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TitreDateDurée
Season 8 Kickoff with the Hosts!19 Oct 202600:51:27

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!

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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.

Vikram Raghu - What Is Cost-Effective Care in Pediatric GI?05 Oct 202600:53:45

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

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

References

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

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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.

A. Jay Freeman - Cystic Fibrosis: What Gastroenerologists Need to Know21 Sep 202600:52:35

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

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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.

Sarah Lusman - Two-Year Pediatric GI Fellowship?! The Proposed Changes from the ABP07 Sep 202600:56:26

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)


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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.

Bowel Sounds Summer School - Hepatology24 Aug 202601:08:24

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:

  1. Understand the evaluation of neonatal cholestasis
  2. Review the natural history of PSC
  3. Review the diagnosis and management of AIH
  4. 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


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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.

Bowel Sounds Summer School - Celiac Disease10 Aug 202600:56:28

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:

  1. Understand the factors influencing developing celiac disease.
  2. Review an approach to the evaluation and management of celiac disease.
  3. 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.

Bowel Sounds Summer School - Nutrition27 Jul 202600:56:17

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:

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

Featured Episodes:

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

Additional links:

  1. Lisa Richardson - Ins and Outs of Infant Formulas
  2. Katie Larson-Nath - Faltering Weight
  3. 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.

Bowel Sounds Summer School - Abdominal Pain13 Jul 202600:54:58

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.

Katie Larson-Nath - Faltering Weight29 Jun 202600:42:42

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.

Lisa Richardson - Ins and Outs of Infant Formulas15 Jun 202601:00:58

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

  1. Explain infant formula nutrition, components, and comparison to breast milk
  2. Differentiate formula types, ingredients, and clinical use
  3. 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.

Valeria Cohran - Transforming Care for Children with Intestinal Failure01 Jun 202600:50:06

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

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

Links

Papers mentioned:

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

Previous episodes mentioned:

  1. Sue Protheroe - Enteral Nutrition in Intestinal Failure
  2. Danielle Wendel - Central Line Management in Intestinal Failure (Special JPGN Episode)
  3. Ruben Quiros-Tejeira - Multivisceral Transplantation
  4. Paul Wales - Surgical Management in Short Bowel Syndrome
  5. 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.

Maureen Leonard - Can We Prevent Celiac Disease?18 May 202600:39:34

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

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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.

Elizabeth Rand- Fontan Associated Liver Disease04 May 202600:55:59

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

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

Links:

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

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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.

Leonel Rodriguez - Why Can't My Child Burp?20 Apr 202600:56:27

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.

Pete Duncan - Oropharyngeal Dysphagia and Aspiration06 Apr 202600:53:43

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.

Douglas Fishman - Mitigating Risk of Endoscopy23 Mar 202601:02:19

In this episode, Drs. Jason Silverman and Jennifer Lee talk to Dr. 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

  1. Explain endoscopy risks and mitigation strategies in children
  2. Apply the 2019 High Risk Endoscopy NASPGHAN guidelines to pediatric endoscopy scenarios
  3. 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.

Saul Karpen - Updates in Biliary Atresia09 Mar 202600:43:00

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

  1. Describe the pathophysiology of biliary atresia 
  2. Understand the importance of early screening and new tools to assist in early detection 
  3. 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

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


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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.

Paul Wales - Surgical Management in Short Bowel Syndrome23 Feb 202601:11:17

In this episode, Drs. Jason Silverman and Jennifer Lee talk to Dr. Paul Wales all 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

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

Links

Papers mentioned:

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

Previous episodes mentioned:

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

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.

¡Bowel Sounds en español! Rodrigo Vázquez Frías - El microbioma y la salud infantil16 Feb 202600:43:19

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.

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

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

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Cynthia Akagbosu - Endobariatrics in Pediatrics09 Feb 202600:51:33

In this episode of Bowel Sounds, hosts Dr. Temara Hajjat and Dr. Peter Lu talk to Dr. Cynthia Akagbosu, a pediatric gastroenterologist and Assistant Professor at Columbia University Irving Medical Center, who is board-certified in pediatrics, pediatric gastroenterology, and obesity medicine. 

Dr. Akagbosu discusses indications, side effects, and types of endoscopic bariatric procedures in pediatric patients. 

Dr. Akagbosu has no conflicts of interest to disclose.

Learning objectives

  • Understand the safety and efficacy of endobariatrics in children with obesity.
  • Review the latest guidance on endoscopic and medical management for children with obesity.
  • Discuss alternatives, side effects, and efficacy of endobariatric therapy.

