st Choice: 1st Choice:

2nd Choice: 2nd Choice:

3rd Choice: 3rd Choice:

TOTAL OF ALL ABOVE TRANSACTIONS: $ ____________________________________________________________






WHAT’S INCLUDED:NASPGHAN Postgraduate Course—Registration fees include Postgraduate course syllabus, continental breakfast, and coffee breaks.NASPGHAN Annual Meeting—Registration fees for the Annual Meeting include the wine and cheese reception on Thursday evening, continental breakfaston Friday and Saturday mornings, lunch on Friday and Saturday, coffee breaks, and the social event on Saturday evening.PLEASE NOTE: Nurses and Allied Health Professionals may attend APGNN or NASPGHAN sessions. Nursing continuing education (contact hours) creditswill only be available for the APGNN sessions. Continuing medical education (CME) credit hours can be obtained through NASPGHAN for the NASPGHANsessions. If you have any questions regarding the nursing contact hours, please contact Patricia Bierly at [email protected]



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NASPGHAN POSTGRADUATE COURSE AND APGNN ANNUAL MEETING REGISTRATION FORM




NASPGHAN POSTGRADUATE COURSE AND NUTRITION SYMPOSIUM / OCTOBER 23—25, 2014

NASPGHAN POSTGRADUATE COURSE AND NUTRITION SYMPOSIUM REGISTRATION FORM

REGISTRATION FORM

Join online at (www.naspghan.org/nutritionpros)



Address


Phone Fax


NASPGHAN POSTGRADUATE COURSEThursday, October 23, 2014


CPNP Member $250 $300 $350

Non-Member Nutritionist $250 $300 $350



CPNP NUTRITION SYMPOSIUM / NASPGHAN ANNUAL MEETING (You can attend sessions in both meetings)Friday, October 24, 2014—Saturday, October 25, 2014

Check your member type Standard Rates Amount Owed

CPNP Member $150

Non-Member Nutritionist $200

Allied Health Professional $200

** Join the NASPGHAN CPNP by September 15, 2014 and receive the discounted member rate. For details and application forms visit www.naspghan.org/nutritionpros

BREAKOUT SESSIONS (See Page 19 for titles, choose 3 sessions indicating choice preferences below)Saturday, October 25, 2014

Amount Owed

First Choice:

Second Choice:

Third Choice:

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http://www.naspghan.org/nutritionpros

http://www.naspghan.org/nutritionpros

ADDITIONAL EVENTS (Friday, October 24, 2014—Saturday, October 25, 2014)


Friday Welcome Reception No charge/Indicate if attending




TOTAL $

TOTAL OF ALL ABOVE TRANSACTIONS: $ ____________________________________________________________






WHAT’S INCLUDED:Nutrition Symposium—Registration fees for the Nutrition Symposium include the wine and cheese reception on Friday evening, continental breakfast on Saturday morning, lunch on Saturday, coffee break, and the social event on Saturday evening.

PLEASE NOTE: CPNP Members and Nutrition Professionals may attend APGNN or NASPGHAN sessions. Nursing continuing education (contact hours)credits can be obtained through APGNN for the APGNN sessions. Continuing medical education (CME) credit hours can be obtained through NASPGHANfor the NASPGHAN sessions. CPUs will be available for the Nutrition Symposium.



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NASPGHAN POSTGRADUATE COURSE AND NUTRITION SYMPOSIUM REGISTRATION FORM



NASPGHAN TEACHING & TOMORROW PROGRAM

REGISTRATION FORM

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27 NASPGHAN POSTGRADUATE COURSE/APGNN/NASPGHAN ANNUAL MEETING REGISTRATION FORM

In order to be eligible for this program you must be the equivalent of a PL–2 resident at the time of the meeting or a PL –3 residentconsidering applying for fellowship to begin in July 2016.



Address


Phone Fax


THIS PROGRAM COVERS THE POSTGRADUATE COURSE AND ANNUAL MEETING REGISTRATIONFEE—$200.00

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ELIGIBILITY: It is expected that those selected will be the equivalent of a PL-2 resident at the time of the meeting or PL-3 residents considering applying for fellowship to begin in July 2016.

SUPPORT: Naspghan will provide support by extending a reduced registration fee of $200 that includes registration for the Postgraduate Course, Annual Meeting and all the Teaching and Tomorrow events. This includes orientation breakfast on Thursday, a luncheon program on Thursday, the reception on Friday and the closing breakfast on Saturday morning. Participants or sponsoring institutions will be responsible for all travel and hotel costs associated with the meeting.

APPLICATION: Once you have registered, please send the following Teaching and Tomorrow materials to ([email protected]).

• Applicant’s CV

• A one page personal statement explaining the applicant’s motivation to participate in the Teaching and Tomorrow Program

• Letter from one (and only one) of the following: Pediatric Chair, Pediatric Residency Program Director, Pediatric GI Division Director or Pediatric GI Training Program Director attesting that the resident will have clinical coverage allowing them to attend the four day conference.

DEADLINE: September 15, 2014




Atlanta,Georgia - NASPGHAN

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