RDs In Practice: Advancing Practice in Pediatric Nutrition Management of Eosinophilic Esophagitis in Pediatrics

Teen girl eating cereal

RDs In Practice is an educational program aimed at advancing clinical knowledge and ideas in specialty areas of pediatric nutrition. Didactic lectures, question/answer sessions, and networking opportunities will allow time for attendees to discuss emerging topics, evidence based practice and solutions to practice dilemmas.

Date: January 22, 2015

More Information: Shonda Brown, RD at rdsinpractice@choc.org or 714-509-7829.

This event was made possible by an unrestricted educational grant from Nutricia North America.

Program Objectives:

Upon completion of this program, participants should be able to:

  1. Obtain an understanding of the interrelationship and differences between PPI responsive esophageal eosinophilia, reflux and EoE.
  2. Discuss the various options for allergy testing and their usefulness in directing the treatment plan for patients with EoE.
  3. Review the current understanding of EoE as a disease state as well as discuss new developments in the pathogenesis and treatment of EoE.
  4. Discuss meal planning strategies for very restrictive diets including how to ensure nutritional adequacy while following an elimination diet.
  5. Review therapeutic dietary treatments for EoE and the effectiveness in inducing remission.
  6. Identify considerations when determining the best treatment option for patient and family.

Target Audience:

This program is intended for pediatric registered dietitians and clinicians who specialize in EoE.

Program Faculty:

Anup J Patel, Pediatric GastroenterologistAnup J Patel, MD
Pediatric Gastroenterologist – CHOC Children’s Hospital
As an expert in pediatric gastroenterology, Dr. Patel has a special interest in eosinophilic esophagitis and has given numerous presentations and written journal articles regarding the topic. He holds awards from Stanford University for Transplant and Tissue Engineering Endowment and is an Alan M. Krensky Endowed Clinical Fellow.

Dedicated to clinical excellence, Dr. Patel is board certified in pediatrics and pediatric gastroenterology. He attended medical school at Albany Medical College in New York. He completed his pediatric residency training at University of Nevada School of Medicine in Las Vegas, followed by a fellowship in pediatric gastroenterology, hepatology and nutrition at Stanford University in Palo Alto, California.  He currently practices pediatric gastroenterology at CHOC Children’s and serves as a co-medical director of CHOC’s EoE Clinic.

Shonda Brown, Clinical DietitianShonda Brown
Clinical Dietitian – CHOC Children’s Hospital

Shonda received her BS in Nutritional Sciences with a concentration in Exercise Science from Cornell University, Ithaca, NY.  She also has credentials in Nutrition Support (CNSC) and Pediatric Nutrition (CSP).  Shonda has been working at CHOC Children’s as a clinical dietitian since 2007.  In 2008, she helped develop CHOC’s multidisciplinary EoE clinic and over the past seven years, has specialized in the nutritional management of pediatric EoE providing nutrition assessment and counseling services to patients and families attending CHOC’s EoE clinic.  She was influential in creating CHOC’s EoE website that provides patients and families with educational resources and support materials ranging from treatment options to SFED sample menus to guidelines for working with problem feeders.  Shonda also specializes in Eating Disorders, Feeding Program, and Sports Nutrition.

Sarah Samimi Field, Pediatric and adult allergySarah Samimi Field, MD, FAAAAI
Pediatric and adult, allergy, asthma and immunology – CHOC Children’s Hospital
Dedicated to clinical excellence, Dr. Field’s clinical focus is pediatric and adult allergy, asthma and immunology.  Dr. Field treats both adult and pediatric patients with EoE and is a co-medical director of CHOC’s multidisciplinary EoE clinic.  She is board certified in internal medicine and allergy and immunology. Prior to joining CHOC Children’s, Dr. Field attended medical school at the St. Louis University School of Medicine. She served her residency training in internal medicine and completed her fellowship training in allergy and immunology at the University of Kansas Medical Center.


Carol Henderson, Medical AdvisorCarol Henderson, PhD, RD, LD
Medical Advisor, Autism – Nutricia North America
Dr. Henderson graduated cum laude in Human Nutrition and Food Sciences at Ohio University, Athens, OH (B.S.), and received her M.S. and Ph.D. in Epidemiology and Biostatistics at the University of Cincinnati, Cincinnati, OH. She previously served as an Assistant Professor in the Department of Nutrition at Georgia State University, Atlanta and an adjunct Assistant Professorship appointment in the Department of Medicine, Division of Rheumatology, Emory University School of Medicine, Atlanta, GA.  Dr. Henderson’s research efforts focused on understanding the nutritional issues related to a variety of chronic medical diseases including obesity, rheumatic conditions and more recently eosinophilic gastrointestinal disorders. For 13 years she worked in the Division of Rheumatology as a Research Assistant conducting clinical research and providing outpatient clinical services to the families of children with musculoskeletal and rheumatic diseases.  In 2010, Dr. Henderson returned to Cincinnati Children’s Hospital Medical Center as a Research Associate in the Department of Allergy & Immunology after having previously working at CCHMC for 19 years as a pediatric registered dietitian providing inpatient and outpatient clinical services.  She conducted clinical research and counseled patients and their families seen in the Cincinnati Center for Eosinophilic Disorders.  Her research focused on evaluating the clinical effectiveness of diet therapies in the treatment of children with eosinophilic esophagitis.

