CPNP Program

122 Pages·2015·5.85 MB·English

by  Lisa Meloy

Washington Hilton Washington, DC
October 9—10, 2015 CPNP Annual Symposium

Program Book
1
1
NOTES
Table of Contents
President’s Welcome 2
Support 3
Program at a Glance 4
The gut balance revolution 9
Gerard Mullin, MD, The Johns Hopkins University School of Medicine
Childhood obesity: Fighting a battle of epic proportions 23
Shikha Sundaram MD and Helen Seagle RD, Children’s Hospital of Colorado
“Nutrition ROCKs HCT”: Nutrition Research for Optimizing Care in Kids 29
undergoing hematopoietic cell transplantation
Lori Bechard PhD, Med, RD, LDN, Boston Children’s Hospital
Nutrition for the child with cystic fibrosis 41
Tami Miller RD, Children’s Hospital of Wisconsin
Nutritional issues in cholestatic disease 48
Binita Kamath MBBChir, MRCP, MTR, The Hospital for Sick Children
Iron deficiency and the developing brain 57
Michael K. Georgieff, MD, University of Minnesota
Nutrition and diet in the management of inflammatory bowel disease 68
Athos Bousvaros MD, MPH and Karen Warman RD, Boston Children’s Hospital
Case study breakouts 83
 The Elimination Diet: Practical Tips and
 Assessing nutritional needs in the hypometabolic child
 Nutrition care for children undergoing hematopoietic cell transplantation
 Troubleshooting pancreatic enzyme therapy (PERT) in cystic fibrosis
 Nutritional Issues in Alagille Syndrome
 Inflammatory Bowel Disease
Blenderized Tube Feedings: Managing a New Frontier 101
Margaret Girten RD, CSP, LDN and Julia Driggers RD, LDN, CNSC, Children’s Hospital of Philadelphia
1
President’s Welcome
I would like to welcome you all to the third annual NASPGHAN/CPNP Nutrition Symposium. I believe this
year’s program is our best ever. We listened to your feedback from last year and made some significant
changes. We expanded the nutrition content available on Friday to allow participants to take full
advantage of their included registration to the NASPGHAN annual meeting. We shortened most of the
talks during our Saturday symposium to allow for a greater number and variety of speakers. We changed
our breakout sessions to a roundtable format to allow for more interaction with the presenters and your
peers. Let us know what you think about these changes so we can continue to provide a high quality
experience.
We have also experienced great growth in our Council for Pediatric Nutrition Professionals (CPNP) over
this past year. I am delighted to share that we have 130 members as part of our council from
throughout North America and we have made great strides towards our council goals. We launched the
listserv, developed our website and obtained status as an official provider of continuing professional
education (CPE) through the Commission of Dietetic Registration (CDR). We will once again have a brief
council meeting during the lunch hour on Saturday. I encourage everyone to attend to learn about what
we are currently doing and what we have planned next!
We hope you enjoy this year’s symposium. Next year, in lieu of our regular annual meeting will be the
World Congress in Montreal, Canada (October 4-10, 2016), including a full day of nutrition content with
presenters from around the world. There will be many more details to come regarding this exciting
event. We hope to see many of you there!
Thank you so much for being here.
Sincerely,
Jenny Crouse, MS, RD, CD, CDE
President, Council for Pediatric Nutrition Professionals
2
NASPGHAN Nutrition Symposium
CPNP Founders
Thanks to the following companies for their support of this event and the establishment of
the Council of Pediatric Nutrition Professionals
Abbott Nutrition
Dr. Schar
Mead Johnson Nutrition
Nestlé Nutrition
QOL Medical
Support for this year’s symposium has been generously provided by:
Abbott Nutrition
Mead Johnson Nutrition
Nestlé Nutrition
3
NASPGHAN/CPNP ANNUAL SYMPOSIUM

Friday, October 9, 2015
7:00AM - 8:00AM Meet the professor breakfast (extra fee – ticket required) Fairchild West
EoE and Elimination Diets
Amir Kagalwalla MD and Sally Schwartz RD

8:15AM – 10:00AM Plenary Session I International Ballroom Center

Basic Science Year in Review
Nicola Jones MD, PhD, The Hospital for Sick Children

Business Meeting

Clinical Science Year in Review
William Balistreri MD, Cincinnati Children’s Hospital Medical Center

