Annual Meeting Overview

Each year, APGNN hosts an annual meeting in conjunction with NASPGHAN. Our annual meeting offers evidence-based updates in the field of Pediatric GI, geared towards nurses, advanced practice providers, and allied health professionals. APGNN offers a diverse program covering a variety of “hot topics” as well as foundational education. Continuing Education and Pharmacology hours are awarded. The annual meeting is a wonderful opportunity to network and stay up to date on the latest clinical practices!

Registration is now open for the 2023 APGNN Annual Meeting is October 5-7, 2023 in San Diego, CA. Early bird rate is available until August 31st.

 

                                                                  Program Agenda

Friday, October 6th 
7:30-8:00am: Breakfast & Welcome 

8:00-9:00am: Session I – Keynote Speaker & APGNN Year in Review

     8:00-8:30am: Integrative Medicine 
     Ann Ming Yeh, MD - Lucile Packard Children’s Hospital

     Objectives: 

  1. Provide an Overview of concepts of integrative medicine in pediatrics, emphasizing the interplay between the mind, body and gut.  
  2. Discuss how pediatric GI providers and nurses can utilize nutrition and lifestyle modification and mind-body techniques for patients with chronic GI conditions

     8:30-9:00am: APGNN Year in Review
     Elizabeth Burch, MSN, RN, CPNP-PC, APGNN President

9:00-10:00am:  Session II - Intestinal Rehabilitation 

     9:00-9:30am: Will a spoonful of Medicine Help the TPN go down?
     Danielle Wendel, MD - Seattle Children’s Hospital

     Objectives:

  1. Understand the categories of drugs used to aid in feed advancement/TPN weaning
  2. Evaluate the evidence for use of medications to aid in feed advancement/TPN weaning
  3. Identify patients who might benefit from medications to aid in feed advancement/TPN weaning

     9:30-10:00am: Ostomy Overview & Troubleshooting 
     Katherine Brennan, MSN, APRN-NP, FNP-C, CPNP & Teresa Kodiak, MSN, APRN-NP,  FNP-PC  - Lurie Children’s Hospital of Chicago 

     Objectives:

  1. Review indications for ostomy and anatomy
  2. Highlight ostomy complications including prolapse, retraction, peristomal skin irritation/breakdown, high stool output
  3. Review ostomy complication management strategies through real patient case studies
  4. Discuss the clinical team’s role in promoting and supporting quality of life for the child with an ostomy

10:00-10:30am: Committee Meetings & Break

10:30-12:00 pm:   Session III - Allergic Conditions of the GI Tract  

     10:30-11:00am: Update on Pharmacologic Therapies for Pediatric Patients with Eosinophilic Esophagitis 
     Kristen Critelli, MD - UPMC Children’s Hospital of Pittsburgh

     Objectives:

  1. Define current treatment goals for eosinophilic esophagitis according to the evolving characteristics of the disease and its natural history
  2. Review the standard-of-care treatments that reduce symptoms and prevent disease progression of eosinophilic esophagitis
  3. Recognize emerging treatment options for the management of eosinophilic esophagitis

     11:00- 11:30am: Dispelling Serum Food Allergy Testing 
     Vincent Mukkada, MD - Cincinnati Children’s Hospital 

     Objectives:

  1. Understand an overview of varying types of food mediated reactions and intolerances
  2. Be able to identify various common forms of allergy testing
  3. Be able to discuss the indications for and limitations of allergy testing in GI Clinical care

     11:30- 12:00pm: Assessment & Treatment of Allergic Colitis 
     Patricia Bierly, MSN, CRNP - Children’s Hospital of Philadelphia 

     Objectives:

  1. Differentiate between Food protein induced enterocolitis, food protein induced enteropathy, Food protein induced allergic proctocolitis.
  2. Discuss treatment of non IgE GI food allergies
  3. Review the role of allergy testing in non IgE GI food allergies

12:00-1:30pm: Lunch and Poster Session

1:30-3:00pm:  Session IV - Motility & Disorders of Gut-Brain Interaction 

     1:30- 2:00pm: The Pediatric intestinal Pseudo Obstruction-What’s New and What’s Not 
     Rinarani Sanghavi, MD - UT Southwestern Medical Center

