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Pediatric Colorectal, Motility and Pelvic Reconstruction Conference

Aired on 11.12.2014
$99.00
Pediatric Colorectal, Motility and Pelvic Reconstruction Conference
Join us as we broadcast live from Nationwide Children's Hospital for the Pediatric Colorectal, Motility and Pelvic Reconstruction Conference on November 12-14, 2014. GlobalcastMD will be broadcasting the first day of the conference for those who would like to attend virtually. The day of broadcast focuses ONLY on anorectal malformations.  Information below outlines the entire course.

For on site registration for all days, please visit Nationwide Children's Hospital website at http://www.nationwidechildrens.org/colorectal-conference
  • Hands-on surgical labs
  • Case discussions
  • Live surgery cases with discussion
  • Case presentations with expert panels, including guest presenters
  • Multi-disciplinary approach to pediatric colorectal, motility and pelvic reconstruction problems
  • Interactive sessions with panel discussions, audience response system, Q&A, live Twitter feed
  • Special sessions for trainees and audience case presentations
To obtain CME credit for this recorded event, please go to the "links" tab in the blue bar below to use the Nationwide Children's Hospital CME system.

Description

The course is designed for pediatric surgeons and trainees, pediatric urologists and trainees, pediatric gynecologists and trainees, pediatric gastroenterologists and trainees, and pediatric nurses and nurse practitioners who care for children with these problems.

Directors & Faculty

Directors

Marc A. Levitt, MD

Surgical Director for the Center for Colorectal and Pelvic Reconstruction, Program Director for the Pediatric Colorectal Fellowship at Nationwide Children's Hospital. Dr. Levitt has published over 120 manuscripts and 60 book chapters, and has delivered over 300 national/international and 100 local/regional presentations of his work. He has been an invited visiting professor all over the world. Dr. Levitt has trained numerous clinical fellows, research fellows and students in his career. He has directed numerous colorectal training courses attended by established surgeons and surgical trainees from all over the world. He dedicates much of his free time to mission trips around the world where he trains surgeons in his complex surgical techniques.
Nationwide Children's Hospital, Columbus, OH.

Venkata Jayanthi, MD

Chief of the Section of Pediatric Urology at Nationwide Children’s Hospital and a Clinical Associate Professor of Surgery in the Department of Urology at The Ohio State University College of Medicine. Dr. Jayanthi is a full time pediatric urologist with expertise in all aspects of the medical and surgical management of genitourinary problems including such diverse conditions as urinary tract infections, hydronephrosis, urinary incontinence, hypospadias and intersex conditions. He started the pediatric urology laparoscopic surgery program and directs the program for complex genitourinary reconstructive surgery for both congenital and acquired conditions. He travels extensively overseas conducting educational and surgical missions in varied locations throughout the world.
Nationwide Children’s Hospital, Columbus, OH

Carlo Di Lorenzo, MD

Chief of the Division of Pediatric Gastroenterology, Hepatology and Nutrition at Nationwide Children's Hospital and Professor of Pediatrics at The Ohio State University College of Medicine. Dr. Di Lorenzo has been among the first clinical investigators to assess the diagnostic value of antroduodenal and colonic manometry and to use the electronic barostat to assess visceral sensitivity in children. He co-authored the only two books on pediatric gastrointestinal motility and has published more than 140 peer-reviewed original articles and 80 chapters, invited reviews and editorials. He has been awarded the Master Award in Gastroenterology for Basic or Clinical research in Gastroenterology by the AGAI and the Award for Senior Investigator in Pediatrics by the IFFGD. Dr. Di Lorenzo has also held prominent roles in numerous national and international organizations and work groups.
Nationwide Children's Hospital, Columbus, OH.

