Gastroenterology

Scope This! A Podcast on Gastroesophageal Reflux and Gastritis

By Brad Sobolewski, MD, MEd|2024-10-02T14:08:39-04:00October 2nd, 2024|Gastroenterology, Podcasts|

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, host Brad Sobolewski delves into gastroesophageal reflux (GER) and gastritis in children. He distinguishes between gastritis, diagnosed via endoscopy, and symptom-based dyspepsia. The episode covers GER/GERD's pathophysiology, diagnostic strategies, lifestyle and dietary management, and pharmacological treatments, including PPI and H2 blockers. Sobolewski stresses the importance of proper diagnosis and evaluation, differentiating from other conditions like pancreatitis and gallstones, to optimize care in pediatric emergency settings.

Medical Music Mondays: Batteries Down the Hatch

By Brad Sobolewski, MD, MEd|2024-06-03T13:54:50-04:00June 3rd, 2024|Gastroenterology, Music, Otolaryngology|

Swallowing button batteries is a dumb idea. It can melt your esophagus and stuff. Endoscopy is the way to remove them. But if you have a long delay there are sucralfate protocols. But just don’t swallow them in the first place.

You don’t need X-Rays to tell if a child is constipated

By Brad Sobolewski, MD, MEd|2023-09-14T20:31:18-04:00September 20th, 2023|Choosing Wisely, Gastroenterology, Radiology|

X-Rays are generally not necessary for making the diagnosis of constipation or assessing the stool burden. In fact, they may obscure another diagnosis.

A podcast episode on high-powered magnet ingestions

By Brad Sobolewski, MD, MEd|2021-05-19T08:56:36-04:00May 19th, 2021|Advocacy, Gastroenterology, Podcasts, Surgery|

This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on high-powered magnet ingestions in children and was a collaboration with Elizabeth Curtis - @egcurtismd and Libby Ireson - @LibbyIreson, two Categorical Pediatrics Residents at Cincinnati Children's who served as producers and guest hosts. This episode is equal parts clinical advice and advocacy in action and will help you discuss these potentially dangerous magnets with families and manage a child in case they swallow one.

Briefs: Bloody baby barf (Hematemesis in the newborn)

By Brad Sobolewski, MD, MEd|2021-01-26T19:08:08-05:00January 28th, 2021|Briefs, Gastroenterology, Hematology|

Bloody baby barf is scary for parents and medical professionals. Learn about the differential diagnosis and management in this post.

EmergiQuiz: Acute abdominal pain – beyond the basics

By Anneka Hooft|2019-10-24T11:36:58-04:00October 26th, 2019|EmergiQuiz, Gastroenterology, Surgery|

This post is an excellent overview of consideration when encountering patients with abdominal pain and urges you to think systematically beyond the basics. It is a companion to an EmergiQuiz presentation at the 2019 AAP National Conference and Exhibition.

An interview about the best practices for diagnosing and managing constipation in the ED

By Brad Sobolewski, MD, MEd|2019-03-12T15:21:25-04:00March 13th, 2019|Gastroenterology|

Constipation is an incredibly common problem in the Pediatric Emergency Department and amongst children who visit the Emergency Department with complaints of abdominal pain. This episode of PEM Currents, the Pediatric Emergency Medicine podcast features an interview with Danny Mallon, a Gastroenterologist from Cincinnati Children's who is an expert in managing pediatric constipation. Our discussion focused on diagnosis in the Emergency Department, management and why you don't need an X-Ray to make there diagnosis.

The case of a well appearing baby with bloody stools

By Brad Sobolewski, MD, MEd|2019-03-11T16:21:58-04:00March 11th, 2019|Allergy, Gastroenterology|

A well appearing infant with streaks of blood in the diaper. What could it be? Read on to find out.

A concise video synopsis of David Schnadower’s study on probiotics in gastroenteritis from the New England Journal of Medicine

By Brad Sobolewski, MD, MEd|2018-12-13T16:22:58-05:00December 17th, 2018|Gastroenterology, Infectious Diseases, Video|

In an effort to better disseminate high quality and high impact research I am delighted to present to you this video that I recorded with James Gray and David Schnadower from Cincinnati Children's. I provides a quick synopsis of the recent study on probiotics in gastroenteritis and offers advice on how you can discuss this issue with parents.

Should we be prescribing probiotics for gastroenteritis?

By James Gray|2018-12-10T16:33:56-05:00December 13th, 2018|Gastroenterology, Infectious Diseases|

Learn about two recent studies published in the New England Journal of Medicine that called into question the use of specific probiotic formulations in children with gastroenteritis.