THE NASPGHAN FOUNDATION

Webinars and on-demand educational modules egids: beyond the esophagus. Egids are a collection of chronic inflammatory diseases including eosinophilic esophagitis (eoe), eosinophilic gastritis (eg) eosinophilic gastroenteritis(ege), and eosinophilic colitis (ec). Among the egids, eoe has become an increasingly recognized and studied condition. Validated metrics have been established to quantify quality of life, symptoms, histologic and endoscopic findings. In addition, there are well-established, effectivetreatments. The same cannot be said for eg, ege, or ec, which lacks well established histologic criteria for diagnosis, and has a more unclear natural history, nor well-established treatments. Egids: beyond the esophagus brings to light the latest on non-eoe egid, including the signs and symptoms; the criteria to make a diagnosis; what options exist for therapy,and the potential mechanisms of disease. Practical tips in the nutritional management of children with cholestatic liver disorders: a webinar for patients, families and caregivers.this webinar explores practical approaches to the nutritional management of children with cholestatic liver diseases, with special tips for patients and caregivers. Participants learn theclinical presentation and long-term implications of malnutrition and fat-soluble vitamin deficiencies in children with cholestatic liver disorders, become acquainted with differences among the currently available formulation to support nutrition in cholestatic babies, and the currently available vitamin supplements and formulations. The lack of insurance coverage formedical food and vitamins is also discussed.

Children with cholestatic liver disease : diagnostics, medical management of chronic pancreatitis in children:maximizing treatment and improving outcomes, removing dieting from diet therapies in pediatric gi, the what, how and ifs of optimizing early childhood growth and long-term outcomes, children with cholestatic liver disease: pruritis management, naspghan fellows toolbox website, bowel sounds episodes on early nutrition. Cholestatic jaundice is a rare presentation of various hepatobiliary, metabolic, and genetic disorders . Cholestasis typically presents in theneonatal/ infantile period but can also present late in older children or even adults . Early diagnosis and appropriate management of the underlying condition are of paramount importance for optimal prognosis . Diagnosis of cholestasis needs an array of investigations including blood tests, imaging, genetic testing, and invasive procedures like liver biopsy . Liver biopsy is one of the central crucial investigations done in evaluating children with cholestasis, however, can be associated with complications including bleeding . Understanding when to use a liver biopsy in children with cholestasis along with its limitations is extremely important to gain the maximum benefit out of an invasive procedure. Over the last decade, the growth in genetic techniques and the identification of new genes leading to cholestasis in children haveevolved significantly and have led to the shrinking of the unidentified etiologies. This webinar addresses the rapidly evolving field of genetic cholestasis and when to perform a liver biopsy,its utility, and limitations. Medical management of chronic pancreatitis in children : maximizingtreatment and improving outcomes chronic pancreatitis (cp) in children is associated with significant morbidity and poor quality of life . The incidence of cp in children has risen over the past few decades and is approaching that seen in the adult population . Cp is an inflammatory disease resulting in irreversible changes in the pancreas including acinar cell loss, fibrosis, ductal changes, and calcifications . Patients with cp may suffer from abdominal pain and complications of exocrine pancreatic insufficiency (epi) and diabetes mellitus . Medical management of chronic pancreatitis in children : maximizing treatment and improvingoutcomes brings together leading experts to discuss how to ensure that childhood cp is recognized early and its sequalae treated promptly . Removing dieting from diet therapies in pediatric gi obesity was declared an epidemic by the cdc in the 1990s, yet significant and sustained weight loss continues to be problematic for americans as a population . Critical factors are often overlooked when addressing obesity such as racial discrimination, disability status, and environmental factors. In conjunction, "weight stigma", or bias that devalues people with larger bodies, can cause increased morbidity and mortality, independent of bmi. As a response, a movement is taking place, known by several names including "anti-diet or "intuitive eating". This is an inclusive movement that recognizes one's size as part of his or her identity as much as race, national origin, and sexuality. It considers social, economic, and physical barriers to obesity, rather than assuming lack of willpower or education are thecause . It's about recognizing "diet culture and dismantling the anti-fat and pro-thin messages that infiltrate society . This informative and interactive webinar helps healthcare providersrecognize weight stigma and promote a positive relationship with food, particularly in patients with gi-related health conditions and those following therapeutic diets. The what, how and ifs of optimizing early childhood growth and long-term outcomes : part one understanding normal growth and development is critically essential for quick recognition and intervention for deviations in childhood growth and nutrient intake practices associated with increased risk for disease and poor long-term health . Nutrient and non-nutrient factors influence health outcomes throughout the lifecycle . This webinar and podcast series, the what, how and ifs of optimizing early childhood growth and long-term outcomes discusses how to implement nutrient and non-nutrient factors that optimize long-term health, recognize childhood growth and nutrient intake patterns associated with disease, childhood microbiome and long-term risk for disease, and early diagnosis and management strategies for childhood feeding disorders. The what, how and ifs of optimizing early childhood growth and long-term outcomes : part two understanding normal childhood growth is essential for quick recognition and intervention for deviations in growth and nutrient intake associated with long-term risk for disease and poor health . Therefore, the 'what, how, and ifs of optimizing childhood growth and long-term outcomes' webinar series addresses the knowledge and practice gaps about nutrient and non-nutrient factors essential for optimizing long-term health outcomes . The first webinar addresses the early life nutritional factors thatpromote healthy growth, the development of a microbiome associated with optimized long-term health, and the recognition of early childhood growth patterns related to long-term risk for overweight and obesity . This part two webinar focuses on a nutritional assessment approach that quickly recognizes disease, nutritional management of childhood feedingdisorders, and principles and strategies for weaning children from dependence on tube feeds .children with cholestatic liver disease : pruritis management pruritus is a common complication of cholestatic liver disease that can significantly impair quality of life. Intractable pruritus is an indication for liver transplant regardless of peld/ meld score.the pathophysiology of pruritus is complex. Several medications serve as standards for treatment and recent advances in quantification has allowed for rigorous and controlled study of new medications. In certain circumstances, liver transplant can be avoided or delayed with surgical biliary intervention . Naspghan fellows toolbox website the naspghan toolbox website is designed to deliver pediatric gastroenterology information to care providers in a format that is user friendly . The toolbox provides easy access to clinical guidelines forpediatric gastroenterologists and trainees and is now available as a distinct website linked from the naspghan website . Features of the toolbox include algorithms to navigate clinical guidelines for various diseases; high quality images of gi pathology; helpful tables on managing nutritional needs; scores and calculators to assist in calculating important pediatric gi scores; and a convenient search feature . Bowel sounds episodes on early nutrition bowel sounds is a podcast on all things related to pediatric gastroenterology, hepatology, and nutrition . Episodes feature interviews with experts offering clinical and academic pearls andcareer advice with something for everyone regardless of career stage or discipline. New episodes are released every other monday. Two bowel sounds episodes which focus on early childhood nutrition include : early life nutrition and impact on childhood development and the role of the microbiome in healthy infant and early childhood nutrition.