Karen Diefenbach, MD

Director, Minimally Invasive Surgery, Nationwide Children’s Hospital; Assistant Professor, Division of Pediatric Surgery, The Ohio State University College of Medicine, Columbus, OH
 


Additional Faculty

Karen Rybolt, BSN, RNBC

Clincal Lead/Program Coordinator, The Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, OH

Brenda Ruth, RN, BSN, CWON

Wound/Ostomy Nurse Clinician, Nationwide Children's Hospital, Columbus, OH

Connie Mantel, RN, CPN

General Surgery Nurse, Reconstructive Pelvic Medicine, Divisions of Pediatric General Surgery and Pediatric Urology, Seattle Children’s Hospital. Seattle, WA    

Lisa Creelman, BSN, RN, CPN

Nurse Coordinator for Complex Urinary Patients, Columbia University Medical Center, Morgan Stanley Children’s Hospital, New York, NY

Kaleigh Peters, MS, APRN, FNP-C

Nurse Practitioner, The Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, OH
 

Onnalisa Nash, MSN, APRN, CPNP

Nurse Practitioner, The Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, OH

Jackie Cronau, RN, BSN, CWOCN

Wound/Ostomy Nurse Clinician, Nationwide Children’s Hospital, Columbus, OH

Kristina Booth, MSN, APRN, FNP-C

Nurse Practitioner, Center for Colorectal and Pelvic Reconstruction and Urology, Nationwide Children’s Hospital, Columbus, OH

Mark J. Hogan, MD

Chief, Vascular and Interventional Radiology, Nationwide Children's Hospital; Clinical Professor, The Ohio State University College of Medicine; Columbus, OH

Steven Kraus, MD

Chief, Radiography and Fluoroscopy. Radiologist, Department of Radiology. Associate Professor, UC Department of Radiology. Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

David Gregory Bates, MD

Section Chief, Fluoroscopy, Gastrointestinal and Genitourinary Radiology, Nationwide Children’s Hospital; Clinical Assistant Professor of Pediatrics and Radiology, The Ohio State University College of Medicine; Columbus, OH

Alejandro Flores-Sandoval, MD, MS

Director and Chair of Ambulatory and Community Practice; Associate, Motility and Functional Gastrointestinal Disorder Center, Division of Pediatric Gastroenterology and Nutrition; Boston Children’s Hospital, Boston, MA 

Hayat Mousa, MD

Medical Director, Center for Advanced Research in Neuromuscular Gastrointestinal Disorders (CARING), and Director, Advanced Training in Gastrointestinal Motility and Functional Disorders, Nationwide Children’s Hospital; Professor of Clinical Pediatrics, The Ohio State University College of Medicine, Columbus, OH

Wallace Crandall, MD

Medical Director, Quality Improvement Services; Director, The Center for Pediatric and Adolescent IBD; Nationwide Children's Hospital; Professor of Clinical Pediatrics, The Ohio State University College of Medicine; Columbus, OH

Geri Hewitt, MD

Chief of the Section of Obstetrics and Gynecology, Nationwide Children’s Hospital; Associate Professor of Clinical Obstetrics' Departments of Obstetrics and Gynecology and Pediatrics, The Ohio State University College of Medicine; Columbus, OH

Paul Merguerian, MD, MS

Chief, Division of Urology, Seattle Children’s Hospital; Professor of Urology, University of Washington, Seattle, WA

Bradley Kropp, MD

Professor of Pediatric Urology, Department of Urology, The University of Oklahoma; Chief of Pediatric Urology Service, Children's Hospital of Oklahoma, Oklahoma City, OK

Tony Khoury, MD

Medical Director of Pediatric Urology, Children's Hospital of Orange County; Chief of Pediatric Urology and Professor of Urology, University of California Irvine, Orange, CA

Richard W. Grady, MD

Director, Pediatric Urology Fellowship, Seattle Children's Hospital; Professor of Urology, University of Washington; Seattle, WA

John P. Gearhart, MD, FACS, FRCS

Professor of Pediatric Urology, Johns Hopkins Children's Center, Baltimore, MD

Patricio Gargollo, MD

Attending Surgeon, Division of Pediatric Urology, Department of Surgery; Director, Center for Complex Urogenital Reconstruction; Co-Director, Urology Robotic and Minimally Invasive Surgery Program; Texas Children’s Hospital; Associate Professor of Urology, Baylor College of Medicine, Houston, TX

Wouter F.J. Feitz, MD, PhD, FEBU, FEAPU

Professor of Pediatric Urology, Department of Urology, Radboudumc Amalia Children’s Hospital, Nijmegen, The Netherlands