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

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

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Ross Maltz - Biosimilars, Advocacy, and More IBD Medication Updates26 Jan 202600:44:42

In this episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jenn Lee talk to Dr. Ross Maltz, pediatric gastroenterologist at Nationwide Children's Hospital and Associate Professor at The Ohio State University College of Medicine.  He is Director of the Very Early Onset Inflammatory Bowel Disease (VEOIBD) Program and Research Director of the Inflammatory Bowel Disease Center at Nationwide Children's.

He provides a massive update on all things IBD medications, including discussing the latest on biosimilar medications, the medications we have available and their positioning, and new things in the pipeline.

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

Learning objectives

  • Understand the safety and efficacy of biosimilar medications for children with IBD.
  • Review the latest guidance on medications available for treatment of children with IBD.
  • Discuss opportunities for advocacy to provide better access to IBD medications for children.

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

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

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William Balistreri - Hepatitis B12 Jan 202600:46:40

In this episode of Bowel Sounds, hosts Dr. Temara Hajjat and Dr. Amber Hildreth and talk to Dr. William Balistreri, Dorothy M. M. Kersten Professor of Pediatrics at the University of Cincinnati, Director Emeritus of the Pediatric Liver Center at Cincinnati Children's Hospital, Medical Director Emeritus of Liver Transplantation, and Program Director Emeritus of Transplant Hepatology Fellowship. We talk about the history of the Hepatitis B virus and vaccine, and the new ACIP vaccination recommendations.

Learning objectives

  1. Understand the history of Hepatitis B infection and vaccination in the United States
  2. Examine the impact of the ACIP vote to overturn the recommendation for universal Hepatitis B vaccination for newborns
  3. Apply knowledge gained to clinical practice 

Support the show

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

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

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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.

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Naylor Brownell - Lymphatic Conditions and the GI Tract29 Dec 202500:43:11

In this episode of Bowel Sounds, hosts Dr. Jordan Whatley and Dr. Jenn Lee talk to Dr. Naylor Brownell, Pediatric Gastroenterologist and Co-Director of the Pancreatic Disorders Program at the Children's Hospital of Philadelphia, who provides care in the Jill and Mark Fishman Center for Lymphatic Disorders. We talk about lymphatic conditions and their effect on the GI tract, as well as the diagnosis and management of primary intestinal lymphangiectasia.

Learning Objectives

1.  Understand the structure and function of the lymphatic system

2.  Describe the causes of protein losing enteropathy (PLE) and how they are diagnosed

3.  Understand the management of children with primary intestinal lymphangiectasia

Links

https://www.chop.edu/centers-programs/jill-and-mark-fishman-center-lymphatic-disorders

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

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

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Tom Wallach - Training the Trainee in Research15 Dec 202500:57:15

In this episode of Bowel Sounds, hosts Dr. Amber Hildreth and Dr. Peter Lu talk to Dr. Tom Wallach, Assistant Professor of Pediatrics at SUNY Downstate, Chief of Pediatric Gastroenterology, Pediatric GI Fellowship director, and Research Director of Pediatrics. We talk about experience based research and how to implement these tools into medical education.

Learning objectives

  1. Define experience based research
  2. Understand how to incorporate experience based research into medical education
  3. Explore the variety of tools available to scientists at all levels of training to conduct research

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

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

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Paul Tran - Next Gen MedEd01 Dec 202500:47:53

In this episode, hosts Drs. Temara Hajjat and Jason Silverman talk to Dr. Paul Tran about attracting and educating a new generation of learners.

Learning Objectives:

  1. Discuss an approach to attracting learners to pediatric gastroenterology while addressing perceived barriers
  2. Review approaches to capturing and maintaining interest in educational content
  3. Outline approaches to incorporate digital content into medical education

Links:

  1. Alimentary School on TikTok, Instagram and YouTube
  2. NASPGHAN social media position paper
  3. Medical media paper

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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.

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Katja Karrento - Cyclic Vomiting Syndrome Management (NASPGHAN 2025 Guidelines)17 Nov 202501:04:35

In this episode of Bowel Sounds, host Dr. Temara Hajjat talks to Dr. Katja Karrento, an Associate Professor at the University of Wisconsin and pediatric gastroenterologist at Wisconsin Children's and an expert on DGBI. Dr. Karrento talks about the 2025 NASPGHAN guidelines for managing children with cyclic vomiting syndrome (CVS). 