     Objectives:

  1. Understand the definition of Pediatric Intestinal Pseudo-Obstruction (PIPO)
  2. Understand the Diagnostic Criteria used for PIPO
  3. Understand the Approach for the management of PIPO
  4. Understand the Outcomes of PIPO

     2:00- 2:30pm: Biomarkers in Disorders of Gut-Brain Interaction 
     Samuel Nurko, MD, MPH -  Boston Children’s Hospital 

     Objectives:

  1. Review the pathophysiology of DGBIs and current evidence on biomarkers 
  2. Understand how biomarkers are incorporated into the evaluation and treatment of DGBI 

     2:30- 3:00pm: IB-Stim: A New Treatment for DGBI
     Katja Kovacic, MD - Children’s Wisconsin 

     Objectives:

  1. Describe plausible mechanisms underlying DGBI 
  2. Describe physiologic mechanisms behind IBstim therapy
  3. Review data on IBstim for various DGBI

3:00-5:00:  Session V - Hot Topics 

     3:00- 3:30pm: Psychological Exposure Protocols for GI Conditions 
     Julie Snyder, Psy.D - Boston Children’s Hospital 

     Objectives:

  1. To Increase understanding of the rationale behind using exposures for the treatment of gastrointestinal disorders, and more specifically Disorders of the Gut-Brain Interaction.
  2. To Describe how and why exposure work assists in decreasing avoidance of activities and situations and increasing functioning for patients diagnosed with GI Conditions
  3. To explain the different types of exposure tasks that may be utilized depending on the GI diagnosis or presenting GI symptoms

     3:30- 4:00pm: H. Pylori, What’s New, What’s Hot and What’s Not 
     Benjamin Gold, MD - GI Care for Kids 

    Objectives:

  1. Discuss the importance of the microbiome and it’s evolution as part of human evolution
  2. Briefly discuss the epidemiology and transmission of H. pylori infection
  3. Discuss why H. pylori may not always have been “bad” and might have been part of our gastric biome
  4. Describe the gastroduodenal diseases caused by H. pylori infection
    1. H. pylori origins and Koch’s postulate
    2. The relationship of H. pylori to asthma and allergies/atopy – real or not?
    3. Why when you find H. pylori – you kill it…
  5. Review the therapeutic approaches to H. pylori infection and importance of antimicrobial resistance

     4:00- 4:30pm: "But I feel fine": Strategies to support nonadherence in asymptomatic patients  
     Catherine Naclerio PsyD & Christine Reinhard, PhD – Children’s Hospital Colorado

     Objectives:

  1. Identify the wide variety of risk factors for nonadherence in pediatric GI patients
  2. Review Strategies to help address and support nonadherence in Pediatric GI patients

     4:30- 5:00pm: Polyps 101
     Seth Septer, DO - Children’s Hospital Colorado 

     Objectives:

  1. Discuss the physical features and family history that should lead to evaluation for a hereditary polyposiss syndrome
  2. Understand inheritance patterns and genetic testing implications for common polyposis syndromes
  3. Discuss surveillance for intestinal and extra-intestinal manifestations of common polyposis syndromes

5:00-5:30pm: APGNN Awards & Presentations

  •     Excellence in Education
  •     Poster of Distinction
  •     Susan Moyer Research Grant
    •     Announcing current year’s winner 
    •     Grant update from Susan Moyer Research Grant winner of 2021 - Melanie Oates, RN - Nationwide 

6:00pm: APGNN Social Event

Saturday, October 7th 
8:00-8:30am: Breakfast & Welcome 

8:30-10:00am:  Session VI - Inflammatory Bowel Disease 

     8:30- 9:00am: Extraintestinal Manifestations of Inflammatory Bowel Disease 
     Jonathan Moses, MD - UH Rainbow Babies & Children’s Hospital 

     Objectives: 