Douglas Canning, MD

Chief, Division of Urology, The Children's Hospital of Philadelphia; Professor of Urology in Surgery, Perelman School of Medicine at the University of Pennsylvania; Philadelphia, PA

Mark Cain, MD

Chief of Pediatric Urology, Riley Hospital for Children at IU Health; Professor of Urology, Indiana University School of Medicine, Indianapolis, IN

Joseph G. Borer, MD

Director, Bladder Exstrophy Program; Director, Neurourology and Urodynamics; Co-Director, Urology Trauma Program; Senior Associate in Urology; Boston Children's Hospital; Assistant Professor of Surgery (Urology), Harvard Medical School, Boston, MA

Shumyle Alam, MD

Medical Director of Urodynamics, Assistant Professor, New York-Presbyterian Hospital, Columbia University, New York, NY

Daniel Teitlebaum, MD

Professor of Surgery, University of Michigan Health System, Ann Arbor, MI

Jonathan Sutcliffe, MDMB, ChB, FRCS

Consultant Paediatric Surgeon, Leeds General Infirmary, Leeds, UK

Donald Shaul, MD FACS

Regional Chief, Pediatric Surgery, Southern California Permanente Medical Group; Staff Surgeon, Kaiser Los Angeles Medical Center; Voluntary Associate Professor of Surgery, Keck School of Medicine, University of Southern California; Los Angeles, CA

Michael Rollins II, MD

Director, Pediatric Colorectal Center, Primary Children’s Medical Center; Associate Professor of Surgery, University of Utah School of Medicine, Salt Lake City, UT

Todd Ponsky, MD

Associate professor of surgery and pediatrics at Akron Children's Hospital, in Akron, OH. Currently Associate Professor of Surgery and Pediatrics and a Pediatric Surgeon at Akron Children's Hospital. Dr. Ponsky 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.

Paola Midrio, MD

Attending, Pediatric Surgical Division, University of Padua, Padua, Italy

Jacob Langer, MD, FRCSC

Robert M. Filler Chair and Chief, Pediatric General and Thoracic Surgery, The Hospital for Sick Children; Professor of Surgery, University of Toronto, Toronto, ON

Keith Georgeson, MD

Pediatric Surgeon, Providence Health & Services, Spokane, WA

Luis De la Torre, MD

Pediatric Surgeon, Division of Pediatric General & Thoracic Surgery; Director, Colorectal Center for Children, Children’s Hospital of Pittsburgh of UPMC; Associate Professor of Surgery, University of Pittsburgh, School of Medicine, Pittsburgh, PA

Ivo De Blaauw, MD

Assistant Professor, Pediatric Surgeon, Sophia Children's Hospital, Rottendam, and Radboud University Medical Centre, Nijmegen, the Netherlands

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.

Desalegn Yacob, MD

Medical Director, Center for Advanced Research in Neuromuscular Gastrointestinal Disorders (CARING), and Director, Advanced Training in Gastrointestinal Motility and Functional Disorders, Nationwide Children’s Hospital; Professor of Clinical Pediatrics, The Ohio State University College of Medicine, Columbus, OH

Daryl McLeod, MD, MPH

Clinical Instructor of Urology, Section of Pediatric Urology and Center for Clinical Outcomes Research, Nationwide Children's Hospital, Columbus, OH

Daniel Herz, MD

Attending Physician, Section of Pediatric Urology and Director, Robot-Assisted Laparoscopic Surgery, Nationwide Children's Hospital, Columbus, OH

Daniel DaJusta, MD

Pediatric Urology Surgeon, Nationwide Children's Hospital, Columbus, OH

Christina S. Ching, MD

Attending Urologist and Faculty, Nationwide Children’s Hospital, Columbus, OH

Seth Alpert, MD

Clinical Assistant Professor of Urology, Co-Director, Surgical Neuromoduation Center, Nationwide Children's Hospital, Columbus, OH

Bradley J. Needleman, MD, FACS

Associate Professor, Clinical General Surgery; Medical Director, Clinical Direction; and Physician, FGP-General Surgery, The Ohio State University Wexner Medical Center, Columbus, OH

Mark W. Arnold, MD

Professor, Clinical Colon and Rectal Surgery; Physician, FGP-Colon and Rectal Surgery, The Ohio State University Wexner Medical Center, Columbus, OH

