ESPGHAN Podcast
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<p>Stay updated with the latest developments in Paediatric Gastroenterology, Hepatology, and Nutrition (PGHN) and get to know the experts behind the research and our organisation. The official podcast of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) explores cutting-edge studies, practice management strategies, and more. Join us three times a month for insightful interviews and commentary with leading professionals in the field, designed to enhance your knowledge and advance your expertise.</p> <p>Our podcast features specialists from around the world, with a particular emphasis on the European community.</p> <p>This podcast is hosted by the ESPGHAN Education Committee.</p> <p><u>Disclaimer:</u> Opinions expressed in this podcast are those of the guest invited and do not necessarily reflect the views or positions of ESPGHAN. These opinions are based on information and scientific data available at the time of recording and may change as research in the field advances.</p> <p>New Episodes 1st, 10th and 20th of the Month. For feedback, contact us: <a href="http://office@espghan.org/">office@espghan.org</a> | Playlist: ESPGHAN favourite Songs can be found on <a href="https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo?si=62ab5e3e33434312">Spotify</a> <a href="https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo">https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo</a></p> <p>Producer: Selma Ertl, MBA | Host: Dr. Alex Knisely | Recording: Manuel Schuster</p>
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Publishing Since
3/17/2022
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Recent Episodes
June 9, 2026
Broekaert I.: Gastrostomies and Jejunostomies
<p>Well, would you look at that! Here’s another friend of ESPGHAN podcasting coming by to see what we have for listeners today. Welcome, and settle in for a session with a real mover and shaker, Dr Ilse Broekaert, who oversees ESPGHAN’s educational activities, and who has led efforts to introduce Europe-wide certification in paediatric gastroenterology, hepatology, and nutrition – more about this, however, at the site linked below.</p> <p>Dr Broekaert, or Ilse – the better to avoid umlaut confusion, which plays hob with attempts to pronounce her surname – works in Cologne, or Köln (no getting away from umlauts, is there?), where she settled in after earning her medical degree in Bochum. One might expect that she devoted herself early to gastroenterology, hepatology, and nutrition, and indeed that was the case, but... like Mae West and the snow, she drifted, wandering off into allergology and pulmonology, adding to her board certification in gastroenterology another certification yet. Glancing through her list of publications leaves one rather at a loss: she’s made contributions across the board, it seems. To what is she devoting herself now?</p> <p>Lucky, then, that Ilse has asked that this chat centre on three publications, titled “The use of jejunal tube feeding in children: A position paper by the gastroenterology and nutrition committees of the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition 2019”, “Safety of the one step percutaneous endoscopic gastrostomy (push-PEG) button in pediatric patients”, and “Retrospective study on safety and complications of direct percutaneous endoscopic gastrostomy in children below 10 kg”, a great help in focussing the interview! Keep listening to learn how attitudes and approaches to tube feeding and percutaneous endoscopic gastrostomy placement have evolved in the past decade, the present clinical and parental environment for feeding by this route, and, of course, what can go wrong – and how to make sure that it doesn’t.</p> <p>Literature</p> <p>Broekaert IJ et al. The use of jejunal tube feeding in children: A position paper by the gastroenterology and nutrition committees of the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition 2019. J Pediatr Gastroenterol Nutr 2019 Aug;69(2):239–258. Doi: 10.1097/MPG.0000000000002379. PMID: 31169666</p> <p>Brinkmann J et al. Safety of the one step percutaneous endoscopic gastrostomy (push-PEG) button in pediatric patients. J Pediatr Gastroenterol Nutr 2023 Dec 1;77(6):828–834. Doi: 10.1097/MPG.0000000000003930. Epub 2023 Aug 23. PMID: 37608440. PMCID: PMC10642703</p> <p>Broekaert IJ, Hünseler C. Retrospective study on safety and complications of direct percutaneous endoscopic gastrostomy in children below 10 kg. J