News

GI Assessment/IBD/Food allergy/Diverticular disease/GORD/Critical illness/Liver/Pancreas

Dietitians are firmly established as specialists of gastrointestinal concerns.

The breadth and depth of working knowledge needed to address GI concerns is considerable. Often we are acting as a clinical co-ordinator; interpreting symptom progression, flagging further testing, addressing nutritional adequacy, supporting plan adherence and addressing psychosocial issues.

It can get complicated quickly.

We’ve been challenged to avoid simplistic practices. Rather our profession is developing skills towards highly personalised and comprehensive approaches. We are learning to ask meaningful questions and to listen for meaning in the answers.

Our presentations on gastrointestinal nutrition reflect the extent of clinical skill needed to work proficiently with our GI clients.

Below is a list of our presentations for Part 2: IBD/anatomical and acute GI conditions  We have a separate list for Part 1: IBS/FODMAP/Coeliac disease/SIBO/gut microbiota.

Gastrointestinal assessment

Assessing your GI client. Part 1: Collecting initial data

Marnie Nitschke, APD

• Establishing trust and rapport
• Collecting and interpreting clinical data
  • The referral
  • Relevant history and medications
  • Interpreting investigations, results

Read a review of the presentation here

Assessing your GI client. Part 2: Interpretation and diet management

Marnie Nitschke, APD

• Interpreting GI signs and symptoms (clues, red flags)
• Diet history – qualitative, quantitative and behavioural factors
• Forming a nutritional assessment
• Creating a clear management plan to set you and your client up for success

Read a review of the presentation here

Inflammatory bowel disease

Crohn’s disease

Rumbi Mutsekwa, APD, PhD Candidate

• A review of Crohn’s disease
  • Signs and symptoms
  • Disease activity
• Medical management
• Dietary management
  • Exclusive enteral nutrition
  • CD exclusion diet
  • Diet experiences, enablers and challenges
• Case studies

Read a review of the presentation here

Nutritional Therapy in Inflammatory Bowel Disease

Liz Purcell, AdvAPD

• What is Inflammatory Bowel Disease (IBD)?
• Causes
• Signs and symptoms
• Complications of IBD
• Medical management of IBD
• Nutritional assessment and management including: 
  • Use of exclusive enteral nutrition (EEN)
  • Diet
  • Supplementation
• Case study

Read a review of the presentation here

Food allergy

Oral allergy syndrome

Ingrid Roche, APD

• What is oral allergy syndrome?
• Signs and symptoms
• Diagnosis
• Medical management
• Nutritional management

Read a review of the presentation here

Dietary management of eosinophilic oesophagitis

Dr Vicki McWilliam, PhD, AdvAPD

• What is EoE?
• How is EoE diagnosed and common symptoms?
• Treatment Options.
• The history and development of diet as a treatment option for EoE.
• What elimination diet should you choose and practical aspects of the diet.
• Food reintroduction/challenge phase.
• The Future
• Summary and case presentation examples
• Full Reference List

Read a review of the presentation here

More information on food allergy presentations can be found here

Diverticular disease/GORD

Diverticular Disease; acute and chronic

Peta Cullis, APD

• Description of terminology:
  • Diverticulosis (asymptomatic)
  • Diverticular Disease (Symptomatic Uncomplicated Diverticular Disease (SUDD))
  • Acute Diverticulitis (complicated and uncomplicated)
  • Chronic Diverticulitis (complicated and uncomplicated)
• Occurrence and persistence
• Medical assessment and management
  • Differential diagnosis
  • Biochem
  • Treatment of inflammation
  • Bacterial overgrowth
• Dietary management
  • Fibre in acute and chronic diverticulitis
  • Summary of carbohydrates and fibre – and their effects on GI tract
• Developing the nutrition prescription
  • Symptom management diet
  • Remission and prevention diet
  • Example meal plan

Read a review of the presentation here

GORD and Barrett’s oesophagus

Louise Mudge, BSc (Hons) MND APD

• General anatomy and physiology of GORD and Barrett’s oesophagus
• Signs and symptoms
• Diagnosis
• Medical management
• Dietary management- what the current evidence is
• Pre and post op management of fundoplication

Read a review of the presentation here

Critical illness

Gastrointestinal function in critical illness

Varsha Asrani, Senior ICU/Surgical Dietitian PhD Candidate, NZ

A history of the scientific knowledge of the gut

• Gastrointestinal dysfunction in critical illness
  • incidence
  • spectrum of disease
  • difficulty of diagnosis
• Role of the gut in multiorgan failure
• Enteral feeding indications and contraindications
• How gastrointestinal function is impacted by
  • IV fluids
  • enteral nutrition
  • vasopressors/inotropes
• The development of a gut dysfunction scoring tool (Varsha’s research)

Read a review of the presentation here

Intestinal failure

Dr Sharon Carey, PhD, APD

• Define the difference between Type I, II and III intestinal failure
• Understand the role of nutrition assessment for people with intestinal failure
• Be able to follow a step-by-step guide to the nutritional management of people with intestinal failure

Read a review of the presentation here

Gastroparesis and dysmotility disorders

Dr Sharon Carey, PhD, APD

• Definition, diagnosis and aetiology of dysmotility disorders, including gastroparesis
• Signs and symptoms of dysmotility disorders
• Exploration of comorbidities such as diabetes, coeliac disease and disordered eating
• Medical management including medications, and procedures, including gastric pacemakers.
• Nutritional management including oral, enteral and parenteral pathways as well as lifestyle considerations.

Read a review of the presentation here

Total Parenteral Nutrition: the basics

Dr Sharon Carey, APD, PhD

• What is parenteral nutrition?
• Access for parenteral nutrition and current formulations
• Calculating nutritional requirements for parenteral nutrition 
• Monitoring your patient on parenteral nutrition
• Common parenteral nutrition complications 
• Transitioning your patient off parenteral nutrition
• Home parenteral nutrition

Liver

Non-alcoholic fatty liver disease (NAFLD)

Tayla Robertson, Senior Dietitian Princess Alexandra Hospital Hepatology Integrated Care Clinic

• Natural history of NAFLD
• Diagnosis and staging of NAFLD
• Management of NAFLD
  • Medical
  • Dietary
  • Exercise
  • Psychology
• Practical clinical strategies

Read a review of the presentation here

Pancreas

Nutritional management following a Whipple’s procedure

Kylie Russell, NZ Dietitian

• The latest evidence from RCTs regarding peri-operative nutrition for pancreaticoduodenectomy (Whipple) surgery
• Nutritional challenges faced following pancreaticoduodenectomy surgery including delayed gastric emptying, endocrine and exocrine insufficiency, Non-occlusive mesenteric ischaemia (NOMI), pancreatic post op fistula (PPOF)
• The role of nutrition in recovery
• Postoperative feeding options: oral, enteral and parenteral
• Current nutritional guidelines

Read a review of the presentation here

Pancreatic Enzyme Replacement Therapy

Ruth Vo, APD

• The function of pancreatic enzymes
• Indications for PERT
• Dietitian initiation and monitoring of PERT strategies for various settings
• Dietary management 

Read a review of the presentation here