BAPEN Conference Critical care and parenteral nutrition (PN)


aficionados will welcome The Nutrition Society symposium ‘Immunonutrition and Novel Substrates’ as it will feature omega 3 guru Professor Philip Calder giving us an update on the pros and cons of the vast range of different parenteral lipid emulsions now available. The state of the art PN theme will continue in ‘Doing it Safely – Parenteral Nutrition’ which will feature no less than the internationally renowned Joseph Boullata, Professor of Pharmacology and Therapeutics at the University of Pennsylvania, telling us about ‘Risk Management in PN – The US perspective’. Prescribing, compounding and monitoring of PN will be covered in detail by Pharmacist Jackie Eastwood before a subject that should be close to the heart of all nutrition teams is tackled by Nurse Consultant Alison Young – ‘Avoiding Catheter Related Sepsis’. The patient’s perspective will not be forgotten with PINNT’s Richard Shawyer giving the low down on what it’s really like to manage PN at home. ‘Feeding Decisions at the End of Life’ will focus on some the most difficult decisions facing nutrition teams and anyone working with artificial nutrition. This will include use of PN at the end of life, when to stop feeding and the use of PEGs in learning difficulties. Monday will finish with a classic BAPEN themed Annual Dinner at the Crowne Plaza Hotel.


The second day of the main BAPEN Conference will have a strong gastro and enhanced recovery from surgery feel but will still feature many crucial subjects in nutritional support. It will certainly be worth getting up early to attend ‘Feeding in Chronic Conditions’. Dietitian Jen Warburton will look at the challenge of providing adequate nutrition within the context of the dietary restrictions often imposed on patients with chronic kidney disease – including some controversial topics such as intradialytic PN. Sinead Duggan, Vice Chair of the Pancreatic Society Nutrition Interest Group, will look at effectively treating the malnutrition often associated with chronic pancreatitis before Professor Marinos Elia looks at some new evidence for feeding in COPD.


Diet can be an effective treatment for many commonly encountered gastroenterological conditions and ‘Dietary Management of GI Disorders’ will give the very latest evidence and expert opinion. Dietitian Lucy Goddard will look at incidence, diagnosis and management of lactose intolerance before dietitian Miranda Lomer gives an overview of the many dietary interventions available for treating IBS. Professor Jonathan


Rhodes, President of the BSG, will give us a fascinating look at the possible role of dietary emulsifiers in the pathology of Crohn’s disease and how artificial nutrition can induce remission. Nutrition Strategies and the latest guidelines


for treating malnutrition will be detailed in Organisation of Nutritional Care. This will include the launch of the BAPEN and BDA guidelines on Food and Oral Nutritional Supplements and the latest on improving outcomes through food and beverage services. Paediatrics has not been forgotten – the British Society of Paediatric Gastroenterology, Hepatology and Nutrition have dedicated the whole of symposium 9 to current issues in paediatric nutritional care. Symposium 10 should prove quite interesting!


In ‘QI Nutrition’ the most challenging, baffling and controversial questions in clinical nutrition will be put to two teams of nutritional academics captained by Dr Mike Stroud and Dr Tim Bowling. The pioneer of preoperative carbohydrate loading professor Olle Ljungqvist will give two lectures on Tuesday – the first in the DDF plenary session will be entitled ‘Best Peri-operative Nutrition’. The second ‘Surgery, Nutrition and ERAS’ will round off Tuesday and the main BAPEN conference. Enhanced Recovery After Surgery (ERAS) programmes are being introduced throughout the NHS and this provides a fabulous opportunity for anyone involved in them to see a presentation from a man who was at the forefront of its development in Scandinavia. Although the main BAPEN conference


finishes on Tuesday, Wednesday will feature some joint BAPEN BSG symposia that are well worth attending. ‘Dietary Fibre – The good, the bad and the ugly’ will cover everything you wanted to know about fibre – where it comes from, the different types, what they do in the gut and how to use them clinically. There will also be some excellent joint DDF sessions on ‘Intestinal Failure’ and ‘Chronic Intestinal Pseudo-obstruction’ featuring the leading UK experts.


In conclusion, the aims of the DDF are perhaps best summarised by Professor Jonathan Rhodes, President of the BSG: “Nutrition is hugely important to gastrointestinal and liver health but often overlooked. This joint DDF meeting between BAPEN, BSG, BASL, AUGIS and with involvement from BSPGHAN…provides a wonderful opportunity to remedy this and to stimulate interaction, education and research.” With up to 4,000 attendees anticipated, the DDF offers delegates the chance to be involved in raising the profile of nutrition in patient care.


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BAPEN In Touch No.64 March 2012


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