Learning objectives

  • Understand the new recommendations on managing CVS
  • Reviewing the guidelines on managing CVS and what has been added to the guidelines.
  • Recognizing the limitations of the guidelines and side effects of the recommended medications

Links:

2025 NAPSGHAN CVS management guidelines: https://pubmed.ncbi.nlm.nih.gov/40223700/

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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.

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Season 7 Kickoff: Meet the New Hosts!03 Nov 202500:27:21

We are kicking off Season 7 with a HUGE announcement -- we have TWO new podcast cohosts!

Hosts Drs. Temara Hajjat, Jennifer Lee, Peter Lu, and Jason Silverman take a look back at Season 6 and introduce our new podcast hosts, Drs. Amber Hildreth and Jordan Whatley! We get to know them a little better and also talk about ways we focus on wellness despite the craziness of our work (and non-work) lives.

And sorry for the subpar audio quality -- Peter was recording from a hotel bathroom...

See you all at the NASPGHAN Annual Meeting in Chicago later this week! #NASPGHAN25

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

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

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Kevin Watson - AI in GI: Can AI Write My Notes for Me?20 Oct 202500:37:41

In this episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jenn Lee talk to Dr. Kevin Watson, pediatric gastroenterologist and Assistant Director of Clinical Informatics at Akron Children's Hospital and Associate Professor at Northeastern Ohio Medical University. We talk about the use of AI-powered ambient listening technology for clinical documentation and his experience introducing AI scribes to his hospital.

Learning objectives

  • Understand the advantages and limitations of the current state of ambient listening technology for clinical documentation.
  • Review practical guidance on usage of this technology in pediatric gastroenterology.
  • Recognize key strategies for successful implementation and adoption of this technology.

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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.

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Jordan Whatley - GI Issues in Children with Tracheostomy and Ventilator Dependence06 Oct 202500:48:56

In this episode, hosts Drs. Temara Hajjat and Jenn Lee talk to Dr. Jordan Whatley, Assistant Professor of Pediatrics at the Medical University of South Carolina and pediatric gastroenterologist at Shawn Jenkins Children's Hospital in Charleston, South Carolina. We discuss how multi-specialty clinics focusing on children with tracheostomy and ventilator dependence can improve clinical care.

Learning Objectives:

  • Describe the reasons children may require a tracheostomy and home mechanical ventilation.
  • Explain multidisciplinary structure and purpose of an aerodigestive clinic in managing complex pediatric patients. 
  • Describe the gastroenterologist’s role in evaluating and managing GERD, feeding intolerance, and nutritional needs in children with trach/vent dependence. 

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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.

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Amber Hildreth - Genetic Testing for Children With GI Disorders22 Sep 202500:43:42

In this episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jason Silverman talk to Dr. Amber Hildreth, pediatric gastroenterologist and transplant hepatologist at Rady Children's Hospital and Assistant Professor at the University of California San Diego. She is also a clinician scientist at the Rady Children's Institute for Genomic Medicine. We discuss how genetic testing is transforming the way we care for children with rare GI and liver diseases.

Learning objectives

  • Recognize key differences between various types of genetic testing.
  • Discuss several applications of genetic testing in care for children with GI disorders.
  • Understand the role of the genetic counselor in integrating genetic testing into GI practice.

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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.

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Justine Turner - Non-Biopsy Diagnosis in Celiac Disease08 Sep 202500:44:13

In this episode, hosts Drs. Peter Lu and Jason Silverman talk to Dr. Justine Turner about a non-biopsy approach to diagnosis for celiac disease in children. Dr. Turner is a Professor of Pediatrics and Divisional Director for the Division of Gastroenterology and Nutrition at the University of Alberta and also the medical lead for the Multidisciplinary Pediatric Celiac Disease Clinic at Stollery Children’s Hospital in Edmonton. 

Learning Objectives:

  1. Review current clinical guidelines for the diagnosis of celiac disease in children
  2. Understand the potential pros and cons of a non-biopsy approach to diagnosis for celiac disease
  3. Recognize the potential impacts of serologic diagnosis for celiac disease on patients, their families and healthcare systems

Links (to be added!!):

  1. Guideline for the diagnosis and treatment of celiac disease in children: recommendations of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition
  2. NASPGHAN Clinical Report on the Diagnosis and Treatment of Gluten-related Disorders
  3. European Society Paediatric Gastroenterology, Hepatology and Nutrition Guidelines for Diagnosing Coeliac Disease 2020
  4. Positive Predictive Value of Tissue Transglutaminase IgA for Celiac Disease

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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.