Steven Teich, MD

Surgical Director, Neonatal Intensive Care Unit, Nationwide Children’s Hospital and Clinical Associate Professor of Surgery, The Ohio State University College of Medicine, Columbus, OH

Benedict Nwomeh, MD, MPH

Benedict Nwomeh, MD, MPH is a pediatric surgeon and professor at the Ohio State University, Columbus, OH. He is the fellowship director for the pediatric surgery training program at Nationwide Children’s Hospital, and associate director for the general surgery residency program at Wexner Medical Center. Among Dr. Nwomeh’s interests is training and surgical capacity building in low and middle income countries (LMICs). Dr. Nwomeh is currently Co-Chair of the Committee on Global Academic Surgery for Society of University Surgeons (SUS).

R. Lawrence Moss, MD

Surgeon-in-Chief, Nationwide Children's Hospital; E. Thomas Boles Jr., Professor of Surgery, The Ohio State University, College of Medicine; Columbus, OH

Peter C. Minneci, MD, MHSc

Co-Director, Center for Surgical Outcomes Research, Center for Innovation and Pediatric Practice, Nationwide Children’s Hospital; Assistant Professor of Pediatric Surgery, The Ohio State University College of Medicine, Columbus, OH

Katherine Deans, MD, MHSc

Co-Director, Center for Surgical Outcomes Research, Center for Innovation and Pediatric Practice, Nationwide Children’s Hospital; Assistant Professor of Pediatric Surgery, The Ohio State University College of Medicine, Columbus, OH

Donna Caniano, MD

Professor of Surgery emeritus, The Ohio State University College of Medicine; Surgeon-in- Chief emeritus, Nationwide Children’s Hospital; Columbus, OH

Christopher Breuer, MD

Director, Tissue Engineering Program; Attending Pediatric Surgeon, Division of Surgery; Nationwide Children’s Hospital, Columbus, OH

Gail Besner, MD

H. William Clatworthy Professor of Pediatric Surgery; Chief, Department of Pediatric Surgery; Principal Investigator, Center for Perinatal Research; Associate Director, Pediatric Surgery Training Program; Nationwide Children’s Hospital, Columbus, OH

Agenda

7:00 am - 7:30 am
Registration and Check-In
7:30 am - 7:45 am
Welcome and Introduction
R. Lawrence Moss, MD
7:45 am - 12:00 pm
Anorectal Malformations: Part I
• Management of the Newborn
• Surgical Management of Male Patients
• Surgical Management of Female Patients
• Role of Laparoscopy in ARM
12:00 pm - 1:00 pm
Lunch Session
• Urologic and Gynecologic Concerns in Anorectal Malformations
• What does the pediatric surgeon need to know?
1:00 pm - 3:00 pm
OR Demonstration & Case - PSARP (Female)
3:00 pm - 5:00 pm
Anorectal Malformations: Part II
• Radiology
• Problematic Cases
• Reoperations

Topics Covered

Specialty concentrations include:

Colorectal Surgery:

  • Anorectal malformations
  • Laparoscopy of colorectal conditions
  • Hirschsprung disease
  • Inflammatory bowel disease
  • Re-operative surgery
  • Fecal incontinence
  • Cloacal malformations
  • Sacral nerve stimulation
  • Motility disorders
  • Surgical outcomes program development

Gastroenterology:

  • Motility disorders
  • Hirschsprung disease and post pull-through problems
  • Inflammatory bowel disease
  • Sacral nerve stimulation
  • Fecal incontinence
  • Bowel management program
  • Anorectal malformations; functional concerns

Gynecology

  • Vaginal anomalies
  • Uterine anomalies
  • Vaginal reconstruction techniques
  • Menstrual concerns
  • Obstetric concerns

Urology:

  • Pelvic reconstruction
    - Classic and cloacal exstrophy
    - Disorders of sexual development
    - Continence reconstruction
  • Sacral nerve stimulation
  • Urological implications of anorectal malformations

Objectives

At the end of the course, participants should be able to:
 
