Department of Anesthesia - PreAnesthetic Assessment CME Series

Lesson 325: Preanesthetic Assessment of Children With Food Protein–Induced Enterocolitis Syndrome



Marco Mikhael, MD, Pediatric Anesthesia Attending, Department of Anesthesiology and Pain Management, Cook County Hospital, Chicago, Illinois

Reviewer: Elizabeth A.M. Frost, MD, Clinical Professor, Department of Anesthesia, Icahn School of Medicine at Mount Sinai, New York, NY

Review Date: September, 2016

Editor: Elizabeth A.M. Frost, MD, Clinical Professor, Department of Anesthesia, Icahn School of Medicine at Mount Sinai, New York, NY

Faculty Disclosures: The author, the reviewer, and the editor have no relationships with pharmaceutical companies or manufacturers of products to disclose.

SPONSORSHIP:This activity is sponsored by the Icahn School of Medicine at Mount Sinai. 

Registration Fee: $15.00

2.0 AMA PRA Category 1 CreditsTM


RELEASE DATE: December 1, 2016

TERMINATION DATE: November 30, 2017

Registration and activity links are located on the bottom of the page.



Participants who do not possess a copy of Anesthesiology News can download and print the course material in an easy to read printer-friendly format. Participants must reflect on the information presented, and then register to complete the exam and course evaluation online before the availability date listed above. (CME credit is not valid past this date). 

Click on the link below to download and print the course material and post-test exam. Register for the exam to enter your responses to receive CME credit. There are ten questions in the examination and you must achieve a score of 80% or better to earn CME credit. Following successful completion, your certificate will be immediately available online. In addition, a historical record of completed CME courses is maintained online in an individualized profile. This includes copies of course certificates which can be printed at any time.

The registration fee for this course is $15.00

Physicians are provided with two opportunities to successfully complete the exam presented here. 

HARDWARE / SOFTWARE REQUIREMENTS: Participants will need a computer with an internet connection, a W3C standards compliant browser such as Internet Explorer 6.x or higher, Firefox 2.x or higher, Safari 2.x or higher; and Adobe Acrobat Reader.

TARGET AUDIENCE:  This activity is intended for anesthesiologists, certified registered nurse anesthetists, anesthesiologist assistants.

STATEMENT OF NEED: Anesthesiologists are accustomed to inquiring about drug and environmental allergies during preanesthetic assessment. Extending questioning to food allergies and the implication of positive answers is not so well addressed.


At the end of this activity, the participant should be able to:

  1. Define food protein–induced enterocolitis syndrome (FPIES)
  2. Name the foods that can trigger FPIES episodes
  3. Learn about the epidemiology and pathophysiology of FPIES
  4. Classify the different types of FPIES
  5. Discuss the acute and chronic clinical manifestations of FPIES
  6. List the differential diagnoses
  7. Describe diagnostic tools
  8. Outline the treatment of acute episodes
  9. Describe the management of patients with FPIES presenting for surgery
  10. Recognize the possible effect of propofol administration in patients with FPIE


Accreditation Statement: The Icahn School of Medicine at Mount Sinai is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation: The Icahn School of Medicine at Mount Sinai designates this Enduring material for a maximum of 2.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Policy Statement: It is the policy of the Icahn School of Medicine at Mount Sinai to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME-sponsored educational activities. All faculty participating in the planning or implementation of a sponsored activity are expected to disclose to the audience any relevant financial relationships and to assist in resolving any conflict of interest that may arise from the relationship. Presenters must also make a meaningful disclosure to the audience of their discussions of unlabeled or unapproved drugs or devices. This information will be available as part of the course material.

This Enduring material may contain discussion of published and/or investigational uses of agents for the treatment of disease. Some uses of these agents have not been approved by the FDA. Please refer to the official prescribing information for each product for approved indications, contraindications, and warnings.


Questions regarding course content may be directed to Dr. Elizabeth Frost:

If you require technical assistance with completing this course, please contact Continuing Education Online Customer Service at 718-648-8080 or send e-mail to

CALL FOR WRITERS: If you would like to write a CME lesson in Anesthesiology News, please send an e-mail to Elizabeth A.M. Frost, MD, at

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