Day 2 :
Keynote Forum
Anthony F Porto
Yale University School of Medicine, USA
Keynote: Celiac disease and gluten related disorders: Understanding what’s new with this new ‘old’ disease
Time : 09:05 am - 09:50 am
Biography:
Anthony F Porto is an Assistant Professor of Pediatrics and Associate Clinical Chief of Pediatric Gastroenterology at Yale University. He is also the medical directorrnof the Yale Pediatric Celiac Program. He has won numerous awards including the Norman J. Siegel Award at Yale University in 2015 for leadership and providingrnoutstanding clinical care as well as Physician of the Year during his time at Morgan Stanley Children’s Hospital. He is on the American Academy of Pediatrics PREPrnGastroenterology Editorial Board. He is interested in nutrition, especially in the care of children with difficulty gaining weight, feeding issues, and celiac disease.
Abstract:
Gluten-related disorders include celiac disease, wheat allergy and non-celiac gluten sensitivity. Though celiac diseasernaffects approximately 1% of the population, many more children are following a gluten-free diet. Understanding how tornevaluate children for celiac disease and other gluten-related disorders is important for both general pediatricians and pediatricrngastroenterologists. Though the gluten free diet is the only current therapy available for children with celiac disease, newerrnpotential therapies that are being developed will be reviewed. Two pilot studies to assess baseline practitioner evaluation,diagnosis and treatment practices were performed. Development of teaching modules will be important to address gaps inrncurrent management practices.
Keynote Forum
Uma Padhye Phatak
Yale University School of Medicine, USA
Keynote: Obesity and gastrointestinal disorders
Time : 09:50 am - 10:25 am
Biography:
Uma Padhye Phatak received her medical degree from India and completed her Pediatric internship and residency at Goryeb Children’s hospital in NJ. Sherncompleted her fellowship training in Pediatric Gastroenterology, Hepatology and Nutrition at Yale New Haven Children’s hospital, Yale School of Medicine. Duringrnfellowship, his research focused on understanding the immune mechanisms in children with inflammatory bowel disease. She provides care to children with generalrnGI conditions and also children with inflammatory bowel disease at the multidisciplinary pediatric IBD clinic at Yale New Haven Children's Hospital. His researchrninterests include obesity and GI disorders and nutrition in chronic GI disorders such as IBD.
Abstract:
Obesity in children is an issue of global magnitude. Several studies report an association between obesity and functionalrngastrointestinal disorders. Recently, obesity is also becoming increasingly recognized at diagnosis of organic GI diseasesrnsuch as celiac disease and inflammatory bowel disease. An awareness of all possible complications and associations of obesity by the practicing physician is crucial to provide comprehensive care to obese children. Present data on the association betweenrnobesity and various common GI disorders will be discussed including the possible mechanisms and the clinical significance ofrnthese associations.
- Pediatric Gastrointestinal Disease
Pediatric Gastrointestinal Diseases Diagnosis
Pediatric Gastrointestinal Diseases Treatment
Session Introduction
Eyad Mahmoud Altamimi
Mutah University, Jordan
Title: Workshop on Biotics - The wisdom of grandmas
Time : 10:45 am - 11:45 am
Biography:
Eyad Mahmoud Altamimi is an Associate Professor of Pediatrics at the Faculty of Medicine at Mutah University. He had his pediatric gastroenterology training at McMaster University, Hamilton, Canada. He is working in underprivileged areas, which is always inspiring for him. His most recent research focused on functional pediatric gastrointestinal disorders.
Abstract:
On the past few decades, enormous bulk of research addressed the importance of gut microbiota and the disease-health relationship associated with its modification. Probiotics and prebiotics are ways of stabilizing or modifying gut microbiota. By the end of this presentation, attendees should be able to: • Identify the difference between pro-, pre- and synbiotics • Know the evidence-based benefits of prebiotics and probiotics in pediatric gastrointestinal disorders • Know the limitation of the use pre and probiotics.
Ingrid G Malaluan
St. Luke’s Medical Center, Philippines
Title: An assessment of the Alvarado scoring system in the diagnosis of acute appendicitis among the pediatric patients at a tertiary care medical center
Time : 11:45 am - 12:15 pm
Biography:
Ingrid G Malaluan has completed her BS in Biology from the University of the Philippines in 2005. She has completed her Doctor of Medicine at the University Of Santo Tomas Philippines in 2009 and her Internship training at the UST Hospital. She has completed her Pediatric Residency training at St. Luke’s Medical Center- Quezon City, Philippines in 2013 and became the Chief Resident of the Department of Pediatrics in 2014.