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Richard Wood - What Every Pediatric GI Needs to Know About Anorectal Malformations25 Aug 202500:52:51

In this episode of Bowel Sounds, hosts Dr. Jenn Lee and Dr. Peter Lu talk to Dr. Richard Wood, Chief of the Department of Pediatric Colorectal & Pelvic Reconstructive Surgery at Nationwide Children's Hospital and Professor of Surgery at The Ohio State University College of Medicine. We discuss identifying and caring for the child with an anorectal malformation.

Learning objectives

  • Recognize the various types of anorectal malformations and the VACTERL association.
  • Discuss the diagnosis of anorectal malformations, including the importance of early identification by the pediatrician or pediatric GI.
  • Understand the role of the pediatrician or pediatric GI in the ongoing care of children with anorectal malformations even after surgery.

References

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.

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Bowel Sounds Summer School - Endoscopy11 Aug 202500:38:29

In our last episode of the Bowel Sounds Summer School series (at least for this year), hosts Dr. Jason Silverman and Dr. Jennifer Lee have gathered highlights from past episodes on endoscopy to create an episode filled with clinical and teaching pearls.  Former expert guests Dr. Jenifer Lightdale, Dr. Catharine Walsh, and Dr. Looi Ee explain the elements of quality endoscopy, how to teach endoscopy, perform difficult colonoscopies, and even how to keep endoscopists healthy throughout their career.

Be sure to also check out the great hands-on, colonoscopy skills and train the trainer workshops held during the NASPGHAN Annual Meeting each year!

Our Bowel Sounds Summer School series includes four episodes 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. Review the technical and non-technical components of quality endoscopic procedures.
  2. Understand communication strategies that help preceptors effectively teach endoscopy skills to trainees.
  3. Review the relevant elements of ergonomics and systemic factors that can help prevent endoscopy-related injuries. 

Featured Episodes:

  1. Jenifer Lightdale - PEnQuINs and Making Pediatric Endoscopy Safer (November 2020)
  2. Catharine Walsh - Education in Endoscopy (November 2022)
  3. Looi Ee - The Challenging Colonoscopy: Down Under Edition (August 2023)

Links:

Other Summer School Episodes:

  1. Bowel Sounds Summer School - Constipation in Children
  2. Bowel Sounds Summer School - Eosinophilic Esophagitis
  3. Bowel Sounds Summer School - Inflammatory Bowel Disease

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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.

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Bowel Sounds Summer School - Inflammatory Bowel Disease28 Jul 202501:08:41

In this episode of Bowel Sounds Summer School, hosts Drs. Temara Hajjat and Jason Silverman have taken highlights from past episodes on inflammatory bowel disease (IBD) and put them into a special episode jam-packed with clinical pearls. Former expert guests explain how to manage patients with IBD. 

Our Bowel Sounds Summer School series will include 4 episodes each summer on big topics in our field, artisanally crafted for the ears of listeners of all stages, from the young student to the seasoned attending.

Learning Objectives

  1. Review the epidemiology of IBD.
  2. Review the management of Crohn's and ulcerative colitis,  either medication, dietary, or surgery. 
  3. Reviewing treatment goals, such as therapeutic drug monitoring (TDM) and treat-to-target. 
  4. Review VEOIBD, US in IBD, Puberty and Pregnancy in IBD. 

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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.

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Bowel Sounds Summer School - Eosinophilic Esophagitis14 Jul 202500:34:08

In this episode of Bowel Sounds Summer School, hosts Drs. Jennifer Lee and Peter Lu have taken highlights from past episodes on eosinophilic esophagitis (EoE) and put them into a special episode jam-packed with clinical pearls. Former expert guests Dr. Glenn Furuta, Dr. Amanda Muir, Dr. Rachel Chevalier, and Dr. Mike Wilsey explain how to diagnose, treat, and monitor patients with EoE.

Our Bowel Sounds Summer School series will include 4 episodes each summer on big topics in our field, artisanally crafted for the ears of listeners of all stages from the young student to the seasoned attending.

Learning Objectives

  1. Review clinical presentation and diagnostic criteria for eosinophilic esophagitis (EoE)
  2. Review dietary and medication treatment options for EoE 
  3. Review methods of monitoring treatment response in EoE

Featured Episodes

Glenn Furuta - Eosinophilic Esophagitis

Amanda Muir - Navigating the Challenges of Eosinophilic Esophagitis Management

Rachel Chevalier - Update on Topical Steroids for EoE

Mike Wilsey - Esophageal Strictures in Children


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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.

