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Pediatric Small Bowel & Colon Disorders

A comprehensive fellowship module covering the diagnosis and management of pediatric small bowel and colonic disease — celiac disease, inflammatory bowel disease, functional GI disorders, Hirschsprung disease, chronic diarrhea, food-protein allergic disorders, and polyposis syndromes. This is the single largest category in the SCFHS Pediatric Gastroenterology, Hepatology & Nutrition Fellowship written-exam blueprint, weighted at 28%.

Lessons

Hours

CME

135

Questions

Learning Objectives

Apply the ESPGHAN 2020 diagnostic criteria for celiac disease, including the non-biopsy pathway, and formulate a gluten-free diet and follow-up plan

Classify pediatric Crohn disease and ulcerative colitis using the Paris Classification and calculate PCDAI/PUCAI activity scores to guide therapy

Recognize red flags for very early onset and monogenic IBD and outline the induction/maintenance treatment ladder for pediatric IBD

Apply Rome IV pediatric criteria to diagnose functional abdominal pain disorders and functional constipation, and design a step-up management plan including disimpaction and maintenance laxative therapy

Differentiate osmotic from secretory chronic diarrhea, recognize Hirschsprung disease and other colonic motility disorders, and identify non-IgE-mediated food-protein allergic syndromes (CMPA, FPIES)

Recognize the clinical features of juvenile polyps and hereditary GI polyposis/cancer-predisposition syndromes and determine when genetics referral and surveillance are indicated

Pediatric Small Bowel & Colon Disorders

Lessons

Hours

CME

135

Questions

Learning Objectives

Apply the ESPGHAN 2020 diagnostic criteria for celiac disease, including the non-biopsy pathway, and formulate a gluten-free diet and follow-up plan

Classify pediatric Crohn disease and ulcerative colitis using the Paris Classification and calculate PCDAI/PUCAI activity scores to guide therapy

Recognize red flags for very early onset and monogenic IBD and outline the induction/maintenance treatment ladder for pediatric IBD

Differentiate osmotic from secretory chronic diarrhea, recognize Hirschsprung disease and other colonic motility disorders, and identify non-IgE-mediated food-protein allergic syndromes (CMPA, FPIES)

Recognize the clinical features of juvenile polyps and hereditary GI polyposis/cancer-predisposition syndromes and determine when genetics referral and surveillance are indicated

Pediatric Small Bowel & Colon Disorders

Learning Objectives

Approach to the Child with Small Bowel & Colonic Disease

Celiac Disease: Epidemiology, Genetics & Pathophysiology

Celiac Disease: ESPGHAN 2020 Diagnostic Criteria & the Non-Biopsy Pathway

Celiac Disease: Gluten-Free Diet Management and Long-Term Follow-up

Pediatric IBD: Epidemiology, Pathogenesis & the Paris Classification

Crohn Disease: Clinical Presentation, Phenotype & Diagnosis

Ulcerative Colitis: Clinical Presentation & Diagnosis

Disease Activity Indices: PCDAI and PUCAI

IBD Induction Therapy: 5-ASA, Corticosteroids & Exclusive Enteral Nutrition

IBD Maintenance Therapy: Immunomodulators & Biologics

Therapeutic Drug Monitoring, Loss of Response & Surgical Considerations

Very Early Onset IBD (VEO-IBD) and Monogenic IBD Red Flags

Rome IV Functional Abdominal Pain Disorders: IBS, Functional Dyspepsia Overlap & Abdominal Migraine

Functional Constipation: Diagnosis and Step-Up Management

Encopresis: Recognition and Behavioral Management

Hirschsprung Disease and Other Colonic Motility Disorders

Chronic Diarrhea: Osmotic vs Secretory Approach

Congenital Diarrheal Disorders (Overview) & Toddler's Diarrhea

Cow's Milk Protein Allergy: Non-IgE-Mediated GI Food Allergy

Food Protein-Induced Enterocolitis Syndrome (FPIES)

Juvenile Polyps and Hereditary GI Polyposis Syndromes: Recognition & Referral

Infectious Colitis, Eosinophilic Colitis & Allergic Proctocolitis of Infancy

Pediatric Small Bowel & Colon Disorders

Learning Objectives

Approach to the Child with Small Bowel & Colonic Disease

Celiac Disease: Epidemiology, Genetics & Pathophysiology

Celiac Disease: ESPGHAN 2020 Diagnostic Criteria & the Non-Biopsy Pathway

Celiac Disease: Gluten-Free Diet Management and Long-Term Follow-up

Pediatric IBD: Epidemiology, Pathogenesis & the Paris Classification

Crohn Disease: Clinical Presentation, Phenotype & Diagnosis

Ulcerative Colitis: Clinical Presentation & Diagnosis

Disease Activity Indices: PCDAI and PUCAI

IBD Induction Therapy: 5-ASA, Corticosteroids & Exclusive Enteral Nutrition

IBD Maintenance Therapy: Immunomodulators & Biologics

Therapeutic Drug Monitoring, Loss of Response & Surgical Considerations

Very Early Onset IBD (VEO-IBD) and Monogenic IBD Red Flags

Rome IV Functional Abdominal Pain Disorders: IBS, Functional Dyspepsia Overlap & Abdominal Migraine

Functional Constipation: Diagnosis and Step-Up Management

Encopresis: Recognition and Behavioral Management

Hirschsprung Disease and Other Colonic Motility Disorders

Chronic Diarrhea: Osmotic vs Secretory Approach

Congenital Diarrheal Disorders (Overview) & Toddler's Diarrhea

Cow's Milk Protein Allergy: Non-IgE-Mediated GI Food Allergy

Food Protein-Induced Enterocolitis Syndrome (FPIES)

Juvenile Polyps and Hereditary GI Polyposis Syndromes: Recognition & Referral

Infectious Colitis, Eosinophilic Colitis & Allergic Proctocolitis of Infancy