Journal of Pediatric Gastroenterology and Nutrition

11/26/2025

Don't miss out on all of the new must-read articles, commentaries and more in every new issue!

Be sure to sign up for new issue alerts now👉 https://bit.ly/3vPQrIM?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

11/25/2025

📣 📣 📣 Liver topic of the month📣 📣 📣
Frailtry in chronic liver disease : the overlooked side

Frailty is more common in children with chronic liver disease than previously recognised, and it may signal a higher risk of future complications. This includes liver-related events, mortality, and other adverse outcomes.
📄 Read the full study in JPGN: https://ow.ly/FX4h50XtV5g?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

11/24/2025

📣 📣 📣 Liver topic of the month📣 📣 📣
Frailtry in chronic liver disease : the overlooked side

Frailty isn’t just an adult condition. Nearly half of children with chronic liver disease in this study were frail, most commonly those with decompensated disease. Frailty predicted worse outcomes, including higher risk of new hepatic complications, infections, and death.
Early detection could help clinicians identify vulnerable patients and guide multi-disciplinary interventions focused on nutrition, muscle mass, and physical function.
🔍 Full study now in JPGN: https://ow.ly/FX4h50XtV5g?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer, https://ow.ly/APxH50XtWbQ?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer , https://ow.ly/FX4h50XtV5g?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

11/23/2025

Did you know that JPGN has an entire collection of articles that are eligible for , with more being added each month?

Check them out 👀 👉🏻 https://bit.ly/3vkmZfc?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

11/22/2025

📣 📣 📣 Liver topic of the month📣 📣 📣
Frailtry in chronic liver disease : the overlooked side

Frailty in children with chronic liver disease is more than a clinical label, it has roots and consequences.
Factors such as malnutrition, reduced muscle mass, physical inactivity, and systemic inflammation contribute to frailty, which in turn can lead to higher risk of hepatic decompensation, healthcare utilization, post-transplant complications, and reduced quality of life.
🔍 Explore the full discussion in JPGN: https://ow.ly/APxH50XtWbQ?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer ; https://ow.ly/FX4h50XtV5g?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer ; https://ow.ly/FX4h50XtV5g?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

11/21/2025

🩺 Rescue gastro-jejunal (G-J) tube
🔗 https://doi.org/10.1002/jpn3.70117?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

Children with neurological impairment or severe reflux often rely on G-J tubes for feeding — but tube dislodgement or unavailability can interrupt care.

This innovative case report presents a temporary G-J tube technique using a Foley catheter and nasojejunal extension, enabling continued jejunal feeding without anesthesia or specialized equipment.

A simple, adaptable approach for clinicians in resource-limited settings.

11/21/2025

🌍 Free Access ESPGHAN Position Paper: Management of pediatric IBD in limited-resource settings
🔗 https://doi.org/10.1002/jpn3.70121?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

🧠 CME: https://learnonline.naspghan.org/jpgn2?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

Developed by the Paediatric IBD Porto Group of ESPGHAN, this paper provides 90 consensus-based recommendations to guide clinicians in delivering high-quality care for children with IBD, even when advanced diagnostics or biologics are not readily available.

Highlights:
✔️ Simplified diagnostic and monitoring protocols
✔️ Emphasis on cost-effective, accessible therapies
✔️ Collaboration across centers to optimize expertise
✔️ Focus on equitable care worldwide

A vital resource for pediatric IBD care teams working across diverse healthcare settings.

11/20/2025

💻 NASPGHAN Position Statement: Enabling quality pediatric GI care through EHR data capture and visualization
🔗 https://doi.org/10.1002/jpn3.70125?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

🧠 CME: https://learnonline.naspghan.org/jpgn2?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

This statement emphasizes how electronic health records (EHRs) can transform care in pediatric gastroenterology by making evidence-based guidelines actionable.

Highlights:
✔️ Define patient populations using standardized code sets
✔️ Embed decision support tools within EHR workflows
✔️ Identify validated outcome measures, including PROMs
✔️ Strengthen data infrastructure to support quality and research

A forward-looking vision for integrating technology and clinical care to deliver better outcomes for children.

11/20/2025

🚨 Updated ESPGHAN–ECCO consensus: Management of pediatric acute severe colitis (ASC)
🔗 https://doi.org/10.1002/jpn3.70096?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

🧠 CME: https://learnonline.naspghan.org/jpgn2?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

(See Part 1: Ambulatory Care → https://doi.org/10.1002/jpn3.70097?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer
)

This updated evidence-based guideline provides 36 recommendations and 72 practice points for managing ASC—one of the few emergencies in pediatric gastroenterology.

Key updates include:
✔️ Broader use of thromboprophylaxis
✔️ Revised second- to fourth-line therapy options
✔️ Updated guidance on therapeutic drug monitoring
✔️ New data-driven treatment algorithms

Developed by the ESPGHAN IBD Porto Group and ECCO, this comprehensive update helps clinicians deliver consistent, high-quality care for children with severe UC.

11/20/2025

📘 New ESPGHAN–ECCO consensus: Ambulatory management of pediatric ulcerative colitis (UC)
🔗 https://doi.org/10.1002/jpn3.70097?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

🧠 CME: https://learnonline.naspghan.org/jpgn2?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

An updated, evidence-based guideline featuring 39 recommendations and 77 practice points for managing UC in children.

Key updates include:
✔️ Closer, non-invasive monitoring for early treatment adjustment
✔️ Optimized biologic and small-molecule use
✔️ Minimized corticosteroid exposure
✔️ Clear algorithms for ambulatory care and cancer surveillance

Developed by the ESPGHAN IBD Porto Group and ECCO, this open-access guideline is a must-read for clinicians caring for children with UC.

11/20/2025

💡 “Coming of age of pediatric endoscopy: We have come a long way”
🔗 https://doi.org/10.1002/jpn3.70134?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

(Related study: https://doi.org/10.1002/jpn3.70133?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer)

In this invited commentary, Dr. Deborah Goldman reflects on new data showing that while trainee participation in pediatric endoscopy increases procedural time and cost, it does not reduce quality or safety.

She urges the field to embrace AI, simulation, and structured feedback to optimize both training and patient care — marking a new era for pediatric endoscopy education.

Click on the article title to read more.

11/20/2025

🩺 Training tomorrow’s pediatric endoscopists — but at what cost?
🔗 https://doi.org/10.1002/jpn3.70133?utm_source=fb_page&utm_medium=Journal+of+Pediatric+Gastroenterology+and+Nutrition&utm_campaign=publer

This study analyzed >900 EGD/ileocolonoscopies to assess how trainee participation affects procedure quality and efficiency.
✅ Quality indicators (ileal & cecal intubation rates) were maintained
⏱️ Procedures took longer with trainees
💵 The time difference translated to ~$72,000 less per 1000 procedures/year

The authors highlight the need for faculty compensation models or adjusted wRVU goals to reflect the essential role of teaching in pediatric endoscopy.