Christina B. Bales, MD

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Christina Bales, MD, is a pediatric gastroenterologist in the Division of Gastroenterology, Hepatology and Nutrition, and Medical Director of the Intestinal Rehabilitation Program at Children's Hospital of Philadelphia.

Areas of Expertise: Short Bowel Syndrome, Failure to thrive, Alagille syndrome
Locations: Main Hospital

Phone: 215-590-1680

Education and Training

Medical School

MD - University of Pennsylvania School of Medicine, Philadelphia, PA

Internship

General Surgery - Hospital of the University of Pennsylvania, Philadelphia, PA
Pediatrics - Children's Hospital of Philadelphia, Philadelphia, PA

Residency

Otolaryngology - Hospital of the University of Pennsylvania, Philadelphia, PA
Pediatrics - Children's Hospital of Philadelphia, Philadelphia, PA

Fellowship

Gastroenterology (Chief Fellow) - Children's Hospital of Philadelphia, Philadelphia, PA
Advanced Hepatology - Children's Hospital of Philadelphia, Philadelphia, PA

Board Certification

Pediatrics – American Board of Pediatrics

Titles and Academic Titles

Attending Physician

Medical Director, Intestinal Rehabilitation Program

Associate Professor of Clinical Pediatrics, Perelman School of Medicine at the University of Pennsylvania

Conditions Treated

Departments and Services

Publications

Papers

2023

Zong W, Salish J, Kastl A, Kirsch J, Albenberg L, Bales C.: Whole foods introduction associated with symptomatic anastomotic ulceration in children with short bowel syndrome.  Journal of Pediatric Gastroenterology, Hepatology, and Nutrition 2023 Notes: Epub ahead of print.

2022

Sainath NN, Bales C, Brownell JN, Pickett-Blakely O, Sattar A, Stallings VA: Impact of Pancreatic Enzymes on Enteral Fat and Nitrogen Absorption in Short Bowel Syndrome. Journal of Pediatric Gastroenterology, Hepatology, and Nutrition 75(1): 36-41, Jul 2022.

Kastl A, Zong, W, Gershuni VM, Friedman ES, Tanes C, Boateng A, Mitchell WJ, O'Connor K, Bittinger K, Terry NA, Bales C, Albenberg L, Wu GD.  : Dietary fiber-based regulation of bile salt hydrolyzed activity in the gut microbiota and its relevance to human disease.   Gut Microbes 14(1), 2022.

2016

Youngstrom, DL, Dishowitz, MI, Bales CB, Carr E, Mutyaba PL, Kozloff, KM, Shitaye H, Hankenson KD, and Loomes, KM.: Jagged1 expression by osteoblast-lineage cells regulates trabecular bone mass and periosteal expansion in mice    Bone 91: 64-74, October 2016 Notes: doi: 10.1016/j.bone.2016.07.006.

2014

Duffy E, Carlow DC, Bales C, Treat J: Spurious elevation of aspartate aminotransferase in a patient on isotretenoin. Journal of The American Academy of Dermatology 71(4): 132-3, Oct 2014.

2010

Bales C, Kamath BM, Munoz PS, Nguyen A, Piccoli DA, Spinner NB, et al. Pathologic lower extremity fractures in children with Alagille syndrome. J Pediatr Gastroenterol Nutr. 2010 Jul;51(1):66-70. Cited in PubMed: PMID 20453673.

2009

Bales C, Sobol S, Wetmore R, Elden LM. Lateral sinus thrombosis as a complication of otitis media: 10-year experience at The Children's Hospital of Philadelphia. Pediatrics. 2009 Feb;123(2):709-13. Cited in PubMed: PMID 19171642.

Abstracts

2018

Moore, H and Bales, C. : Small Bowel Volvulus and Retinoblastoma:  An Unidentified Association?  Poster presented at the Annual Meeting of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN), Hollywood, Florida October 2018.

2017

Kastl A, Bales C, Albenberg L Kelsen J.: An Unusual Case of Short Bowel Syndrome Complicated by FPIES and Anastomotic Ulceration  Poster presentation at the Annual Meeting of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN.  Las Vegas, Nevada  November  2017.

2016

Drill, A., Ely, B, Bales, C.: A Proactive Approach to Care of Pediatric Short Bowel Syndrome Patients, Oral Presentation at the 9th Annual Pediatric Intestinal Failure and Rehabilitation Symposium, Los Angeles, CA October 2016.

2015

Menchise AN, Barsky DL, Mascarenhas MR, Maqbool A, Terry NA, Bales CB: The evolution of essential fatty acid deficiency in pediatric intestinal failure patients on chronic parenteral nutrition in the setting of intravenous fat emulsion restriction. American Society for Parenteral and Enteral Nutrition, Long Beach, CA, Poster Presentation 2015.

2013

Bales CB, Calabria AC, Zhang H, Swarr DT, Sainath N, Begany M, Bingham E, Johnson D, Kirpalani HM, Deardorff MA: Profound Cortical Hyperostosis in Preterm Infants with Chronic Lung Disease and Intestinal Failure. Poster Presentation at the Annual Meeting of the Pediatric Academic Societies, Washington, DC 2013.

2011

Bales CB, Dishowitz M, Carr E, Silvis L, Hansenson KD, Loomes KM. Jag1 in osteogenesis: clinical implications for Alagille syndrome [abstract oral presentation]. Annual Meeting of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN); 2011; Orlando, FL. 