  1. Define Known extraintestinal manifestations (EIM) seen in pediatric patients with inflammatory bowel disease (IBD)
  2. Discuss the work up and management of EIM in pediatric Patients with IBD
  3. Discuss response of individual EIM with control of underlying inflammation in pediatric patients with IBD

     9:00- 9:30am: IBD Telephone Triage 
     Alicia Witkins, MS, RN, CPN - Children’s Hospital Colorado 

     Objectives:

  1. Be able to state three questions to ask when triaging a patient
  2. List three symptoms of an IBD flare
  3. Name three urgent concerns that require immediate attention

     9:30- 10:00am: Specialized Diets in IBD
     Jennifer Smith, MS, RD, CPS, LD, LMT - Nationwide Children’s Hospital 

     Objectives:

  1. Briefly describe the evidence for use of exclusive enteral nutrition and 2 common food based diets to treat IBD along with indications for use
  2. Discuss considerations for using special diets in the treatment of IBD
  3. Identify resources for staff to aid in teaching and patients and families in following the diet

10:00-10:30am Break 

10:30- 12:00pm:  Session VII - Hepatology

     10:30- 11:00am: Evaluation of Elevated Liver Function Tests 
     Karie Robinson, APRN, CPNP - Children's Mercy

     Objectives:

  1. Understand definition of elevation in liver enzymes (AST, ALT, GGT)
  2. Understand evaluation of etiologies of prolonged elevation in LFTs

     11:00- 11:30am: Drug and Viral Induced Liver Injury 
     Noberto Rodriguez-Baez, MD - UT Southwestern Medical Center 

     Objectives:

  1. Review the epidemiology, clinical manifestations, diagnosis, and management of common viruses associated with liver injury
  2. Review the epidemiology, clinical manifestations, diagnosis, and management of common drugs associated with liver injury

     11:30am- 12:00pm: Progressive Familial Intrahepatic Cholestasis 
     Amber Hildreth, DO  - Rady Children’s Hospital 

     Objectives:

  1. Recognize the presentation, diagnosis, and unique management considerations of patients with Progressive Familial Intrahepatic Cholestasis
  2. Evaluate the use of medications for pruritus, with focus on ileal bile acid transport (IBAT) inhibitors 

12:00-2:00pm: Lunch and Poster Session

2:00-3:30pm: NASPGHAN Concurrent Session - From the Kitchen to the Clinic: Improving Health Outcomes Through Diet
Moderators: Valerie Marchand, MD, Ste-Justine UHC and Conrad Cole, MD, MPH, MSc, Cincinnati Children's Hospital

     2:00pm: When Food Becomes Medicine: Eat, Drink and We Wary
     Kathleen Gura, PharmD, Boston Children's Hospital

     2:25pm: Abstract

     2:37pm: The Anit-inflammatory Way
     Maria R. Mascarenhas, MBBS, Children's Hospital of Philadelphia

     3:02pm: Culinary Medicine in GI Disorders
     Kaylie Nguyen, MS, Lucile Packard Children's Hospital @ Stanford

3:45-5:15pm: NASPGHAN Concurrent Session: VROOM: Vomiting, Regurgitation, Ongoing Outbursts through the Mouth
Moderators: Miguel Saps, MD, University of Miami School of Medicine and Corey Baker, MD, Connecticut Children's

    3:45 pm: Differential Diagnosis of VROOM
    Anita Rowhani Sicolo, MD, FAAP, Children's Hospital of Los Angeles

     4:10 pm: Abstract

     4:22 pm: VROOM: Behavioral Modification is the Answer Aecause Rumination is a Problem
     Ashley Kroon Van Diest, PhD, Nationwide Children's Hospital

     4:47 pm:VROOM Debate: Pick Your Lane - Do Everything
     Ajay Kaul, MBBS MD, Cincinnati Children's Hospital Medical Center
                   VROOM Debate: Pick Your Lane - Do Nothing
     Anil Darbari, MD, MBA, Children’s National Hospital

 

Future Meetings

2024
November 7-9, 2024 Hollywood, FL
2025
November 6-8, 2025 Chicago, IL
2026
October 22-24, 2026 San Diego, CA 

 

Past Meetings

 

 

 

 

 

 

 

 

2022 NASPGHAN Annual Meeting - APGNN
Live Dates: October 12, 2022 – October 15, 2022
Enduring Dates: October 16, 2022 – April 16, 2023
Orlando, FL

Learn how to access recordings here

Acknowledgement of Financial Commercial Support
Abbott
Albireo Pharma
Kate Farms
Reckitt Mead Johnson

Acknowledgement of In-Kind Commercial Support
No in-kind commercial support was received for this educational activity.