Pediatr Gastroenterol Nutr 2025 Aug;81(2):417–420. Doi: 10.1002/jpn3.70085. Epub 2025 May 22. PMID: 40401400. PMCID: PMC12314583</p> <p>Link, sub-specialty certification</p> <p><a href="https://www.espghan.org/knowledge-center/education/ESPGHAN_European-PGHN-Exam">https://www.espghan.org/knowledge-center/education/ESPGHAN_European-PGHN-Exam</a><a href="https://www.espghan.org/knowledge-center/education/ESPGHAN_European-PGHN-Exam"></a></p> <p>Dr. Broekaert´s favourite song: <a href="https://open.spotify.com/track/7fLcGCKV87F2bKekNpmh0z?si=b0f3e6f12f734c24">Jesu, Joy of Man´s Desiring</a></p> <p>ESPGHAN favourite Songs can be found on <a href="https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo?si=62ab5e3e33434312">Spotify</a> <a href="https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo">https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo</a> </p>
May 19, 2026
Morris T.: Preventing Metabolic Bone Disease in Children on Home Parenteral Nutrition
<p>Good morning, evening, afternoon — whenever and wherever you may be — ESPGHAN is bringing you another podcast, this one, as we say in Hungary, egy unikum, a one-off and a first for this series. We’ve done gastroenterologists and hepatologists to death, really; it’s long been time for a new start, a new star. And we’ve found him in Dr Timothy Morris of Royal Manchester Children's Hospital, a Paediatric Chemical Pathologist</p> <p>A glance at Dr Morris’ curriculum vitae is shaming — unlike me, for one, who am very much a Feld-, Wald-, und Wiesenpathologe; it’s the parable of the talents, really, and I’m the servant who has kept them buried — he has done so much, in so many different areas, and done it so well! First carrying away all the prizes with a degree in genetics; throwing over post-graduate studies in plant genetics for three years as a financial analyst; a second degree in medicine; and, after two years on the wards as a junior doctor, entry into his present field — chemical pathology — but who can predict if he will stay there? Something tells me that he has a restless eye, and that he already is considering which field next to conquer.</p> <p>Today he’s asked us to work through a problem in calcium metabolism, namely metabolic bone disease, or MBD, in children with intestinal failure who are on home parenteral nutrition. His team’s findings, from Tridimas A et al., as published in JPGN Rep, require a bit of background for best appreciation. Let’s start by addressing MBD.</p> <p>Rickets and osteomalacia are two types of MBD. Osteoid mineralisation is deficient in both conditions. To be rickety, you must have active growth plates. Osteomalacia is a broader church, with not only children but also adults among her communicants. Contributors to osteomalacia in persons receiving parenteral nutrition (PN) are many; aluminium toxicity aside, they converge in hypocalcaemia, with secondary hyperparathyroidism in consequence. This aggravates deficiency of mineralisation and leads to frank osteopenia and osteoporosis, with broken bones. Osteopenia occurs in approximately 45% of children with intestinal failure, with 16%–25% having osteoporosis. MBD can be assessed by bone biopsy or by X-ray densitometry, but “blood work” is generally deployed instead.</p> <p>Dr Morris’ team began by determining how frequently MBD was found in a cohort of 37 children with intestinal failure who were receiving PN at home. Laboratory data over a span of 4½ years found elevated parathyroid hormone (PTH) values in 22 (59%). Of these, 5 had elevated PTH values in >50% of measurements. A flow-chart protocol was followed for 4 months, cascading from an initial PTH determination — high, normal, or low? — via determinations of calcium and magnesium, adjustments in calcium and phosphate concentrations in administered PN, and PTH determinations that began the cascade again. During protocol use, PTH values were elevated in 6 children (18%), and persistent elevation of PTH was found in none.</p> <p>Are the before-and-after comparisons fair? Would longer follow-up during protocol use have found more instances of secondary hyperparathyroidism? An open question, perhaps. But to monitor PTH values closely, using the flow-chart protocol to guide intervention, appears promising in respect of slowing or halting the development of MBD in children who receive PN at home.</p>Literature<p>Tridimas A et al. Reducing metabolic bone disease burden in intestinal failure children on home parenteral nutrition.JPGN Rep. 2023 Nov 6;4(4):e368. doi: 10.1097/PG9.0000000000000368. eCollection 2023 Nov. PMID: 38034429. PMCID: PMC10684215.</p> <p>Morrison´s favourite song: Michel de la Barre - 5<sup>e</sup> suite, premiere livre de pieces pour la flute traversiere</p> <p>ESPGHAN favourite Songs can be found on <a href="https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo?si=62ab5e3e33434312">Spotify</a> <a href="https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo">https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo</a> </p>
