BAPEN 2022 Annual Conference

Symposium 2
Distal enteral feeding

This exciting BIFA symposium will assess distal feeding and chyme reinfusion, not only as possible alternatives to parenteral nutrition but as ways to prepare the gut for surgery. The potential physiological and nutritional benefits will be discussed. The practicalities of distal feeding will be explained before looking at new technological developments that facilitate chyme reinfusion. The Pam Harris lecture for the Nightingale Trust for Nutritional Support will be given during this session.

Symposium 3
Optimising ICU recovery through nutrition support

As more people survive an ICU stay, the long-term debilitation sometimes associated with critical illness is becoming more apparent and the need for strategies to try and avoid muscle loss and maximize recovery are becoming increasingly clear. Ella Terblanche will give an overview of her exciting research on the importance of nutrition in post critical care recovery, before we look at feeding during ICU stay. Optimal estimation of energy requirements during ICU admission may be a crucial part of reducing muscle loss but do we need indirect calorimetry to do it accurately? An expert in the field will set out to answer the question ‘indirect colorimetry – is it all it’s cracked up to be?’ Finally, the focus will shift to the method of enteral feed infusion and whether bolus feeding offers any advantages in preserving muscle mass.

Symposium 4
Optimising nutrition in young people with neuro-disability

Following an expert review of the prevalence and management of gastrointestinal dysfunction in young adults, the symposium will focus on the option of enteral blended diet and its role in severe neurodisability. The complexities of transition of nutritional management from paediatric to adult services will be analysed before a thought provoking look at the ethical issues surrounding the use of long-term parenteral nutrition in severe neurodisability

Symposium 8
Prehabillitation

The PENG symposium this year will focus on prehabilitation in oncology which has an emerging evidence base and provides the opportunity to provide targeted therapy to optimise patients nutritionally, physically and emotionally prior to treatments. The session takes a dietary perspective looking at the benefits of ERAS in UGI cancer patients, giving insight in to how to develop and run a prehab service by learning from outstanding practice and looking at national developments and frameworks.

Symposium 9
Outpatient follow up of home parenteral support (HPS)

This BIFA led symposium will be about the home parenteral support (HPS) multidisciplinary team (MDT) outpatient clinic. An MDT panel will discuss a complex remote HPS case discharge, which will then be followed with talks about what is done in an MDT virtual or face-to-face clinic (including the objectives and psychosocial issues), and about the appropriate haematological and biochemical monitoring.

Symposium 10
Exploring NG ‘never events’ – is NGT standardisation the answer in the modern NHS?

NG ‘never events’ are in the top 5 reported patient safety Incidents in the modern NHS. In September 2020, the NGSiG Arm of BAPEN. Presented its Statement Paper, “Time to put Patient’s Safety First”. www.bapen.org.uk/pdfs/ngsig/a-position-paper-on-nasogastric-tube-safety-v2.pdf The NNNG ask - “Should WE standardise NG practice in the modern NHS?”.

• How do we standardise a complex process of BLIND insertion, placement, confirmation displacement recognition of NG insertion and care?
• If we can’t standardise practice, how do we train, assess and confirm NG competence?
• Is there an optimal staffing model for practising NGT care?
• Numerous patient safety alerts, best practice guidance and evidence base papers have been created to manage NG ‘never events?’ But they continue to happen with alarming frequency – why?

Symposium 11
Nutrition in renal medicine

This exciting symposium jointly organised the BDA Renal Nutrition Group and PENG will look at some key aspects of nutrition in kidney disease. Acute kidney injury, dialysis and nutrition on ICU will be explored in detail before the complexities of providing parenteral nutrition are in investigated by a specialist dietitian. Finally, the role of diet in the cause and treatment of renal stone disease in intestinal failure will be reviewed before delegates are given the opportunity to question the expert panel.

Symposium 12
Nutritional support in adhesional bowel obstruction - a sticky problem

In 2017 the National Audit of Small Bowel Obstruction (NASBO) reported on the gaps in the provision of nutritional care amongst patients admitted to hospital with a small bowel obstruction.

In 2020 the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) published their report ‘Delay in Transit - A review of the quality of care provided to patients aged over 16 years with a diagnosis of acute bowel obstruction’. Similar to the findings of NASBO, the NCEPOD report raised concerns regarding the deficits in the provision of nutritional care and advice for patients.

Managing patients with bowel obstruction is not without its challenges. The evidence base for guideline development is limited and practitioners are often reliant on practices that have evolved locally.

We are therefore delighted to bring to delegates a symposium focussed on how we might improve the nutritional care of patients with bowel obstruction. Drawing on the experience of experts in clinical practice and emerging evidence, the symposia will explore barriers to care, decision-making for nutrition support and dietary management, with the aim to empower and motivate delegates, to pursue actions at a local level, to help provide timely and effective nutritional care to improve and enhance the patient experience.

Symposium 13
Eating behaviour after bariatric surgery

Both nutritional deficiencies and post-operative weight gain are significant concerns after various types of bariatric surgery. Here we present a coterie of innovative international speakers to discuss the physiological mechanisms and translational science behind food intake behaviour post-operatively and provide real-world evidence to support bariatric surgery patients in maintaining nutritional health in the long term.