"Shunt Happens": Contemporary Approaches to Congenital Portosystemic Shunts

Join an expert panel who provide a comprehensive overview of congenital portosystemic shunts in children, emphasizing the underlying vascular anatomy, embryologic development, and spectrum of anatomic variants. Presenters review the natural history of these lesions and their associated clinical sequelae, including hepatic dysfunction, pulmonary vascular complications, neurocognitive effects, and implications for growth and development.

Through discussion of real-life clinical cases, speakers illustrate diagnostic evaluation, risk stratification, and timing of intervention, highlighting how patient-specific factors influence management decisions. A multidisciplinary approach is emphasized with input from hepatology, interventional radiology, surgery, cardiology, and transplant teams. Potential interventions are explored in detail, including indications, technical considerations, and outcomes of endovascular and surgical strategies, as well as scenarios in which liver transplantation may be required. Long-term surveillance and follow-up after intervention are also addressed.

Kathy Pariani

Kathy Pariani is a Registered Dietitian Nutritionist and Certified Diabetes Education Care and Specialist. Kathy provides nutrition assessments, education and counseling to patients with chronic diseases, specifically those with liver disease, diabetes, obesity and cardiovascular risk factors. Kathy previously practiced as an acupuncturist and herbalist before earning her Master's degree in Nutrition and Dietetics from Bastyr University.

Samantha Ramirez

Samantha Ramirez serves as the clinical operations manager for the liver transplant program at USC, bringing a wealth of expertise in optimizing operational workflows and advancing professional development within nursing and liver transplantation. As a nurse practitioner with an advanced degree in healthcare management and leadership, Samantha blends clinical expertise with strategic leadership to elevate patient care and empower healthcare teams.

Jeremy P Davis

Jeremy Davis is a hepatology advanced practice provider at GastroIntestinal Specialists in Shreveport, Louisiana. He has provided hepatology/ gastroenterology care in the outpatient and inpatient setting for over the past 14 years. He is an associate member of AASLD. He is passionate about learning. He is an active contributor as a lecturer providing continuing education as it relates to hepatology to other healthcare providers through local, regional and national opportunities.

Allison Moser

Allison Moser has been a nurse practitioner for 12 years, with the past 8 years dedicated to specializing in hepatology. She currently serves as the Lead Advanced Practice Provider of Solid Organ Transplant at Rush University Medical Center in Chicago, IL. She has been a member of the Illinois Board of Directors for the American Liver Foundation (ALF) and has co-chaired the Associate Medical Advisory Committee (AMAC).

Esther O. Fasanmi

Esther Fasanmi is a clinical pharmacist responsible for providing pharmacotherapy care for those living with HIV and hepatology related conditions. She is a preceptor for family medicine medical residents, pharmacy residents, and students and serves as a clinical expert for other healthcare providers. Dr. Fasanmi received her Doctorate of Pharmacy from Texas Southern University College of Pharmacy and Health Sciences.

Lindsay Yoder

Hepatology PA at IU, APP Clinical Manager, with NIH funded research effort with a focus on all things general hepatology, APP onboarding, orientation, integration, innovative practice models, collaborative care, and transitional care.

Summer Collier

Summer Collier, DNP, FNP-BC, is a board-certified Family Nurse Practitioner specializing in hepatology at UC San Diego Health. She has led initiatives to improve care delivery for patients with advanced liver disease, including the development of a transitions-of-care program for patients with cirrhosis that significantly reduced early hospital readmissions. Her scholarly work has also focused on increasing the use of pharmacotherapy for alcohol use disorder in the hepatology setting.

Cecily Kulsick

Cecily Kulsick, DNP is the Nurse Practitioner in the Beth Israel Deaconess Medical Center (BIDMC) Liver Tumor Multidisciplinary Clinic. Her unique role is shared across Hepatology, Medical Oncology, Interventional Radiology, Radiation Oncology, and Hepatobiliary Surgery. She sees a broad spectrum of patients throughout the disease continuum from pre-diagnosis, post-procedure, survivorship, and those with cirrhosis management needs throughout their disease journey. She also staffs the BIDMC Splanchnic Vein Thrombosis Multidisciplinary Clinic.

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