About this Event
The course will cover all 3 types of intestinal failure.
12 December
The basics - Day 1 will cover aspects of type 1 intestinal failure including causes and prevention, refeeding, requirements, short term access, bowel obstruction, choosing a PN bag and managing metabolic complications in the short term.
13 December
The complex - Day 2 will cover aspects of type 2 intestinal failure and will focus on the management of enterocutaneous fistula and high output stomas, fistuloclysis/distal feeding, maximising enteral nutrition, pharmacology issues, management of chronic pain and dysmotility.
14 December
The long term - Day 3 will cover type 3 intestinal failure and will focus on home parenteral nutrition including the national IF network, monitoring patients on HPN, complications such as infections, metabolic and abnormal LFTs, quality of life, malignancy, intestinal rehabilitation and the patient perspective.
We look forward to seeing you in December at the Royal College of Physicians or online.
12th of December 2022 -Day 1 – The Basics
08:30 - Registration
08:55 - Welcome (Mani Naghibi & Alison Culkin)
Type 1 intestinal failure (Chairs: TBC)
09:00 What is Type 1 intestinal failure & its cause - Mani Naghibi
09:20 Managing refeeding syndrome - Alison Culkin
09:45 Estimating nutritional requirements - Nicola Vernon
10:05 Case presentation - Nicola Vernon/Alison Culkin
10:10 Panel discussion
10:30 Coffee break (Meet the experts: Doctors/Dietitians)
Peri-operative management of Type 1 intestinal failure (Chair: TBC)
11.00 Medical management of ileus & obstruction - Mani Naghibi
11.20 Drug management of ileus & obstruction - Riddhika Joshi
11.40 Surgical management of type 1 intestinal failure - Phil Tozer
12.00 Nutritional management of bowel obstruction - Dietitian TBC
12:20 Panel discussion - All
12:40 Lunch break
Parenteral nutrition in Type 1 intestinal failure (Chair: TBC)
13:40 Vascular access for short term parenteral nutrition - Dino Roa
14:00 Debate: All type 1 patients should receive multi-chamber bags
(For: Uchu Meade - Against: Nicola Vernon)
14:30 Case presentation update - Nicola Vernon/Alison Culkin
14:40 Panel discussion - All
15:00 Tea break (Meet the experts: Nurses/Pharmacist)
Complications during short term parenteral nutrition (Chair: TBC)
15:30 Abnormal liver function: don’t blame the PN – case study Simon Gabe
15:50 Managing glucose and lipid abnormalities – case study Suzanne Donnelly
16:10 FAQ - MDT Panel
16:30 Final discussion - All
17:00 Summary and close
13th of December 2022 –
Day 2 – The complex
08:30 Registration
08:55 Welcome (TBC)
High output stoma and enterocutaneous fistulae (Chairs: TBC)
09:00 Medical management - Simon Gabe & Maryam Clark
09:20 Surgical management - Akash Mehta
09:50 Dietary management - Lilia Malcolm
10:10 Panel discussion - All
10:30 Coffee break (Meet the experts: Doctors/Dietitians)
Prehabilitation and Distal limb feeding/fistuloclysis (Chair: TBC)
11.00 Prehabilitation and preparing the patient for surgery - Richard Holman
11.25 Nursing aspects of distal feeding - Heidi Li & Riya James
11.50 Nutritional & pharmaceutical aspects of distal feeding - Diane Brundrett & Maryam Clark
12.15 Panel discussion - All
12:30 Lunch break
How to avoid PN when the gut stops working – gastroparesis (Chair: TBC)
13:30 Right tube, right route, right patient? - Nutrition nurse – TBC
13:50 Optimising enteral feeding - Sinead Burke
14:10 Medic*tion optimisation - Uchu Meade
14:30 Panel discussion - All
14.45 Tea break (Meet the experts: Nurses/Pharmacist)
Intestinal dysmotility (Chair: TBC)
15:15 Medical management of dysmotility - Gehanjali Amarasinghe
15:35 Nutritional management of dysmotility - Lee Martin
15:50 Management of chronic pain - Simon Braude
16:15 Psychological support for patients with dysmotility - Callum Moulton
16:35 Final discussion - All
17:00 Summary and close
14th of December 2022 –
Day 3 – The Long Term
08:30 Registration
08:55 Welcome - (Mia Small)
Home parenteral nutrition (Chairs: Mia Small)
09:00 Patient perspective on life with intestinal failure - St Mark’s patient
09:25 Challenges discharging patients home on parenteral support - Dietetic perspective Diane Brundrett
09:40 Ph*rm*cy perspective - Roshni Patel
09:55 Nursing perspective - Jo Gent
10:10 Monitoring patients on home parenteral support - TBC
10:30 Panel discussion - All
10:45 Coffee break (Meet the experts: Doctors/Dietitians)
IF & HPN complications (Chair: TBC)
11.15 Managing metabolic complications - Suzanne Donnelly
11.40 Managing abnormal liver function - Simon Gabe
12.05 Catheter related thrombosis - James Willsmore
12.25 Catheter related bloodstream infection under the microscope - Simon Lal
12:50 Panel discussion - All
13:00 Lunch break
Patient perspective (Chair: TBC)
14:00 An international perspective of HPN - TBC
14:25 Quality of life on HPN - Alison Culkin
14:50 Long term outcomes, intestinal rehabilitation & growth factors - Simon Gabe
15:15 Panel discussion - All
15.30 Tea break (Meet the experts: Nurses/Pharmacist)
Difficult decisions (Chair: TBC)
16:00 End stage malignancy and remote discharge - Mani Naghibi
16:25 Transplantation - Lisa Sharkey
16:50 Final discussion - All
17:00 Summary and close
This event is sponsored by Lloyds Ph*rm*cy Clinical Homecare and Takeda
Dr Simon Gabe
Event Venue & Nearby Stays
Royal College of Physicians, 11 St Andrews Place, London, United Kingdom
GBP 180.00 to GBP 450.00