ANORECTAL MALFORMATIONS
  • Comprehensively assess the newborn with anorectal malformations including associated malformations; urologic, spinal, sacral, gastrointestinal, and gynecologic anomalies
  • Recognize different types of anorectal malformations  including rectoperineal fistula, rectourethral fistula, rectovestibular fistula, no fistula, and cloacal malformation
  • Order the proper newborn radiologic evaluation for anorectal malformations including AP Spine, sacral xrays, abdominal ultrasound, renal ultrasound, spinal ultrasound, and cross-table lateral xray
  • Determine the correct newborn surgical intervention in anorectal malformations including anoplasty, colostomy, and need for hydrocolpos drainage
  • Understand and explain to the family key considerations in the radiologic evaluation of a patient with an anorectal malformation prior to proceeding with definitive reconstruction
  • Identify the key steps in the surgical management of major anorectal malformations including PSARP for male (rectobulbar, rectoprostatic and no fistula), PSAP for male (rectoperineal fistula), PSARP + laparoscopy/laparotomy for male with rectobladderneck fistula, PSARP for female (rectovestibular fistula), PSAP for female (rectoperineal fistula), PSARVUP for cloacal malformations
  • Discuss the challenges of short and long term postoperative care for patients with anorectal malformations, including management of post colostomy closure rash, constipation, and soiling
  • Identify the key urologic aspects of anorectal malformations and devise an integrated treatment plan
  • Identify the key gynecologic aspects of anorectal malformations and devise an integrated treatment plan
 
HIRSCHSPRUNG DISEASE
o   Identify major finding in the newborn radiologic evaluation of Hirschsprung disease
o   Treat the infant with Hirschsprung disease and enterocolitis using the most current evidence-based protocol
o   Understand the indications for diversion in Hirschsprung disease
o   Consider and select the best surgical approach to Hirschsprung disease -  transanal techniques, Soave, Swenson, Duhamel, and the laparoscopic approach
o   Evaluate the older child with the possible diagnosis of Hirschsprung disease
o   Perform a differential diagnosis of the newborn with abdominal distension
o   Interpret the radiologic evaluation of Hirschsprung disease in a child who is not doing well after pull-through
o   Manage and treat Hirschsprung patients with post-pull-through problems, including medical management of obstructive symptoms, soiling, and reoperative indications
 
MOTILITY DISORDERS
o   Identify conditions causing colonic dysmotility
  • Explain needed motility evaluation to families of patients presenting anywhere on the spectrum of motility disorders
  • Partner with the healthcare team to manage constipation associated with anorectal malformations
  • Collaborate in treatment of constipation and hypermotility related to Hirschsprung disease
  • Participate in the medical management of intractable idiopathic constipation
 
FECAL INCONTINENCE
  • Participate in comprehensive programming for children with fecal incontinence
  • Evaluate and manage patients with fecal incontinence due to a variety of causes
  • Determine when to use surgical interventions for fecal incontinence including sigmoid resection, cecostomy, and the malone procedure
o   Incorporate best available evidence in recommending  cecostostomy, appendicostomy, colon resections, and sacral nerve stimulation
 
INFLAMMATORY BOWEL DISEASE
o   Outline evidence in support of different medical and surgical approaches to the management of Ulcerative colitis
o   Participate as a member of the team in the medical and surgical management of Crohn’s disease
o   Identify risks and common complications that occur following surgery for Ulcerative colitis
o   Manage perianal Crohn’s disease
 
 
GU SURGERY
o   Appropriately use the posterior sagittal approach for applications other than anorectal malformation repair, including for urologic indications
o   Describe the physiologic concepts related to normal urinary control and the pathophysiology of urinary incontinence
o   Evaluate multichannel urodynamic studies and determine appropriate treatment based on these studies
o   Detail the medical and surgical management of a poorly compliant bladder
o   Describe surgical options for urinary sphincteric deficiency
o   Outline key gynecologic operations associated with pelvic reconstruction
Host

Accreditation Statement

Continuing Education

Physicians

The Nationwide Children's Hospital is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.  

The Nationwide Children's Hospital designates this live activity for a maximum of 9.0 AMA PRA Category 1 Credit(s)
TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program provides self-assessment credits toward Part 2 of the ABS MOC Program.

 

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