BAPEN 2022 Annual Conference

Good Morning BAPEN, live from Brighton!
BAPEN President, Dr Trevor Smith, will be joined by members of the BAPEN Executive and Standing Committees to provide this year’s BAPEN highlights including BAPEN @30 years and review of BAPEN’s values and strategy.

Short Bowel Syndrome – Transforming patient outcomes and experience
Dr Simon Gabe, Consultant in Gastroenterology & Intestinal Rehabilitation, St. Mark’s Hospital, Harrow

A New Era ‘Malnutrition and Big Data’
Dr Sorrel Burden, Reader in Nutrition and Dietetics, University of Manchester

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.

Chyme Feeding: Why, when and the effects on drug absorption
Prof Gil Hardy, Emeritus Professor of Clinical Nutrition, Massey University, Auckland, New Zealand

Distal feeding: How and with what?
Kirstine Farrer, Consultant Dietitian – Intestinal Failure, Salford Care Organisation

The Pam Harris Lecture

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.

Does bolus feeding have a role in critically ill patients?
Dr Zudin Puthucheary, Clinical Senior Lecturer, Barts and The London School of Medicine & Dentistry

Recovering from Critical Illness and the Digital Recovery Pathway
Ella Terblanche, Research Associate, Applied Technologies for Clinical Care, King’s College London

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.

Gastrointestinal Dysfunction in Young Adults with Neurodisability – Prevalence and management
Dr Mark Beattie,
Consultant Paediatric Gastroenterologist, Southampton Children’s Hospital

Blended Diet and its Role in Improving Enteral Tolerance in Young People with Severe Neurodisability
Amanda Wall,
Paediatric Dietitian, Royal Blackburn Teaching Hospital

Transition from Child to Adult Health Services – Challenges faced by young people with chronic neurodisability
Joanna Elverson,
Consultant in Palliative Medicine, Newcastle upon Tyne Hospitals

Ethical Issues Around the Use of Long-term Parenteral Nutrition in Severe Neurodisability
Elena Cernet,
Paediatric Gastroenterologist, Leeds Teaching Hospitals NHS Trust

Lunch, Exhibition & Networking
BAPEN Annual General Meeting

Chaired Poster Sessions
Posters showcasing new research will be displayed throughout the conference in the Poster Exhibition area. ‘Themed’ facilitated poster presentations will provide an opportunity for informal discussion with the author.

Symposium 5
IBD and Nutrition in Adults

The incidence and prevalence of inflammatory bowel disease (IBD) is on the rise. Whilst there has always been a recognition of the importance of diet in IBD, it is only recently that we have developed our understanding of its role in the modulation of inflammation, the gut microbiome, and response to medical therapies. In this symposium, our speakers will give an overview of diet in IBD, the practicalities of administering dietary therapy, and the new upcoming dietary therapies on the horizon.

Dietary Landscapes in IBD
Prof Kevin Whelan,
Professor of Dietetics and Head of Department of Nutritional Sciences, King’s College London

Practicalities of Administering Dietary Therapy in IBD Patients
Gabriela Poufou, Dietitian, St Mark’s Hospital, Harrow

The CD-Treat Diet: A revolutionary therapy
Prof Konstantinos Gerasimidis,
Professor of Clinical Nutrition, School of Medicine, University of Glasgow

Symposium 6
Evolving World of Parenteral Nutrition

This BPNG symposium will open with an update on PN capacity and an introduction on how we got to the current situation with homecare, current aseptic compounding capacity and current options for homecare, providing a comparison of all UK nations and an update on national reviews and working groups. The second presentation will provide a review of the use of licensed PN bag in-patients and in the homecare setting and what considerations need to be made and the bag options available. The symposium will conclude with a case study of a patient requiring multiple infusions and the considerations to be made with regards to stability and compatibility, and patient safety.

Update on PN Capacity
Jackie Eastwood, Regional Pharmacy Procurement Specialist – London, Guy’s and St Thomas NHS Foundation Trust

The Use of Licensed Bags in Paediatric PN
Sarah Zeraschi, Consultant Pharmacist Nutrition, Leeds Teaching Hospitals NHS Trust

Infusing PN/HPN with Multiple Infusions
Simon Harrison, Specialist Pharmacist – Intestinal Failure, Salford Royal NHS Foundation Trust

Symposium 7
A NICE look at MEED: Refeeding in eating disorders and complex gastrointestinal dysmotilities

Patients with eating disorders are not just encountered in specialist centres and may often be seen on endocrinology and psychiatric wards where they are referred to dietitians and nutrition support teams. In addition there are many similarities between eating disorders patients and those with complex gastrointestinal dysmotilities frequently referred for nutritional management on gastro wards. Such patients are almost always at high risk of refeeding syndrome, requiring complex decisions regarding introduction of nutrition and replacement of fluid and electrolytes. This symposium will aim to guide practitioners through the different expert recommendations, focusing on the practicalities of fluid and electrolyte provision. This will be followed by case scenarios featuring an expert panel including key authors of guidelines who will also be available to answer delegate queries in an extended Q&A session.