10:30AM – 12:00PM Concurrent Session I

Nutrition Lincoln Room
Moderators: Russell Merritt MD and Ala Shaikhkhalil MD

LONG TERM COMPLICATIONS OF TPN: NOW THAT MY INTESTINAL FAILURE PATIENTS ARE NOT
DYING OF LIVER DISEASE, WHAT ELSE SHOULD I WORRY ABOUT?
Jane Balint MD, Nationwide Children’s Hospital
Learning objectives:
1. Identify potential complications of lipid minimization strategies
2. Describe an approach to micronutrient monitoring in long term parenteral nutrition
3. Discuss renal and bone complications of parenteral nutrition

Oral Abstract Presentation

COMBATING CLABSIS-PREVENTING CENTRAL LINE INFECTIONS AND OTHER CENTRAL LINE
CHALLENGES
John Kerner MD, Lucile Packard Children’s Hospital
Learning objectives:
1. Identify evidence based practices for CLABSI prevention
2. Describe at least one modality for the prevention of catheter-related venous thrombosis
3. Discuss the approach to the patient with central line occlusion

Oral Abstract Presentation

4
Malabsorption Georgetown Room
Moderators: Michelle Pietzak MD and Maria Mascarenhas MBBS

ADVANCES IN CF THERAPIES AND THEIR EFFECT ON GASTROINTESTINAL MANIFESTATIONS
Daniel Gelfond MD, WNY Pediatric Gastroenterology
Learning objectives:
1. Outline pathophysiology of CF and impact of CFTR on clinical manifestations
2. Recognize gastrointestinal manifestations of the Cystic fibrosis and discuss therapeutic
interventions
3. Outline recent development and advances in CF therapy targeting specific genetic
mutations
4. Discuss role of wireless motility capsule as gastrointestinal biomarker of CFTR activity

Oral Abstract Presentation

DISCORDANT SEROLOGIES AND BIOPSIES: WHAT TO DO?
Dascha C. Weir MD, Boston Children's Hospital
Learning objectives:
1. Recognize the potential complexities in the use of celiac serologic markers and small
intestinal biopsies in clinical practice.
2. Discuss a clinical approach to the treatment and monitoring of patients with discordant
serology and biopsies.

Oral Abstract Presentation

2:30PM – 4:00PM Concurrent Session II

Virtual NAFLD (No Fee Registration required - See ticket for room assignments)
Moderators: Stephanie Abrams, Amal Aqul, Sarah Barlow, Molly Bozic, Nirav Desai, Rima
Fawaz, Ariel Feldstein, Regy Gonzales-Peralta, Nitika Gupta, Evelyn Hsu, Rohit Kohli, Jean
Molleston, Karen Murray, Nadia Ovchinsky, Emily Perito, Jeff Schwimmer, Dellys Soler-
Rodriguez, and Shikha Sundaram

Speaker: Miriam Vos MD, MSPH, FAHA, Emory School of Medicine
Learning objectives:
1. To address when to biopsy and when to re-biopsy in pediatric NAFLD
2. To understand dyslipidemia in the setting of NAFLD– how to assess and when to start
medications
3. To discuss treatment with Vitamin E (and other medications)

5
Nutrition Lincoln Room
Moderators: Ruba Abdelhadi MD and Timothy Sentongo MD

BACTERIAL OVERGROWTH IN PEDIATRIC SHORT BOWEL SYNDROME
Conrad Cole MD, Cincinnati Children’s Hospital Medical Center
Learning Objectives:
1. Learn risk factors for developing bacterial overgrowth
2. Discuss diagnostic challenges
3. Understand the differential diagnosis
4. Review therapeutic options

Oral Abstract Presentation

STATE OF THE ART RESEARCH LECTURE - CUTTING EDGE OR CRAZY: IS SURGERY THE MOST
EFFECTIVE TREATMENT FOR NASH?
Stavra Xanthakos MD, Cincinnati Children’s Hospital Medical Center
Learning objectives:
1. Review the current guidelines for when to consider bariatric surgery in youth
2. Describe the types of bariatric surgeries performed in adolescents, including risks and
benefits
3. Review the evidence and gaps in knowledge re: bariatric surgery as a specific treatment
for NASH

Oral Abstract Presentation

5:00PM - 7:00PM CPNP Reception Holmead Room, Lobby Level

Saturday, October 10, 2015
All sessions will take place in the Georgetown Room on the Concourse Level

7:30AM – 8:00AM Breakfast Concourse Foyer

8:00AM - 8:05PM INTRODUCTIONS
Praveen Goday MBBS, CNSC, Chair, NAPGHAN Nutrition Committee

8:05AM - 8:35AM THE GUT BALANCE REVOLUTION
Gerard Mullin MD, The Johns Hopkins University School of Medicine