May 9, 2026
Alcázar López M. & Fiore G.: Microbiotia and Obesity
<p>Mireia Alcázar López and Giulia Fiore are early-career nutrition scientists focusing on the relationship between the gut microbiome and obesity in children. Dr. Alcázar trained at Universitat Rovira i Virgili (Reus campus) in Catalonia, while Dr. Fiore trained at multiple institutions in Milan and conducted collaborative research in Reus with Dr. Alcázar.</p> <p>Their research investigates how caregiver dietary interventions and counselling can influence the gut microbiome and whether these changes correlate with shifts in metabolic risk. They explore both what has been learned to date and what gaps remain, with the goal of informing clinical strategies for managing childhood obesity.</p> <p>Selected Literature:</p><ul><li><p>Alcázar M et al. Effectiveness of a motivational intervention to improve gut microbiota diversity in children with obesity: A randomized clustered open-label intervention trial. Presented, ESPGHAN 2025.</p></li><li><p>Fackelmann G et al. Gut microbiome signatures of vegan, vegetarian and omnivore diets and associated health outcomes across 21,561 individuals. Nat Microbiol 2025;10(1):41–52.</p></li><li><p>Fiore G et al. Effects of dietary interventions on gut microbiota and related cardiometabolic changes in children and adolescents with overweight or obesity: A meta-analysis of intervention trials. Presented, ESPGHAN 2025.</p></li><li><p>Houtman TA et al. Gut microbiota and BMI throughout childhood: The role of Firmicutes, Bacteroidetes, and short-chain fatty acid producers. Sci Rep 2022;12(1):3140.</p> <p>Dr. Alcazar & Fiore´s favourite song: <a href="https://open.spotify.com/track/1gFNm7cXfG1vSMcxPpSxec?si=68be3eec84724af0">Ob-La-Di, Ob-La-Da - Beatels</a></p> <p>ESPGHAN favourite Songs can be found on <a href="https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo?si=62ab5e3e33434312">Spotify</a> <a href="https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo">https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo</a> </p></li></ul>
129 total episodes available
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- What is ESPGHAN Podcast?
<p>Stay updated with the latest developments in Paediatric Gastroenterology, Hepatology, and Nutrition (PGHN) and get to know the experts behind the research and our organisation. The official podcast of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) explores cutting-edge studies, practice management strategies, and more. Join us three times a month for insightful interviews and commentary with leading professionals in the field, designed to enhance your knowledge and advance your expertise.</p> <p>Our podcast features specialists from around the world, with a particular emphasis on the European community.</p> <p>This podcast is hosted by the ESPGHAN Education Committee.</p> <p><u>Disclaimer:</u> Opinions expressed in this podcast are those of the guest invited and do not necessarily reflect the views or positions of ESPGHAN. These opinions are based on information and scientific data available at the time of recording and may change as research in the field advances.</p> <p>New Episodes 1st, 10th and 20th of the Month. For feedback, contact us: <a href="http://office@espghan.org/">office@espghan.org</a> | Playlist: ESPGHAN favourite Songs can be found on <a href="https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo?si=62ab5e3e33434312">Spotify</a> <a href="https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo">https://open.spotify.com/playlist/0YIHKjxITLEm9XNyHyypTo</a></p> <p>Producer: Selma Ertl, MBA | Host: Dr. Alex Knisely | Recording: Manuel Schuster</p> - How often does this podcast release new episodes?
This podcast updates daily.
- Where can I listen to this podcast?
This podcast is available on 8 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
- Does this podcast accept guests?
Yes, this podcast regularly features guests.
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