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Bowel Sounds Summer School - Constipation in Children30 Jun 202500:45:23

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

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

Learning Objectives:

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

Featured Episodes:

Carlo Di Lorenzo - Pediatric Constipation (October 2019)

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

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

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

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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.

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Gayle Diamond - Is it Food Protein-Induced Enterocolitis Syndrome (FPIES)?16 Jun 202500:41:51

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

Learning objectives

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

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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.

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Hilary Michel - Addressing Women's Health in IBD02 Jun 202500:38:23

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

Learning objectives

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

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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.

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

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Nishant Patel - Exocrine Pancreatic Insufficiency in Children19 May 202500:55:56

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

Learning objectives

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

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


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

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

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Cary Sauer - Making Sense of Competency-Based Medical Education05 May 202501:21:31

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

Learning Objectives:

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

Links:

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

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

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

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Thangam Venkatesan - Cannabinoid Hyperemesis Syndrome21 Apr 202500:55:32

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

Learning Objectives:

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

Links:

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

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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.

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Jean Molleston - Drug-Induced Liver Injury07 Apr 202500:36:39

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

Learning Objectives:

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

Links:

LiverTox: Searchable resource on drug-induced liver injury

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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.

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Glenn Furuta and Noam Zevit - Caring for Children With Non-EoE Eosinophilic GI Disorders24 Mar 202500:56:25

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

Learning Objectives:

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

References:

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

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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.

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Sean Moore - Global Health Research in Pediatric GI10 Mar 202500:50:35

In this episode, hosts Drs. Temara Hajjat and Peter Lu  talk to Dr. Sean Moore about the impact of global health research on pediatric gastroenterology nationally and internationally.  Dr. Moore is a pediatric gastroenterologist and Division Head at Cincinnati Children's Hospital and Medical Center and a Professor of Pediatrics at University of Cincinnati School of Medicine.  

Learning Objectives:

  1. Understand the value of global health research in pediatric GI.
  2. Understand the impact of global health research on development of resources nationally and internationally. 
  3. Recognize the approach to global health in pediatric GI.

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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.

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Rima Fawaz - GLP-1 Agonists for MASLD24 Feb 202500:46:07

In this episode, hosts Drs. Peter Lu and Jason Silverman talk to Dr. Rima Fawaz about the role of GLP-1 receptor agonists in the treatment of children and adolescents with metabolic dysfunction-associated steatotic liver disease or MASLD (the artist formerly known as non-alcoholic fatty liver disease or NAFLD). We discuss what these medications do, what we know about their positive and negative effects, and how we should be using them based on the current literature. Dr. Fawaz is Medical Director of Pediatric Hepatology and Liver Transplantation at Yale New Haven Children's Hospital and Associate Professor at Yale School of Medicine.

Learning Objectives:

  1. Understand the therapeutic and potential adverse effects of GLP-1 receptor agonists.
  2. Recognize that the foundation of obesity and MASLD treatment remains lifestyle changes focused on diet and exercise.
  3. Recognize the role that GLP-1 receptor agonists will play in our care for children and adolescents with obesity and MASLD.

Links:

Abou Jaoudeh RAR, et al. Pharmacological management of pediatric metabolic dysfunction-associated liver disaese. J Pediatr Gastroenterol Nutr. 2025.

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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.

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Michael Dolinger - The New (Sound)wave: Intestinal Ultrasound in Pediatric IBD10 Feb 202501:21:28

In this new episode Drs. Jason Silverman and Temara Hajjat sit down with Dr. Michael Dolinger to review intestinal ultrasound and how it will transform how we care for children with inflammatory bowel disease.

Michael Dolinger, MD, is the Director of Pediatric Inflammatory Bowel Disease and an Assistant Professor of Pediatrics at NYU Grossman School of Medicine. During his fellowship training, Dr. Dolinger became the first gastroenterology fellow in the United States to be trained and certified to perform intestinal ultrasound for inflammatory bowel disease activity monitoring. He has co-founded the Intestinal Ultrasound Group of the United States and Canada (iUSCAN) and now leads global training, education, and research efforts on the use of intestinal ultrasound as a non-invasive monitoring tool in inflammatory bowel disease care.