Within the past year, Dr. Henderson accepted the position in the Medical & Scientific Affairs Division at Nutricia North America in Rockville, MD.  As a Medical Advisor, she focuses on increasing the awareness and appropriate assessment/management of gastrointestinal issues/disorders that frequently occur in children with autism.

Sarah Lowry, Speech Language PathologistSarah Lowry, MS, CCC-SLP
Speech Language Pathologist, CHOC Children’s Hospital
Sarah is a pediatric SLP at CHOC Children’s working both in the NICU, and as a part of
CHOC’s Multidisciplinary Feeding Program. Her expertise is in feeding and swallowing disorders, including oral feeding skill development, swallow rehabilitation, and sensory/behavioral feeding disorders. Her specialties include acquired neurogenic disorders, tracheostomies, and congenital heart defects. She has held multiple speaking engagements on feeding problems including An Intensive Multidisciplinary Therapy Model for Complex Pediatric Feeding Disorders and Gastrostomy tube Weaning at the American Speech-Language-Hearing Association National Convention in 2013.

Erin Keller, Speech Language PathologistErin Keller, MA CCC-SLP
Speech Language Pathologist, CHOC Children’s Hospital
Erin received her BA in Communication Disorders from California State University,
Fullerton. She completed her Master of Arts Degree in Speech – Language Pathology at California State University, Los Angeles. Erin has worked at CHOC Children’s Hospital since 2006 and a member of the multidisciplinary feeding program at CHOC since 2010. She has held multiple speaking engagements on feeding problems including An Intensive Multidisciplinary Therapy Model for Complex Pediatric Feeding Disorders and Gastrostomy tube Weaning at the American Speech-Language-Hearing Association National Convention in 2013.

Christopher Min, Pediatric PsychologistChristopher Min, PhD
Pediatric Psychologist, CHOC Children’s Hospital
Dr. Min is a licensed pediatric psychologist at CHOC Children’s Hospital and CHOC Children’s at Mission Hospital. His primary role consists of providing inpatient consultation/liaison services, outpatient therapy for children with medical illnesses, and supervising pre-doctoral interns. His areas of interest include inpatient psychological consultation and liaison, pediatric sleep medicine, and assessment/treatment of children with neurological issues. Dr. Min received his undergraduate degree from Johns Hopkins University in Baltimore and completed his Ph.D. at University of Maryland, Baltimore County. He completed both his pre-doctoral internship and post-doctoral fellowship at CHOC Children’s.

Cindy Kim, Pediatric PsychologistCindy Kim, PhD, ABPP
Pediatric Psychologist, CHOC Children’s Hospital
Dr. Kim is a board-certified clinical psychologist at CHOC Children’s Hospital with expertise in the areas of pediatric feeding disorders, autism spectrum disorder, infant and toddler assessment, anxiety, depression, and family and behavior therapy.

She earned a Ph.D. in clinical psychology from Rosemead School of Psychology/Biola University after receiving a bachelor’s degree in psychology from University of California, Riverside, and a master’s degree in clinical psychology from San Diego State University. Dr. Kim completed an APA-accredited internship and post-doctoral fellowship at USC/Children’s Hospital Los Angeles. Dr. Kim has several ongoing research projects involving pediatric feeding disorders and has recently coauthored Successful Gastrostomy Tube Weaning Program Using an Intensive Multidisciplinary Team Approach in JPGN.


Podium Presentations

  • Eosinophilic Esophagitis: Diagnosis and Management (lecture not available)
    Anup J Patel, MD
  • Optimizing Nutritional Intake for Restrictive Diets: How to effectively implement elimination diet meal plans – Handout 1 Handout 2
    Shonda Brown, RD, CSP, CNSC
  • Allergy Evaluation and Testing in Eosinophilic Esophagitis  (lecture not available)
    Sarah Samimi Field, MD, FAAAAI
  • Exploring Dietary Elimination Efficacy in EoE
    Carol Henderson, PhD, RD, LD

Round Table Discussions