8:35AM – 9:15AM CHILDHOOD OBESITY: FIGHTING A BATTLE OF EPIC PROPORTIONS
Shikha Sundaram MD and Helen Seagle RD, Children’s Hospital of Colorado

9:15AM - 9:45AM “NUTRITION ROCKS HCT”: NUTRITION RESEARCH FOR OPTIMIZING CARE IN KIDS
UNDERGOING HEMATOPOIETIC CELL TRANSPLANTATION
Lori Bechard PhD, Med, RD, LDN, Boston Children’s Hospital

9:45AM - 10:15AM NUTRITION FOR THE CHILD WITH CYSTIC FIBROSIS
Tami Miller RD, Children’s Hospital of Wisconsin
6
10:15AM – 10:30AM Break Concourse Foyer

10:30AM - 11:00AM NUTRITIONAL ISSUES IN CHOLESTATIC DISEASE
Binita Kamath MBBChir, MRCP, MTR, The Hospital for Sick Children

11:00AM - 11:30AM NUTRITIONAL CHALLENGES IN CHILDREN WITH AUTISM
Cade Nylund MD, MS, FAAP, Walter Reed National Military Medical Center

11:30AM – 12:00PM IRON DEFICIENCY AND THE DEVELOPING BRAIN
Michael K. Georgieff MD, University of Minnesota

12:00PM – 1:00PM Lunch/Poster Session
1:00PM - 1:35PM NUTRITION AND DIET IN THE MANAGEMENT OF INFLAMMATORY BOWEL
DISEASE
Athos Bousvaros MD, MPH and Karen Warman RD, Boston Children’s Hospital

1:40PM - 3:10PM Case study breakouts [3 consecutive sessions, 30 minutes each]
Dupont, Embassy, Cardozo – Terrace Level
 THE ELIMINATION DIET: PRACTICAL TIPS AND PITFALLS - Wendy Elverson RD, LDN, Boston
Children’s Hospital
 ASSESSING NUTRITIONAL NEEDS IN THE HYPOMETABOLIC CHILD- Monica Cicchini MS,RD,
CSP, LD Georgetown University Hospital
 NUTRITION CARE FOR CHILDREN UNDERGOING HEMATOPOIETIC CELL TRANSPLANTATION,
NOW AND LATER - Lori Bechard PhD, Med, RD, LDN, Boston Children’s Hospital
 TROUBLESHOOTING PANCREATIC ENZYME THERAPY (PERT) IN CYSTIC FIBROSIS– Tami Miller
RD, CSP, CD, Children’s Hospital of Wisconsin
 NUTRITIONAL ISSUES IN ALAGILLE SYNDROME – Binita Kamath MBBChir, MRCP, MTR, The
Hospital for Sick Children
 INFLAMMATORY BOWEL DISEASE – Karen Warman RD, Boston Children’s Hospital

3:15PM - 4:15PM BLENDERIZED TUBE FEEDINGS: MANAGING A NEW FRONTIER
Margaret Girten RD, CSP, LDN and Julia Driggers RD, LDN, CNSC, Children’s
Hospital of Philadelphia

7
3:45PM – 5:15PM Psychology II - Psychology and Gastroenterology:
Keys to Effective Integration Monroe Room, Concourse Level
Moderator: Anthony Alioto PhD, BCB

ABDOMINAL PAIN: INTEGRATING PSYCHOLOGICAL TREATMENTS INTO MEDICAL CARE
Miranda vanTilburg PhD, University of North Carolina, Center for Functional GI and Motility
Disorders
Learning objectives:
1. Describe the role of psychosocial factors in functional abdominal pain disorders
2. Identify evidence-based psychological/behavioral treatments for functional abdominal pain
disorders and how to integrate with medical care
3. Identify patients most likely to benefit from integrated care

CONSTIPATION AND SOILING: INTEGRATED MODELS OF CARE
Rose Schroedl PhD, Nationwide Children’s Hospital
Learning objectives:
1. Summarize integrated models of care for constipation and fecal incontinence
2. Discuss the evidence-base for integrated models of care
3. Describe an algorithm for treatment decision making

INTERDISCIPLINARY INPATIENT APPROACHES TO WEANING TUBE DEPENDENT CHILDREN FROM
ENTERAL FEEDING
Alan Silverman PhD, Medical College of Wisconsin
Learning objectives:
1. Describe existing interdisciplinary care models for weaning tube dependent children
2. Summarize the current state of empirical support for interdisciplinary treatment approaches
to weaning tube dependent children from enteral feeding
3. List methods for medical oversight that can help to ensure the safety of patients undergoing
treatment
8