The Fine Line between Eating Disorders and Gastrointestinal Dysmotilities
Dr Trevor Smith,
Consultant Gastroenterologist, University Hospital Southampton NHS Foundation Trust

The Practicalities of Replacing Vitamins and Electrolytes in Refeeding Syndrome
Pete Turner,
Clinical Specialist Nutrition Support Dietitian, Ulster Hospital, Northern Ireland

Case Scenarios in Feeding and Refeeding Patients with Eating Disorders and Complex Dysmotilities
Expert multidisciplinary panel including representatives from BAPEN and MEED

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.

Prehabilitation in Head & Neck Cancer Radiotherapy – a Pilot MDT Project in Northern Ireland
David Curtin, Macmillan Clinical Lead Speech and Language Therapist specialising in Head and Neck Oncology, Western Health and Social Care Trust
Ciara McSherry, Specialist Oncology Dietitian in Head & Neck, North West Cancer Centre

Developing a national prehabilitation framework for patients affected by cancer: Scotland's perspective
Fraser Breed, Macmillan Project Manager/Advanced Dietitian, NHS Borders

The challenges of achieving enhanced recovery in oesophago-gastric surgery
Fiona Huddy, Specialist Oesophago-Gastric Dietitian, Royal Surrey NHS Foundation Trust

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.

What to do in a Home Parenteral Support Out Patient Department Follow-up Clinic
Dr Michael Glynn,
Consultant Gastroenterologist & Hepatologist, Barts Health NHS Trust
Mia Small,
Nurse Consultant Nutrition and Intestinal Failure, St Mark’s Hospital, Harrow.

What/when to monitor
Dr Nick Thompson, Consultant Gastroenterologist, The Newcastle Upon Tyne Hospitals NHS Foundation Trust

Case presentation
Dr Jeremy Woodward,
Physician, Addenbrookes Hospital

Panel:
Dr Phil Stevens,
Surgeon, Glasgow Royal Infirmary

Sarah Zeraschi,
Consultant Pharmacist Nutrition, Leeds Teaching Hospitals NHS Trust

Carolyn Wheatley,
Chair PINNT

Dr Sarah Kelly,
Consultant Clinical Psychologist, Salford Royal NHS Foundation Trust

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?

Speakers to be announced

Symposium 11
Nutrition in Renal Medicine

This exciting symposium jointly organised by 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.

Acute Kidney Injury, Dialysis and Nutrition on the ICU
Dr Mark Devonald,
Consultant Nephrologist, Liverpool University Hospitals Foundation Trust.

Parenteral Nutrition in Kidney Disease
Bruno Mafrici,
Lead Renal Dietitian, Nottingham University Hospitals NHS Trust.

Renal Stone Disease in Intestinal Failure Charlie Tomson,
Retired Consultant Nephrologist, Trustee for Kidney Research UK.

Symposium 12
Nutritional Support in Adhesional Bowel Obstruction – A sticky problem

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.

Managing Bowel Obstruction – A surgical perspective
Josef Watfah,
Consultant Suregon, London North West Healthcare NHS Trust

Nutritional Management – Where is the obstruction?
Alison Culkin,
Consultant Dietitian in Intestinal Rehabilitation, St Mark’s Hospital, Harrow

Dietary Management of Sub-acute Obstruction: Where are we going?
Lindsey Allan,
Macmillan Oncology Dietitian, Royal Surrey NHS Foundation Trust

Facilitated panel discussion and audience Q&A
Chaired by Mr Akash Mehta and Dr Anne Holdoway

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.

Using Direct Measures of Behaviour to Understand Food Intake Behaviour
Dr Ruth Price,
Clinical Trials Manager, Ulster University

Using Mechanistic Studies in Humans to Understand Food Intake
Dr Werd Al-Najim,
Clinical Nutritionist and Research Fellow, University College Dublin

Using Animal Studies to Make Sense of Human Food Intake Behaviour
Dr Caroline Cawthon,
Director of Philosophy, Florida State University

Lunch, Exhibition & Networking

Chaired poster sessions
Posters showcasing new research will be displayed throughout the conference in the Poster Exhibition area. ‘Themed’ facilitated poster presentations will provide an opportunity for informal discussion with the author.

£175.00 + VAT = £210.00

£218.75 + VAT = £262.50