Satisfactory Completion 
Learners must complete an evaluation form to receive a certificate of completion. If you need MOC credit, you also need to pass a posttest with a score of at least 80%. Your chosen sessions must be attended in their entirety.  Partial credit of individual sessions is not available. If you are seeking continuing education credit for a specialty not listed below, it is your responsibility to contact your licensing/certification board to determine course eligibility for your licensing/certification requirement.   

Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and NASPGHAN.  Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Nurse (ANCC)
Amedco LLC designates this activity for a maximum of 9.50 Live Activity / 9.50 Enduring Material ANCC contact hours

Nurse Pharmacology Credit at APGNN:

  • Friday, October 14, 2022 - 2:30 pm - 3:00 pm: 
    • Making Sense of Infant Formula: An Overview for Health Professionals - (.50 CE) 
  • Friday, October 14, 2022 - 4:00 pm - 4:30 pm: 
    • IBD Immunization - (.50 CE) 
  • Saturday, October 15, 2022 - 9:30 am - 10:00 am: 
    • Intro to TPN - (.50 CE) 
  • Saturday, October 15, 2022 - 11:00 am - 11:30 am: 
    • Utilization of Botox in the Pediatric GI Patient - (.50 CE) 

* 3.0 Live Activity / 3.0 Enduring Material ANCC contact hours can also be obtained by attending the following NASPGHAN Annual Meeting sessions: 

  • Saturday, October 15, 2022 2:00 pm – 3:30 pm:
    • Session V - When a Spoonful of Sugar Doesn't Make It Go Down (1.5 CE)
  • Saturday, October 15, 2022 3:45 pm – 5:15 pm:
    • Session VI – Beyond the Scope (1.5 CE)

Nurse Pharmacology Credit at NASPGHAN:

  • Saturday, October 15, 2022 2:00 pm  –3:30 pm:
    • Session V - When a Spoonful of Sugar Doesn't Make It Go Down (0.25 CE)
  • Saturday, October 15, 2022 3:45 pm – 5:15 pm:
    • Session VI – Beyond the Scope (0.25 CE)

Total APGNN Sessions: 9.5 CEs, 2 Pharmacology

Total NASPGHAN Concurrent Sessions: 3 CEs, 0.5 Pharmacology

Total Conference: 12.5 CEs, 2.5 Pharmacology


Objectives - After Attending This Program You Should Be Able To
1.    Improve clinical competence and performance through being acquainted with new discoveries in the pathophysiology of gastrointestinal, pancreatic, hepatobiliary, and nutrition related diseases.
2.    Improve clinical competence and performance through exposure to state of the art techniques that can be applied to the diagnosis and treatment of gastrointestinal, hepatobiliary, pancreatic and nutrition related diseases.
3.    Improve clinic competence and performance through becoming more familiar with the changing healthcare environment, the regulatory process, by which new discoveries come to application and the importance of advocacy and ethics in the practice of pediatric gastroenterology, hepatology, and nutrition.

How to Get Your Certificate
1.    Go to http://naspghan.cmecertificateonline.com 
2.    Click on the session titles you attended to evaluate:
            a. 2022 APGNN Annual Meeting
            b. 2022 Annual Meeting (NASPGHAN)
3.    Evaluate the meeting and click the hyperlink provided on the last page to claim your credit certificate.
4.    Save/Download/Print all pages of your certificate for your records.
5.    If you lose your certificate, or need help, go to help.cmecertificateonline.com

Questions? Email Certificate@AmedcoEmail.com