Abstract:
Objectives: To review the demographics and clinical course of admitted patients with possible acute appendicitis (AA), determine the Alvarado score of operated patients and correlate with histopathology results, correlate the Alvarado score and ancillary procedure results, describe the alternative diagnoses of patients initially considered to have AA and to determine the negative appendectomy rate. Design: It is a retrospective & descriptive study. Setting: St. Luke’s Medical Center, Philippines, a tertiary, private institution. Participants: 82 admitted pediatric patients from the ER (January 2012 to June 2013), assessed using the Alvarado score and suspected to have AA were included. Patients with imaging confirmed diagnosis or those who were already treated conservatively upon arrival at the ER, patients with incomplete documentation or who were discharged against medical advice were excluded. Main Outcome Measure: Histopathology findings among post-appendectomy patients and alternative diagnoses among those who were not operated on. Results: There was a significant difference in the number of patients with scores 1-4, 5-6, and 7-10 with and without appendicitis, thus a significant correlation between the Alvarado score and the diagnosis of AA existed. Among patients with AA, there is an increasing trend of making accurate diagnosis with an increasing score group. Conversely, an opposite trend is observed among those without AA. The negative appendectomy rate was 10.6%. Conclusion: The Alvarado scoring system is a practical non-invasive diagnostic procedure that is simple, fast, safe and reliable. It categorizes patients for discharge and for admission for further evaluation and management. Patients with score 7-10 should undergo appendectomy to avoid complications. Patients with score 5-6 should be admitted for observation and further evaluation. Score 1-4 can be discharged with an advice to seek consult as indicated.
Nuru Ahmed Seid
Bahirdar University, Ethiopia
Title: Double intussusception of ileum through patent vitellointestinal duct: Case report
Time : 12:15 pm - 12:45 pm
Biography:
Nuru Ahmed is a Senior Surgical Resident in Bahirdar University, Ethiopia. He is a graduate from Jimma University and he is currently practicing Surgery in Felege Hiwot Referral Hospital.
Abstract:
A patent vitellointestinal duct is an uncommon condition and its persistence can result in different vitelline duct anomalies, most common of which is Meckel’s diverticulum. Patent duct with prolapse of bowel through it is a very rare condition. Here we present a case of double intussusception of ileum through patent VID in a 31 year old boy. The boy had history of cough which increases the intra abdominal pressure and causes the prolapse through the patent VID. Because there was some ischemic segment of bowel and the defect was wide we did resection and end to end anastomosis. The case is a very rare condition. Its incidence, diagnosis and treatment will be discussed.
Endris Alkadir
Bahirdar University, Ethiopia
Title: Mesosigmoid hernia: A rare presentation of internal hernia and review of literature
Time : 13:45 pm - 14:15 pm
Biography:
Endris Alkadir is a senior surgical resident working in Felege Hiwot Referla Hospital. He was graduated from Gondar University as a medical practitioner and is inclined to hepatobilliary surgery.
Abstract:
Internal abdominal hernias are infrequent cause of intestinal obstruction in children. In children usual causes of obstruction are intussusceptions, congenital band ligation, malrotation and foreign bodies. Here we report a case of mesosigmoid hernia in a 10 year old child after he was presented with complaint of abdominal pain of two days duration. He was admitted to our hospital and was x-rayed and put on conservative management. But the patient condition was worsened and exploratory laparotomy was done and segment of mid ileum was herniated through sigmoid mesocolon on the left lateral side. Sac was opened and the hernia reduced but was gangrenous so we do resection and end to end anastomosis and the hernia sac repaired.
Wassihun Nega
Bahirdar University, Ethiopia
Title: Successful surgery for a case of multiple jejuno-ilial atrasia with associated imperforated anus
Time : 14:15 pm - 14:45 pm
Biography:
Wassihun Nega is a G C graduated from Jimma University for the Doctor of medicine and has two years working experience as a lecturer at Bahirdar University. At present, he is a third year resident in Gyne/Obstetrics in BDR University.
Abstract:
Background: Intestinal atresia is a congenital condition in which the lumen of the intestine is occluded. The cause is still enigmatic but there are theories that try to explain the pathogenesis. Theories include ischemia in early development from utero-placental insufficiency and as part of VACTREL associations as it occurred in different chromosomal problems. Case Presentation: A 2800gm neonate is born from a para-vi mother at a gestational age of 36weeks.The mother had only two antenatal follow up. In the last two weeks before delivery she had excessive abdominal distension with shortness of breath from mechanical effect of the uterus. Obstetric ultrasound identified excess amniotic fluid with AFI of 37cms, with doubtful bowl obstruction. Delivery decided with cesarean section as it was breach presentation. The outcome was 2800gm male with APGAR of 8 & 9 in the 1st and 5th minutes, with imperforated anus. In the second day while investigations are underway the baby developed abdominal distension for which laparatomy was done to find five short segmented atretic areas with the average equal length After the surgery the baby was in good condition and is on follow up. The case is a rare condition and diagnosis and treatment will be discussed. Conclusion: Short bowl syndrome can be prevented with multiple anastomosis in congenital multiple atresias and interval surgery is appropriate in case of other associated anomalies for better out come.