Bio

Clinical Focus


  • Pediatric environmental health
  • Pediatrics
  • Pediatric nutrition and obesity

Academic Appointments


Professional Education


  • Board Certification: Pediatrics, American Board of Pediatrics (1989)
  • Residency:University of Tennessee (1987) TN
  • Fellowship:Stanford University School of Medicine (1991) CA
  • Board Certification: Nutrition, American Board of Physician Nutrition Specialists (2001)
  • Fellowship:University of California San Diego (1990) CA
  • Internship:University of Tennessee (1985) TN
  • Medical Education:University of Alabama School of Medicine (1984) AL
  • MD, University of Alabama (1984)

Publications

Journal Articles


  • Vitamin D-Deficient Rickets in a Child With Cow's Milk Allergy (vol 25, pg 394, 2010) NUTRITION IN CLINICAL PRACTICE Barreto-Chang, O. L., Pearson, D., Shepard, E., Longhurst, C. A., Greene, A. 2011; 26 (2): 208-208
  • Methamphetamine use following bariatric surgery in an adolescent OBESITY SURGERY Dutta, S., Morton, J., Shepard, E., Peebles, R., Farrales-Nguyen, S., Hammer, L. D., Albanese, C. T. 2006; 16 (6): 780-782

    Abstract

    Bariatric surgery is increasingly popular as a therapeutic strategy for morbidly obese adolescents. Adolescence represents a sensitive period of psychosocial development, and children with considerable weight loss may experience greater peer acceptance, accompanied by both positive and negative influences. Substance abuse exists as one of these negative influences. We present the case of an adolescent bariatric surgical patient who abused methamphetamines in the postoperative period, with consequent nutritional instability. A concerted effort must be made in the preoperative assessment of adolescent bariatric patients to delineate a history of illicit drug use, including abuse of diet pills and stimulants. Excessive postoperative weight loss or micronutrient supplementation non-compliance should raise a suspicion of stimulant use and appropriate screening tests should be performed. The consequent appetite suppression may manifest with signs of malnutrition such as bradycardia, hypotension, and weakness. Inpatient nutritional rehabilitation and psychiatric assessment should be considered.

    View details for Web of Science ID 000238156200019

    View details for PubMedID 16756743

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