JPGN Reports

⚠️ Food impaction + normal-ish biopsy ≠ no #EoE. Mahon et al. show 4 kids with sub-diagnostic eosinophil counts at #EFI who ALL had EoE confirmed on repeat scope. Don't let them fall through the cracks! 👇 #PedsGI #Esophagus #GITwitter bit.ly/4sXfGFg

😮 Feeling better doesn't mean healed. Janecek et al. found 1 in 4 kids with #Crohn's in clinical AND biochemical remission still had active disease on scope. Earlier restaging = earlier answers. 👇 bit.ly/4stR72W #PedsIBD #CrohnsDisease #TreatToTarget #GITwitter

91% peds #IBD had repeat #colonoscopy on time 🎯 VanEvery et al. prove standardized care+early family education = guideline adherence. ~40% had treatment changes because of it. This is how we do better. 👇 bit.ly/3NcgdUE #IBD #PedsGI #GITwitter bit.ly/3NcgdUE

Your patient has a severe formula #allergy. Is it in the #EMR? Where? 🤷 Young et al. found only 54% of pediatric providers have a standardized workflow for food allergy documentation. This needs to change. 👇 bit.ly/4lDupml #PedsGI #HealthIT #PatientSafety #Nutrition

When steroids aren't enough 😤 Sánchez-Ramírez et al. report a 12yo w #eosinophilic #ascites & deep GI involvement — treated successfully w/ #dupilumab! Could this change how we manage refractory #EGID? 🤔👇 bit.ly/4cUBf4x #PedsGI #GITwitter

#Rapunzel Syndrome: A Hair-Raising Complication! 💇‍♀️⚠️ An 11yo w/ #ARFID presents w/ severe abd pain & lipase >1200. The culprit? A massive gastric #trichobezoar causing necrotizing pancreatitis! 😱 See Metwally et al. 👇 bit.ly/4sqeYjU #PedsGI #MedTwitter #GITwitter

🚨 SHOCKING GAPS in NICU feeding? 🚨 A new survey of 1,000 docs across the MENA region reveals a wild lack of consistency in how we feed our tiniest patients. 🍼📉 Is your unit following the latest protocols? 🏥 Check out Metwally et al. 👇 bit.ly/3NehNp1 #PedsGI #NI

Can a 4 yo with severe, refractory #colitis and a #CMV infection avoid surgery? 🏥 This new case by Laxer et al. shows how #salvage combination therapy saved a child's colon when nothing else worked. More: bit.ly/4uD5e7m #VEOIBD #GITwitter #MedEd

5.5 × 3.3 × 4.1 cm (antero-posterior, transverse, and cranio-caudal) measuring abscess with a necrotic center and marked diffusion restriction in the left perianal region extending posteriorly to the anus without evidence of a definite fistulous tract.

Could a 14-day break be too long? 🛑 A new case study highlights the risks of pausing #JAK inhibitors like #upadacitinib during surgery for #Crohn’s patients. See how a "standard" pause led to a sudden flare. Read Lyons et al.: doi.org/10.1002/jpr3.7… # doi.org/10.1002/jpr3.7…

Anal fistula with purulent discharge.

It’s not always #Crohn’s! 😮 This 13 yo had a painful anal #fistula that wouldn't quit—until doctors found the SHOCKING cause. See why #TB should be on your radar for perianal cases. 🔍 Read more by El Mouhadi et al.: bit.ly/4bFaZsE #Pediatrics bit.ly/4bFaZsE

A rare immune deficiency, a failing liver, and a race against time. 🏥💔 Nedelkopoulou et al. share a tragic pediatric case of #DOCK8 deficiency that led to sclerosing cholangitis. Can a #transplant save them? Read: bit.ly/4uFfYCj #PedsGI #Immu bit.ly/4uFfYCj

Tran & Patel-Sanchez: Just a "stomach bug"? Think again. 🛑 A 3-year-old’s severe #bloating and #malnutrition led to a shocking discovery: a rare #Rett-related mutation mimicking a bowel# obstruction. 🧬🧪 See the case: bit.ly/4cTb8ed #PedsGI #RareDisease #MedEd 🩺✨

Think a total #colectomy is the only way to treat Toxic #Megacolon? 🛑 A novel approach saved this 14 yo’s colon after severe #constipation turned toxic. 😱 Read the full case: bit.ly/4rHaofO 🩺✨ #GITwitter #MedEd #PedsSurgery #Pediatrics

Abi-Aad et al. Rare but real 🚨 Ped #AutoimmunePancreatitis + #AutoimmuneHepatitis in a child with #SickleCell disease 😳 Cholestasis in #SCD… hemolysis or hidden #autoimmunity? 🧩 #GiTwitter #LiverTwitter #MedTwitter More bit.ly/4aVduXf

AL-Bahlani et al: Bloody diarrhea & vomiting in a toddler? It might not just be a bug. These symptoms led to a rare dx, you’ll want to double-check your next case! 🩺✨ Is Langerhans cell #histiocytosis on your radar? 🧐 #LCH #pathotwitter #GItwitter 🔗 bit.ly/4kOIPzD

Arellanos et al finally cracked the code on #Hpylori biopsy cultures. 🧪 After 5 years of testing, their new protocol is boosting success rates like never before. 📈 Are you doing this? Read how they did it! 👇 bit.ly/4aV5gAb #GITwitter #QI #PDSA #Endoscopy

GIlligan et al. @radychildrens reported the youngest known case of a rare pancreatic #PEComa in an 8 yr old. How did a routine stomach ache lead to this groundbreaking diagnosis? 🔍 🏥 #GITwitter #Pancreas @PanCAN #PancChat More: bit.ly/4qjPZxK

Kline et al. When #Crohn’s doesn’t respond to Rx, it might be more than just a flare. Surgeons treating a 17y for penetrating CD and a fistula found an unexpected culprit: an action figure hand! 🧸🚑 🔗 bit.ly/49unZ34 @CrohnsColitisFn #GITwitter