Exocrine Pancreatic Insufficiency:
Diagnosis and Management



Please join NASPGHAN and the NASPGHAN Foundation for an 80-minute CME webinar on the latest scientific information regarding Pancreatic Insufficiency: Diagnosis and Management.

Release Date:    June 28, 2016
Expiration Date: June 28, 2019

Please review the following information, scroll down to the bottom of the page and click on the "REGISTER" link . After registering, the webinar player page link will be displayed. You will also receive an e-mail with this information.

Veronique Morinville MD, CM, FRCPC
Associate Professor of Pediatrics; Division of Pediatric Gastroenterology and Nutrition, Montreal Children's Hospital, McGill University, Montreal, QC
Maisam Abu-El-Haija, MD
Assistant Professor of Pediatrics, Medical Director, Pancreas Care Center, Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
J. Antonio Quiros, MD
Associate Professor, Division of Pediatric Gastroenterology and Nutrition, Medical University of South Carolina, Charleston, SC
Mark E. Lowe, MD, PhD
Professor and Vice-Chairman of Pediatrics, Chief, Pediatric Gastroenterology, Hepatology and Nutrition, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, PA
Tami Miller, RD, CSP
Clinical Dietitian Specialist, Cystic Fibrosis Program, Children’s Hospital of Wisconsin, Milwaukee, WI

Terry Sigman, MD, FRCP
Assistant Professor of Pediatrics, Division of Pediatric Gastroenterology and Nutrition, Montreal Children’s Hospital, McGill University, Montreal, QC

Exocrine pancreatic insufficiency (EPI) results from different underlying etiologies and has negative implications on the children’s growth and health. Cystic fibrosis CF is the most common etiology that leads to EPI. Other conditions that cause EPI in children include but are not limited to, Shwachmann Diamond Syndrome, Pearson Marrow Syndrome and others. All of these present in the early years of life rather than in adulthood, making EPI mainly a pediatric problem. Chronic pancreatitis, a growing problem in pediatrics, also may be complicated by the development of exocrine pancreatic insufficiency, representing another mechanism by which children may manifest EPI symptoms.

Regardless of the underlying etiology for EPI, it remains a condition that has serious sequelae and can lead to malabsorption, diarrhea, malnutrition, bone disease, and growth failure if not promptly diagnosed and treated. These symptoms mimic other disorders making it a diagnostic dilemma in the pediatric specialist’s office.

We thus need educational tools to shed the light on the most frequent presentations and the basic work up that can help health care providers recognize this entity. We also need more education for pediatric gastroenterology specialists because many are very uncomfortable with the diagnosis and treatment of EPI patients.

This activity is designed for Pediatric gastroenterologists, pediatric gastroenterology fellows, pediatric gastroenterology nurse practitioners, and pediatric gastroenterology dieticians.

Upon completion of this activity, participants should be better able to:

• Illustrate symptoms, presentations, differential diagnoses, and testing of children with possible EPI

• Review digestion of carbohydrates, proteins, and fats to understand the rationale for EPI therapy

• Describe pancreatic enzyme replacement therapy (PERT) + other treatments -- and their monitoring

• Review Trouble-shooting PERT in special patient populations

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the North American Society for Pediatric Gastroenterology,Hepatology and Nutrition (NASPGHAN) and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition. NASPGHAN is accredited by the ACCME to provide continuing medical education for physicians.

NASPGHAN designates this enduring activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NASPGHAN is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 1.0 continuing professional education units (CPEUs) for completion of this program.

All faculty/speakers, planners, abstract reviewers, moderators, authors, coauthors, and administrative staff participating in the continuing medical education programs sponsored by NASPGHAN are expected to disclose to the program audience any/all relevant financial relationships related to the content of their presentation(s).

Accordingly, the NASPGHAN staff have reported no financial relationships with any commercial interests related to the content of this educational activity.

* Veronique Morinville MD, CM, FRCPC has nothing to disclose.
* Maisam Abu-El-Haija, MD has nothing to disclose.
* J. Antonio Quiros, MD has nothing to disclose.
* Mark E. Lowe, MD, PhD is a consultant for Nordmark Arzneimittel GmbH & Co and EMD Millipore Co.
* Tami Miller, RD, CSP has nothing to disclose.
* Terry Sigman, MD, FRCP has nothing to disclose.
* Planners Amy Manela, and Richard Weimer have nothing to disclose.

In accordance with ACCME Standards for Commercial Support of CME, NASPGHAN and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition implemented mechanisms to identify and resolve conflicts of interest for all individuals in a position to control content of this CME activity. To resolve identified conflicts of interest, the educational content was peer-reviewed by a physician member of the NASPGHAN Review Committee who has nothing to disclose. The resulting certified activity was found to provide educational content that is current, evidence-based, and commercially balanced.

This activity consists of a slide set plus online posttest and CME evaluation.

To receive CME/CPE credit for reviewing this activity, participants must review the CME/CPE information (learning objectives, disclosures, etc.), review the entire activity, and complete the activity posttest and evaluation questions.

To complete the activity posttest and evaluation, please visit THIS PAGE.

Certificates will be provided immediately after completion of both the posttest and evaluation. For any questions about receiving credit, please e-mail Blia@Amedcoemail.com

Jointly sponsored by NASPGHAN and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition. For questions, please contact:

714 Bethlehem Pike, Ambler, PA 19002-2655
Phone: (215) 641-9800   Fax: (215) 641-1995

The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of NASPGHAN, The NASPGHAN Foundation for Children’s Digestive Health and Nutrition, or AbbVie. This material is prepared based upon a review of multiple sources of information, but it is not exhaustive of the subject matter. Therefore, health care professionals and other individuals should review and consider other publications and materials on the subject matter before relying solely upon the information contained within this educational activity.

NASPGHAN and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition will make every effort to protect the privacy of every individual participant of this activity and will use information gathered only to maintain records as required by the American Medical Association (AMA) and ACCME.

This activity does not require readers to register to review the material, with the exception of physicians and otherhealth care providers who desire to receive CME credit for this accredited activity. If an individual completes aCME for this accredited activity, we are required by the AMA and ACCME to collect personal information on the individual, such as their name, address, and phone number, that will allow us to issue a CME certificate to them and to keep this information on file for up to 6 years. Personal information gathered will not be released to any other company or organization for any purpose. This information remains totally confidential.

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The webinar begins June 28, 2016 at 8:00pm ET. No content will be available prior to that time.

Jointly sponsored by NASPGHAN and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition.

This educational activity is supported by an independent medical education grant from AbbVie.

© Copyright 2016 NASPGHAN and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition.

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