Are You Effectively Recognizing and Managing

RELEASE DATE: May 1, 2014 • EXPIRATION DATE: April 30, 2017 •1.0 AMA PRA Category 1 Credits™


Robert J. Shulman, MD
Professor of Pediatrics
Baylor College of Medicine
Children’s Nutrition Research Center
Texas Children’s Hospital
Houston, TX, USA


Ashish Chogle, MD, MPH
Associate Director of Gastrointestinal Motility & Functional Bowel Disorders Program
Northwestern University, Feinberg
School of Medicine
Chicago, IL

Bruno Chumpitazi, MD, MPH
Assistant Professor
Baylor College of Medicine
Director, Neurogastroenterology Program
Texas Children’s Hospital
Houston, TX

Adrian Miranda, MD
Associate Professor of Pediatrics-Gastroenterology
Division of Pediatric Gastroenterology,
Hepatology and Nutrition
Medical College of Wisconsin
Milwaukee, WI

Jaya Punati, MD
Director of Pediatric Gastrointestinal Neuromuscular
and Motility Disorders Program
Assistant Professor of Pediatrics
Division of Pediatric Gastroenterology
Hepatology and Nutrition
Children’s Hospital Los Angeles
Keck School of Medicine
University of Southern California
Los Angeles, CA

CME Reviewer:

James F. Daniel, MD
Associate Professor of Pediatrics
Children’s Mercy Hospital
University of Missouri-Kansas City School of Medicine
Kansas City, MO

AAP Content Reviewer:

Mark Gilger, MD
Professor and Vice Chair
Dept of Pediatrics
Baylor College of Medicine
San Antonio, TX



Approximately 70% of the world’s population has some form of carbohydrate malabsorption. Incomplete absorption of carbohydrates, or disaccharidase deficiency, can cause serious problems in affected patients, including increased daily energy expenditure and metabolic requirements in infants and poor nutrition and delayed growth during childhood.

Symptoms such as diarrhea and weight loss are common in infants and children; however, the specific etiology is often undefined. Appropriate management/treatment depends on the establishment of a definitive etiology. The prevalence of disaccharidase deficiencies may be more common than presently recognized, therefore these entities deserve consideration in the differential diagnosis of infants and children with nonspecific symptoms such as persistent, watery diarrhea.

Despite major advances in identifying and treating these disorders, diagnosis continues to be a dilemma, due to a lack of proper awareness and specific guidelines.

Target Audience

This activity is designed for pediatricians, pediatric and adult gastroenterologists, primary care physicians, physician assistants, nurse practitioners, and other health care professionals who are interested in treating children and young adults with disaccharidase deficiencies.

Learning Objectives

In dealing with patients who have carbohydrate-induced diarrhea, participants completing this activity should be better able to:

  • Understand the pathophysiology
  • Incorporate current diagnostic approaches
  • Provide appropriate management
  • Educate patients and their parents on the etiology and physiologic consequences and the importance of dietary modifications


This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition. NASPGHAN is accredited by the ACCME to provide continuing medical education for physicians.

AMA PRA Statement

NASPGHAN designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Statement of Disclosure

All faculty/speakers, planners, abstract reviewers, moderators, authors, coauthors, and administrative staff participating in the continuing medical education programs sponsored by NASPGHAN are expected to disclose to the program audience any/all relevant financial relationships related to the content of their presentation(s). Accordingly, the NASPGHAN staff have reported no financial relationships with any commercial interests related to the content of this educational activity.

Robert J. Shulman, MD is a consultant for QOL.
Ashish Chogle, MD, MPH has nothing to disclose.
Bruno Chumpitazi, MD, MPH has nothing to disclose.
Adrian Miranda, MD has nothing to disclose.
Jaya Punati, MD has nothing to disclose.
James F. Daniel, MD has nothing to disclose.
Mark Gilger, MD has nothing to disclose.

In accordance with ACCME Standards for Commercial Support of CME, NASPGHAN and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition implemented mechanisms to identify and resolve conflicts of interst for all individuals in a position to control content of this CME activity. To resolve identified conflicts of interest, the educational content was peerreviewed by a physician member of the NASPGHAN Review Committee who has nothing to disclose. The resulting certified activity was found to provide educational content that is current, evidence-based, and commercially balanced.

Medium or Combination of Media Used

This activity consists of a slide set plus online posttest and CME evaluation.

How to Receive CME Credit:

To receive CME credit for reviewing this activity, participants must review the CME information (learning objectives, disclosures, etc.), review the entire activity, and complete the activity posttest and evaluation questions. To complete the activity posttest and evaluation, please visit:

Certificates will be provided immediately after completion of both the posttest and evaluation.
For any questions about receiving credit, please e-mail


Provider Contact Information

Jointly sponsored by NASPGHAN and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition.

For questions, please contact:

PO Box 6, Flourtown, PA 19031
Phone: (215) 233-0808
Fax: (215) 233-3918


The content and views presented in this educational activity are those of the authors and do not necessarily reflect those of NASPGHAN, The NASPGHAN Foundation for Children’s Digestive Health and Nutrition, or QOL Medical. This material is prepared based upon a review of multiple sources of information, but it is not exhaustive of the subject matter. Therefore, health care professionals and other individuals should review and consider other publications and materials on the subject matter before relying solely upon the information contained within this educational activity.

Policy on Privacy and Confidentiality

NASPGHAN and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition will make every effort to protect the privacy of every individual participant of this activity and will use information gathered only to maintain records as required by the American Medical Association (AMA) and ACCME.

This activity does not require readers to “register” to review the material, with the exception of physicians and other health care providers who desire to receive CME credit for this accredited activity. If an individual completes a CME for this accredited activity, we are required by the AMA and ACCME to collect personal information on the individual, such as their name, address, and phone number, that will allow us to issue a CME certificate to them and to keep this information on file for up to 6 years. Personal information gathered will not be released to any other company or organization for any purpose. This information remains totally confidential.


Click here to get started