Books

2015

Bales C: Jejunal and Ileal Atresia and Obstruction. Nelson Textbook of Pediatrics, 20th Edition 2015.

Bales, C: Duodenal obstruction. Nelson Textbook of Pediatrics, 20th Edition 2015.

Chapters

2013

Bales CB: Hepatomegaly. Schwartz's Clinical Handbook of Pediatrics, 5th edition. Zorc JJ (eds.). Lippincott, Williams, and Wilkins: Baltimore, MD, 2013

2012

Bales, CB: Food Poisoning and Food-Bourne Illness. The 5-Minute Pediatric Consult, 6th Edition. In Schwartz, MW, Bell LM, Bingham PM, et al. (Eds.) (eds.). Lippincott, Williams, and Wilkins: Philadelphia, PA, 2012, 2012.

2011

Bales C, Liacouras CA. Jejunal and ileal atresia and obstruction. In: Kliegman RM, Bonita MD, Stanton BF, St. Geme JW, Schor N, Behrman RE, editors. Nelson's textbook of pediatrics. 19th ed. Philadelphia: Elsevier Saunders; 2011. p. 1278.

Bales C, Liacouras CA. Duodenal obstruction. In: Kliegman RM, Bonita MD, Stanton BF, St. Geme JW, Schor N, Behrman RE, editors. Nelson textbook of pediatrics. 19th ed. Philadelphia: Elsevier Saunders; 2011. p. 1277.

2008

Bales CB. Food poisoning and food-bourne illness. In: Schwartz MW, Bell LM, Bingham PM, Chung EK, Friedman DF, Loomes KM, Mamula P, Mascarenhas M, Tanel RE, editors. The 5-minute pediatric consult. 5th ed. Philadelphia: Lippincott, Williams & Wilkins; 2008. p. 332-33.

2001

Miller SM, Fang CY, Diefenbach MA, Bales C. Tailoring psychosocial interventions to the individual's health information processing style: the influence of monitoring versus blunting in health and disease. In: Baum A, Andersen B, editors. Psychosocial interventions for cancer. Washington (DC): American Psychological Association; 2001. p. 343-62.

1999

Miller SM, Green VA, Bales C. What you don't know can hurt you: a cognitive social framework for understanding children's responses to stress. In: Lewis M, Ramsay D, editors. Soothing and stress. Mahwah: Lawrence Erlbaum Associates; 1999. p. 257-92.

Posters and Presentations

2015

Menchise AN, Barsky DL, Mascarenhas MR, Maqbool A, Terry NA, Bales CB: The evolution of essential fatty acid deficiency in pediatric intestinal failure patients on chronic parenteral nutrition in the setting of intravenous fat emulsion restriction. American Society for Parenteral and Enteral Nutrition, Long Beach, CA, Poster Presentation 2015.

Invited Lectures

2022

Bales CB. "Pancreatitis", Open Medical Institute Pediatric Gastroenterology Course, Salzburg, Austria. Apr 2022.

Bales CB. "Cystic Fibrosis", Open Medical Institute Pediatric Gastroenterology Course, Salzburg, Austria. Apr 2022.

Bales CB. "Short Bowel Syndrome:  Part II", Open Medical Institute Pediatric Gastroenterology Course, Salzburg, Austria. Apr 2022.

Bales CB. "Short Bowel Syndrome:  Part I", Open Medical Institute Pediatric Gastroenterology Course, Salzburg, Austria. Apr 2022.

2021

Bales CB. "Short Bowel Syndrome:  The Next Generation", Neonatology Grand Rounds, Children's Hospital Colorado, Invited Virtual Presentation. Dec 2021.

Awards and Honors

2016-2017, Alan R. Cohen Master Clinician, Children's Hospital of Philadelphia

2015, 2017, 2019, 2021, 2023, CHOP Gastroenterology Division Faculty Nutrition Teaching Award

2014, 2018-2021, CHOP Gastroenterology Division Faculty Honor Roll for Excellence in Teaching

2014, Selected Invitee American Gastroenterology Association Women's Leadership Conference

2012, CHOP Gastroenterology Division Faculty Honor Roll for Excellence in Teaching

2011, North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Fellow Research Award

2010, American Society for Transplantation Fellows Symposium Travel Award

2009, Studies for Pediatric Liver Disease and Transplantation (SPLIT) Travel Award

2009, National Institutes of Health Loan Repayment Award

2007, Tools for Skeletal Research Workshop at Yale University Travel Award

2002, AWMA Scholar Citation, University of Pennsylvania School of Medicine

2002, Merck Manual Award, University of Pennsylvania School of Medicine

2001, Alpha Omega Alpha

2001, Dean's Scholarship, University of Pennsylvania School of Medicine

1990, David B. Jutten Romance Language Award, Colgate University

1989, Phi Beta Kappa

Editorial and Academic Positions

Editorial positions

2021-present, Reviewer, Journal of Parenteral and Enteral Nutrition
2018-present, Reviewer, Journal of Pediatric Gastroenterology and Nutrition

Academic and institutional committees

2021-present, Children's Hospital of Philadelphia Vascular Access Steering Committee
2019-present, Children's Hospital of Philadelphia Complex Care Fever-Line Quality Improvement Committee
2019-present, Physician Clinical Advisor and Member, Children's Hospital of Philadelphia Outpatient CLABSI Committee

Leadership and Memberships

Memberships in professional organizations

International

2007-present, North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN)