Past Events

Pediatric Bowel Management 2013

Aired on 5.08.2013
Pediatric Bowel Management 2013CME

Join our symposia directors Andrea Bischoff, Alberto Peña and Todd Ponsky for this live video webcast and global discussion covering a wide range of topics related to diagnosis and management of fecal incontinence, constipation and stoma management in the pediatric patient. This innovative virtual symposium will feature discussion on controversial/hot topics surrounding the management and diagnosis of pediatric bowel conditions.  Distinguished faculty from around the world will offer presentations and participate in interactive panel discussions with live text chat and phone-in question/answer throughout.  With our shows, you become part of the discussion.


This live, virtual symposium is jointly sponsored by Akron Children's Hospital, Cincinnati Children's Hospital and GlobalCastMD.  The topics will cover the diagnosis and management of fecal incontinence, constipation and stoma management in the pediatric patient and controversies surrounding such treatments.  As with all of our courses, this will be virtual and include dynamic topics and debates from key opinion leaders worldwide.

Directors & Faculty


Todd Ponsky, MD

Director, Clinical Growth and Transformation; Pediatric Surgeon, Division of Pediatric General and Thoracic Surgery, Cincinnati Children’s Hospital Medical Center; Professor, Department of Surgery, University of Cincinnati

Andrea Bischoff, MD

Andrea Bischoff is a pediatric surgeon for the Colorectal Center at Cincinnati Children’s Hospital Medical Center. She earned her medical degree at University of Brasilia – Brasilia, Brazil. Her general surgery residency and pediatric surgical fellowship were completed at Brasilia University Hospital - Brasilia, Brazil.

Alberto Peña, MD

Founding Director, Colorectal Center Professor, Division of Pediatric Surgery. Since 1982 until the present, Dr. Peña has been traveling all over the world, lecturing and operating on children affected by this particular malformation. At the present time, Dr. Peña dedicates 80 percent of his time to the treatment of anorectal problems in children. Seventy percent of the patients operated on by Dr. Peña at Cincinnati Children's come from other states and from all over the world.

Additional Faculty

Michael Allshouse, MD

Medical Director, Pediatric Surgery and Pediatric Trauma Program, Children's Hospital Central California, Maderna, California.

Alp Numanoglu, MD

Charles FM Saint Professor of Pediatric Surgery, University of Cape Town and Red Cross Children's Hospital, Cape Town, South Africa.

Ernesto Leva, MD

Department of Pediatric Surgery, FONDAZIONE IRCCS CA’ GRANDA Milan, Italy.

Samuel Nurko, MD

Associate Professor of Pediatrics, Harvard Medical School; Director, Center for Motility and Functional Gastrointestinal Disorders, Children's Hospital Boston

Ramon Ruiz, MD

Since 2011, Drs. Juani Sanches & Ramon Ruiz started an adapted bowel management program in Murcia with encouraging results, presenting them last year at the national pediatric surgery congress in Spain. General Hospital University of Santa Lucía de Cartagena, Spain.

Monica Holder, BSN, RN II, CPN

Monica Holder, BSN, RN II, CPN is our Nurse Coordinator for the Colorectal Center. In her role, she is responsible for the day to day clinical operations, and lead nurse for the team. Monica has been with the Colorectal Center for over 17 years both inpatient and outpatient, and is recognized both nationally and internationally for her expertise in the care of our colorectal patients. She is a member of the Pull-Through Network (PTN), as well as the American Pediatric Surgical Nurses Association, Inc. (APSNA), in which she is co-chair of a Bowel Management Program Special Interest Group.  She is a graduate of Miami University /Good Samaritan Hospital and from Mt. St. Joseph for her BSN.  She holds a Certification in Pediatric Nursing.  Her expertise is in IBD, HD, ARM, constipation and fecal incontinence.

Stefanie Maerzheuser, MD

Department of Paediatric Surgery, Charité University Hospital, Berlin, Germany

Jeffrey Avancino , MD

Assistant professor of surgery at the University of Washington Pediatric surgeon, Division of Pediatric General and Thoracic Surgery, Seattle Children's Hospital.

Ana Paula Souza, MD

Pediatric surgeon at the Department of Pediatric Surgery, Hospital Materno Infantil de Brasilia since 2000. Medical degree earned at University of Brasilia - Brasilia, Brazil. General surgery residency and pediatric surgical fellowship completed at Brasilia University Hospital - Brasilia, Brazil.


9:00 am - 9:10 am
Technical and Content Overview

9:10 am - 9:30 am
Anorectal malformation with focus on prognosis for bowel control.
9:30 am - 10:15 am
Panel Discussion & Case Presentations
10:15 am - 10:35 am
Hirschsprung's Disease
10:35 am - 11:15 am
Panel Discussion & Case Presentations
11:15 am - 11:30 am
11:30 am - 11:45 am
Differentiating between true fecal incontinence vs. psuedo fecal incontinence (constipation with overflow)
11:45 am - 12:00 pm
Panel Discussion & Case Presenations
12:00 pm - 12:15 pm
Treatment of fecal incontinence with enemas (bowel management through the stoma, bowel management for diaper rash)
12:15 pm - 12:30 pm
How to administer an enema
12:30 pm - 12:45 pm
Bowel Management in Communities with Limited Resources
12:45 pm - 1:00 pm
The use of ultrasound to monitor the effect of an enema
1:00 pm - 1:15 pm
Panel Discussion & Case Presentations
1:15 pm - 1:30 pm
1:30 pm - 1:45 pm
Treatment of constipation and psuedo-fecal incontinence with laxatives
1:45 pm - 2:00 pm
Panel Discussion & Case Presentations
2:00 pm - 2:15 pm
Closing remarks
2:15 pm - 2:30 pm
Adjourning Remarks

Topics Covered

  • Fecal Incontinence 
  • Constipation
  • Stoma management



1) Recognize the difference between true and pseudo fecal incontinence, 

2) Learn how to treat fecal incontinence and constipation, 

3) Evaluate the surgical indications in fecal incontinence and constipation, 

4) Review the prognosis for bowel control according to the type of anorectal malformation,

 5) Evaluate possible complications from the surgical correction of Hirschsprung that can cause fecal incontinence, 

6) Apply the bowel management concepts in patients with myelomeningocele, pelvic trauma, absent sacrum or large sacroccocygeal teratoma that also suffer from fecal incontinence.


Disclosures and Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas, Elements & Policies of the Ohio State Medical Association_ through the joint sponsorship of Children’s Hospital Medical Center of Akron, and GlobalCastMD.  Children’s Hospital Medical Center of Akron is accredited by the OSMA to provide continuing medical education for physicians. 

The Children's Hospital Medical Center of Akron designates this live activity for a maximum of 4.5 AMA PRA Category 1 Credits TM  Physicians should claim only the credit commensurate with the extent of their participation in this activity.

This event is produced by Akron Children's Hospital.