Learning objectives

  1. Review the role for intestinal ultrasound in the diagnosis and monitoring of inflammatory bowel disease in children including its strengths and weaknesses.
  2. Discuss the training path to certification in intestinal ultrasound.
  3. Review strategies and considerations for integrating intestinal ultrasound into pediatric gastroenterology clinics.


Episode links

  1. IUS as a pre-screening tool in clinical trials 
  2. IUS guide to billing and credentialing 
  3. IUS to predict endoscopic healing in children with CD
  4. iUSscan.org

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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.

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

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Rachel Chevalier - Update on Topical Steroids for EoE27 Jan 202500:54:42

In this episode, hosts Drs. Temara Hajjat and Jenn Lee talk to Dr. Rachel Chevalier. Dr. Chevalier is a pediatric gastroenterologist and physician scientist at Children's Mecy Hospital. She is an Associate Professor at the University of Missouri-Kansas City School of Medicine. In this episode, we’ll explore treatment options for eosinophilic esophagitis, discuss steroid complications and emerging therapies, and dive into the role of drug metabolism and genetics in optimizing patient care. 

Learning Objectives:

  • Discuss available corticosteroid options, dosing strategies, administration techniques, and challenges like insurance coverage and FDA limitations.
  • Highlight potential complications of steroid use, mitigation strategies, and emerging treatments like orodispersible tablets.
  • Explain the role of CYP enzymes, genetic variability, and personalized approaches to optimize treatment based on Dr. Rachel Chevalier’s research.




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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.

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

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David Vitale - Utilizing EUS and ERCP in Acute Pancreatitis and Pancreatitis Complications13 Jan 202501:09:43

In this episode, hosts Drs. Temara Hajjat and Jenn Lee talk to Dr. David Vitale about EUS and ERCP indications in patients with acute pancreatitis and pancreatitis complications. Dr. Vitale is a pediatric gastroenterologist, the director of the interventional endoscopy center at Cincinnati Children's Hospital and Medical Center, and an Assistant Professor at the University of Cincinnati School of Medicine.  

Learning Objectives:

  1. Understanding the indications of ERCP and EUS in acute pancreatitis 
  2. Understand the indications of ERCP and EUS in pancreatitis complications 
  3. Recognize the possible risks of EUS and ECRP in children


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.

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

Click here to support the show.

Vicky Ng - Surviving and Thriving Post-Liver Transplantation30 Dec 202401:04:58

In this episode, hosts Drs. Jason Silverman and Peter Lu sit down with Dr. Vicky Ng to discuss outcomes following pediatric liver transplantation beyond survival. In particular, we review the importance of hearing the patient voice using the PeLTQL, a disease-specific health related quality of life instrument.

Dr. Ng is a Professor of Pediatrics at the University of Toronto, Medical Director of the Paediatric Liver Transplantation Transplant and Regenerative Medicine Centre at SickKids Hospital and current President of NASPGHAN.

Learning objectives:

  1. To understand the benefits of developing a condition-specific health-related quality of life (HRQOL) tool using the Pediatric Liver Transplantation Quality of Life questionnaire (PeLTQL) as a model.
  2. To review pre- and post-transplant factors that may impact the HRQOL of pediatric liver transplant recipients.
  3. To explore the benefits of the patient (and caregiver) voices in truly understanding important patient outcomes.

Links:

  1. Development and Validation of the Pediatric Liver Transplantation Quality of Life: A Disease-Specific Quality of Life Measure for Pediatric Liver Transplant Recipients
  2. Barriers to ideal outcomes after pediatric liver transplantation
  3. Feasibility of using a patient-reported outcome measure into
    clinical practice following pediatric liver transplantation: The
    Starzl Network experience
  4. Jennifer Vittorio - Healthcare Transitions in Pediatric Liver Transplantation (Special JPGN Episode) - Position paper

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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.

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Ann Ming Yeh - Non-Medication Treatment for Children with Abdominal Pain and Nausea16 Dec 202400:54:21

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Ann Ming Yeh about non-pharmacological treatment for children and adolescents with chronic abdominal pain and nausea, including lifestyle modification, herbal supplements, and acupuncture. Dr. Yeh is a pediatric gastroenterologist at Lucile Packard Children's Hospital and Clinical Professor at Stanford University.

Learning Objectives:

  1. Understand the definition of integrative health.
  2. Recognize herbal supplements that can help children with chronic abdominal pain and nausea.
  3. Recognize the role of acupuncture for children with chronic 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.

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