Past Events

Innovation and Management of Pediatric Intestinal Failure

Aired on 12.17.2014
Innovation and Management of Pediatric Intestinal Failure CME
Join the multidisciplinary team from Cincinnati Children’s and several of their national and international colleagues in pediatric gastroenterology and surgery as they review innovation and controversy surrounding pediatric intestinal failure. This course will feature case presentations, panel discussion, and video of the challenges in managing pediatric intestinal failure. Audience participation along with lively interaction among global experts in the field of pediatric intestinal rehabilitation and surgery will examine current issues and controversies.


Directors & Faculty


Conrad Cole, MD

Conrad Cole, MD, is an expert in the management of infants with intestinal failure and short bowel syndrome. He is an associate director of the Pediatric Nutrition and Intestinal Care Center in the Division of Gastroenterology, Hepatology and Nutrition. In addition, he is an associate professor of pediatrics at the University of Cincinnati College of Medicine.
Dr. Cole's research interest is in the epidemiology of intestinal failure and it's complications especially in identifying risk factors associated with worsening prognosis. He is also interested in micronutrient malnutrition specifically zinc and iron and how they impact other micronutrients in preschool children especially from low income minority populations.

Samuel A. Kocoshis, MD

Samuel Kocoshis, MD, is an expert in the management of complex intestinal and liver disease at Cincinnati Children's Hospital Medical Center.
Dr. Kocoshis' long-standing research interest has been altered bile acid metabolism in gastrointestinal disease. His current clinical research program focuses upon intestinal adaptation following massive small intestinal resection, as well as the immunology of intestinal transplantation.

Michael A. Helmrath, MD, MS

Surgical Director, Intestinal Rehabilitation Program Director of Surgical Research Pediatric Surgeon, Colorectal Center
​As a pediatric surgeon, Dr. Helmrath has dedicated his career to the care of patients with intestinal failure. The focus of his laboratory is directed towards characterizing intestinal stem cells during intestinal adaptation and developing intestinal regenerative strategies. By combining his clinical experience as the surgical director of intestinal research and rehabilitation at Cincinnati Children’s, his long-term goal is to establish translational therapies for the management of patients with short bowel syndrome.

Todd Ponsky, MD

Todd Ponsky is currently Professor of Surgery at the University of Cincinnati and a pediatric surgeon at Cincinnati Children’s Hospital Medical Center and Akron Children’s Hospital. He is the Director of Clinical Growth and Transformation at Cincinnati Children’s Hospital. He attended medical school at Case Western Reserve University in Cleveland, Ohio from 1995-1999,Residency in General Surgery at The George Washington University in Washington, DC from 1999-2005, Pediatric Surgery Fellowship at Children's National Medical Center in Washington, DC from 2005-2007,and an Advanced Minimally Invasive Pediatric Surgery Fellowship at The Rocky Mountain Hospital for Children in Denver, CO from 2007-2008. Dr. Ponsky was the first to perform and report single port surgery in children and modernized the methods of the laparoscopic pediatric hernia repair. He has published over 125 manuscripts, edited 3 textbooks, and authored over 30 book chapters. He has directed over 50 national/international courses and has given over 200 visiting lectureships. He is the Associate Editor for The Journal of Pediatric Surgery, and serves on three editorial boards. He is the immediate past president of the International Pediatric Endosurgery Group (IPEG) and holds, or has held, leadership positions in the American College of Surgeons (ACS), the American Pediatric Surgical Association (APSA), the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) and the International Society for Pediatric Innovation (iSPI). He has won numerous faculty teaching awards. He is involved in both outcomes and animal research with a focus on inguinal hernia physiology, surgical telementoring, endoscopic repair techniques for pure esophageal atresia, and innovations in education. He founded GlobalcastMD and Stay Current in Surgery, both of which serve to democratize and internationalize medical knowledge and modernize the way we teach and learn surgery.

Additional Faculty

R. Cartland Burns, MD

Dr. Burns graduated from University of Missouri – Kansas City and completed General Surgical training at University of Southern California – Los Angeles County Hospitals, Pediatric Surgical training at Childrens Hospital Los Angeles and a research fellowship investigating intestinal blood flow at the Johns Hopkins Hospitals.

Valeria Cohran, MD

Assistant Professor in Pediatrics-Gastroenterology, Hepatology and Nutrition

Monique Goldschmidt, MD

Dr. Goldschmidt a pediatric gastroenterologist and hepatologist with a focus on liver and small bowel disease.  Her primary role is to care for children with hepatobiliary and intestinal diseases in order to optimize their health and quality of life. Dr. Goldschmidt’s research interests include intestinal adaptation, immunologic complications following liver/intestinal transplantation, and improvement of outcomes both before and after transplantation. She seeks active involvement in multi-center studies and relevant clinical/translational trials in order to effectively integrate research into patient care. 

Dr Girish Gupte, Pediatric Hepatologist

Dr. Girish finished his undergraduate and postgraduate studies (M.D. paediatrics) in India and came to UK for his higher specialist training. He has worked at Birmingham Children's Hospital (BCH) for twelve years. He first came to BCH as a Registrar and now practices as a consultant. Girish works primarily at BCH but also practices at five other small bowel outreach clinics across the country. Girish works in joint intestinal failure clinics and joint endocrine clinics at BCH.

Simon Horslen, MB, CHB

Simon Horslen, MB ChB, is Director of the Hepatobiliary and Intestinal Failure programs and Medical Director for Liver and Intestine Transplantation at Seattle Children’s Hospital as well as Professor of Pediatrics at the University of Washington School of Medicine. Horslen earned his medical degree from the University of Bristol, England.

Jeffrey Rudolph, MD

Assistant Professor, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC

Robert Venick, MD

Dr. Robert Venick is an Assistant Clinical Professor of Pediatric Gastroenterology, Hepatology and Nutrition at The Mattel Children's Hospital at UCLA. Having trained at UCLA, Dr. Venick has been a part of the intestinal failure, and the liver and intestinal transplant team at UCLA over the past several years.


8:00 am - 8:05 am

8:05 am - 8:35 am
Medical Management vs. Surgery

8:35 am - 9:10 am
Pharmacologic Enhancement of Adaptation Avoiding Intestinal Failure
and panel discussions

9:10 am - 9:50 am
Intestinal Failure-getting the patient out of trouble
with Discussion

9:50 am - 10:40 am
Management of TPN-lipid reduction vs. fish oil

10:40 am - 11:25 am
Intestinal Transplant Bowel Lengthening
with Discussion

11:25 am - 12:00 am
​Timing the Surgical Procedures including take down of Stomas

12:00 pm - 12:05 pm
Conclusion of Event

Topics Covered

  • Medical Management vs. Surgery
  • Pharmacologic Enhancement of Adaptation Avoiding Intestinal Failure
  • Intestinal Failure-getting the patient out of trouble
  • Management of TPN-lipid reduction vs. fish oil
  • Intestinal Transplant Bowel Lengthening
  • ​Timing the Surgical Procedures including take down of Stomas


·       Identify patients who are at risk for intestinal failure
·       Discuss surgical approaches to augment the adaptive response (serial transverse enteroplasty versus tapering versus longitudinal intestinal lengthening)
·       Recognize non-surgical strategies to augment the adaptive response (continuous versus bolus feeding, pharmacologic agents)
·       Identify best practices in parenteral nutrition-lipid restriction vs. fish oil
·       Discuss indications for intestinal transplantation

Disclosures and Accreditation Statement

Cincinnati Children’s Hospital Medical Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Cincinnati Children’s designates this live activity for a maximum of 3.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
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